Courtney McFarland

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Navigating Federal Funding Uncertainty: Financial Strategies for Nonprofits

Navigating Federal Funding Uncertainty: Financial Strategies for Nonprofits

Nonprofits across the country are facing an uncertain financial future as the federal funding freeze and shifting policies disrupt their budgets. Organizations that have long relied on stable government grants are now being forced to reassess their financial strategies, manage liquidity more carefully, and rethink how they maintain reserve funds. Evaluating Financial Reserves and Liquidity […]

340B Discounts at Risk: What It Means for FQHCs and Patient Care

340B Discounts at Risk: What It Means for FQHCs and Patient Care

Federally Qualified Health Centers (FQHCs), hospitals, and health systems relying on 340B discounts are facing growing uncertainty. Courts, policymakers, and pharmaceutical manufacturers continue to push for changes that could reshape how the program operates. Recent developments have highlighted potential new restrictions and increased oversight along with the financial strain for participating providers. FQHCs and hospitals […]

The Current Federal Funding Landscape: What Nonprofits Need to Know

The Current Federal Funding Landscape: What Nonprofits Need to Know

Nonprofits nationwide that receive government funding are facing uncertainty as a federal funding freeze disrupts critical financial support. At the same time, nonprofit leaders nationwide are voicing concerns and seeking clarity on how this freeze may affect their organizations. Federal Funding at Risk The funding freeze initiated under the Trump administration has raised alarms among […]

Reminder: UDS+ Reporting Requirements Begin February 18

Reminder: UDS+ Reporting Requirements Begin February 18

As a reminder, the new Uniform Data System (UDS+) reporting requirements go into effect on February 18, 2025. These changes require health centers to submit some de-identified 2024 UDS patient-level data using Health Level Seven International (HL7)-developed Fast Healthcare Interoperability Resources (FHIR) R4 standards. To help you navigate these updates, we previously published a detailed […]

Federal Funding Pause and Its Implications

Federal Funding Pause and Its Implications

Update: Since this blog was published, the Trump administration issued a brief memo, M-25-14, which reads “OMB Memorandum M-25-13 is rescinded,” and directs questions about implementing the president’s executive order to agency general counsels. White House Press Secretary Leavitt said the previous executive orders related to funding reviews are still in effect and will continue to […]

IRS Notices for ERC Claims Disallowance

IRS Notices for ERC Claims Disallowance

As the IRS continues to process Employee Retention Credit (ERC) claims, AAFCPAs would like to proactively advise clients about Notices of Claim Disallowance, Letters 105C or 106C, being issued to some taxpayers. In most of these cases, the IRS is simply seeking additional information or clarifying details about a claim. Not all taxpayers will receive […]

Navigating New York Medicaid Reimbursement: A Strategic Approach for FQHCs

Navigating New York Medicaid Reimbursement: A Strategic Approach for FQHCs

Like many Federally Qualified Health Centers (FQHCs) across the country, New York’s centers are grappling with increasingly constrained budgets and rising staffing costs, making Medicaid reimbursements more critical than ever to sustaining their services. New York’s Medicaid system offers a key opportunity, providing FQHCs with the ability to apply for supplemental payments that cover costs […]

New UDS+ Reporting Requirements Announced for Health Centers 

New UDS+ Reporting Requirements Announced for Health Centers 

Health centers have long been required to submit a Uniform Data System (UDS) report to the Health Resources and Services Administration (HRSA) by February 15 each year. However, AAFCPAs would like to ensure FQHC clients are aware HRSA introduced a new requirement, the UDS+ filing due by April 30, 2025, for calendar year 2024 data.  […]

IRS Launches Second Employee Retention Credit Voluntary Disclosure Program

IRS Launches Second Employee Retention Credit Voluntary Disclosure Program

AAFCPAs would like to make clients aware that the Internal Revenue Service introduced its second Employee Retention Credit (ERC) Voluntary Disclosure Program, which runs until November 22, 2024. This initiative allows businesses to correct improper ERC payments at a 15 percent discount and avoid future audits, penalties, and interest. Under this program, businesses will need […]