Healthcare
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 […]
AAFCPAs Partner Michael Pruell Embarks on a New Chapter
AAFCPAs would like to share that Michael Pruell, CPA, a long-standing leader in the firm’s Healthcare and Community & Economic Development practices, has made the decision to pursue new professional opportunities outside of the firm. After many years of dedicated service, Mike has chosen to explore a new direction aligned with his evolving goals and […]
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 […]