Community Health Centers
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 […]
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 […]
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 […]