Courtney McFarland
Financial Challenges Facing FQHCs
The following content, contributed by AAFCPAs’ Healthcare Practice Leader Courtney McFarland, appeared in STAT First Opinion, a platform showcasing perspectives and opinions on biotechnology, medicine, and the life sciences. Mission-critical Care is Financially Unsustainable Under FQHCs’ Current Model Twenty years ago, when I started working with federally qualified health centers, I once performed a walkthrough […]
2025 HRSA Site Visit Protocol Updates Refine Compliance Expectations
The Health Resources and Services Administration (HRSA) has released its 2025 updates to the Health Center Program Site Visit Protocol, refining how Operational Site Visits are conducted for Federally Qualified Health Centers (FQHCs) and Look-Alikes. Many revisions align language and methodology with current program guidance. Several changes, however, provide clearer direction in areas where documentation […]
How Nonprofits Can Prepare for Any Financial Scenario
Key takeaways: Organizations rarely have the luxury of planning in calm conditions alone. Funding models change, costs rise, programs evolve, and expectations continue to grow. The organizations best positioned to respond are not those that predict every outcome, but those that have already done the work to understand their cost structure, program sustainability, and financial […]
Aligning Mission and Margin in LGBTQIA+ Nonprofit Finance
Some nonprofit leaders describe their financial landscape as a horizon that refuses to hold steady. For organizations serving the LGBTQIA+ community, that precarious feeling is especially familiar. Regulations shift, funding priorities change, and economic signals move in ways that require constant attention. In the middle of it all, CFOs in this sector shoulder the weight […]
LGBTQI CFO Network Conference Featured Insights from AAFCPAs
AAFCPAs was pleased to participate in the LGBTQI CFO Network Annual Conference in Washington, D.C., December 3–5, 2025. Partners Courtney McFarland and Lauren Duplin led a session, Navigating Financial Leadership in a Changing Landscape, focused on the financial challenges nonprofit CFOs face in today’s funding environment. The session covered strategic planning and budgeting, aligning your […]
Senior Living Facilities Face New Financial Challenges in 2025
Senior living facilities are under pressure, managing rising costs while striving to deliver consistent care to a population that is living longer and often requires more complex support. Staffing remains a central concern: wages are up, agency fees remain high, and the workforce is still recovering from post-pandemic attrition. At the same time, more individuals […]
AAFCPAs Celebrates 2025 National Health Center Week
Each August, National Health Center Week offers an opportunity to recognize the essential role Community Health Centers (CHCs) play in advancing access to care. These centers are trusted community partners—delivering medical, dental, behavioral health, and social services to those who need it most. This year’s celebration takes place August 3–9, 2025. AAFCPAs invites clients and […]
Federal Shifts Signal Challenges and Support for Health Centers
As the federal fiscal year draws to a close, Community Health Centers once again find themselves in the policy spotlight. With core funding set to expire in September and new oversight proposals taking shape, health center leaders are managing a landscape defined by both renewed backing and regulatory headwinds. Lawmakers on both sides of the […]
HHS Rule Change May Affect Health Center Revenue and Patient Access
A new interpretation by the U.S. Department of Health and Human Services (HHS) could restrict access to federally funded programs—including the Health Center Program—for individuals without lawful immigration status. The move rescinds a 1998 interpretation of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) and reclassifies several programs, including community health centers, as “Federal […]