Healthcare
AAFCPAs to Present Financial and Data Strategies for Community Health Centers at CHI 2026
Rising costs, shifting healthcare reimbursement models, and growing patient demand continue to strain Federally Qualified Health Centers (FQHCs) and other healthcare providers across the nation. Management is forced to weigh difficult decisions while seeking practical ways to stabilize operations, improve cash flow, and protect mission‑driven care. AAFCPAs is pleased to present two sessions at the […]
FQHC Financial Pressures Draw National Attention, With Insight From AAFCPAs
HealthLeaders (April 10, 2026) – AAFCPAs was recently featured in a HealthLeaders article “The Hardest Year Yet: How This FQHC Is Fighting to Regain Financial Footing,” which examines rising financial strain across federally qualified health centers. In the article, Courtney McFarland, CPA, MSA, 340B Apexus Certified Expert™, Partner at AAFCPAs, describes how expenses are outpacing […]
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 Spot Loss‑Leading Programs Early and Keep Their Mission Moving Forward
Key Takeaways: Identifying Loss-Leading Programs Early Nonprofit leaders balance mission and financial responsibility every day. For organizations with multiple programs, that balance grows even more complex as funding sources multiply, staffing challenges persist, and reporting expectations increase. Over time, financial pressure may emerge in subtle ways. An organization may continue to meet its obligations and […]
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 […]
IRS Updates Guidance on Business Interest Deductions
Key takeaways: The Internal Revenue Service recently clarified its Section 163(j) FAQs following changes under the One Big Beautiful Bill Act. These updates do not create new law but provide practical guidance for companies evaluating financing, merger and acquisitions activity, or capital investments. For businesses with significant depreciation or amortization, the revised framework helps align […]
California Medicaid Reforms Shape Future for Community Health Centers
Overview of California Medicaid Reforms and CalAIM California has relied on federal waivers to expand Medicaid and improve care delivery. In December 2015, the state secured a 1115 Medicaid waiver under Section 1115(d)(2) of the Social Security Act. Known as Medi-Cal 2020, the waiver was designed to transform the system by improving care quality and […]
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 […]