FQHCs: Navigating Financial and Operational Challenges Amid Federal Funding Uncertainty

AAFCPAs’ Matthew Hutt, Vassilis Kontoglis, and Ryan K. Wolff offered insights in an educational session titled Navigating Financial & Operational Challenges in FQHCs at CHI 2025! This session was ideal for health center CFOs, COOs, and other decision-makers looking to adapt to the current federal and state funding landscape.

In this session, attendees explored how FQHCs can automate real-time data integration from systems like EPIC and Intacct to visualize key performance indicators (KPIs). This is particularly crucial in a time when many health centers are facing financial struggles and need to have appropriate information available in a timely manner in order to make critical decisions. These data-driven solutions are essential in a time when many health centers face significant financial pressures only exacerbated by 340B program challenges, lagging reimbursement rate reform, and the latest federal funding uncertainty. Attendees learned how combining data across systems may help health centers make faster and more informed decisions that improve their financial position and operational efficiency.

This session also touched on the role of AI-powered conversational agents (e.g., ChatGPT and Copilot) and Robotic Process Automation. Real-world case studies illustrated how these tools can streamline operations, enhance decision-making, and improve patient outcomes while also addressing data privacy and bias.

Why Attendees Joined

• Explore Critical KPIs. Identify key financial and operational metrics that help health center CFOs adapt to shifting funding streams, ensure sustainability, and drive strategic decision-making.
• Improve Data Integration. Learn how to effectively integrate data from disparate systems like EPIC and Intacct, enabling more efficient decision-making.
• Leverage RPA and AI. Discover ways Robotic Process Automation and Artificial Intelligence can improve operational efficiency and enhance decision-making.

AAFCPAs expresses gratitude to CHI for bringing together community health professionals to address pressing challenges and explore opportunities for creating stronger, more sustainable healthcare systems.

Meet the Speakers

About AAFCPAs’ Healthcare Practice

AAFCPAs is a trusted partner to Federally Qualified Health Centers (FQHCs) nationwide, providing financial and operational solutions tailored to the unique challenges of the U.S. healthcare safety net. Our team has extensive experience navigating federal, state, and local government funding, Medicaid and Medicare reimbursement, the federal 340B drug pricing program, and the complexities of telehealth, behavioral health, and dental services. We help clients strengthen financial sustainability through assurance, regulatory compliance, and tax strategies. Our expertise also includes digital transformation, data analytics, risk management, finance talent augmentation, and cost containment strategies that optimize reimbursement and improve overall efficiency.

These insights were contributed by Matthew Hutt, CPA, CGMA, Vassilis Kontoglis, and Ryan K. Wolff, MBA. Questions? Reach out to our authors directly or your AAFCPAs partner. AAFCPAs’ blog offers a wealth of resources related to FQHCs and Business Process & IT Advisory. Subscribe to get alerts and insights in your inbox.