Courtney McFarland, CPA, MSA, 340B Apexus Certified Expert™

Courtney is an audit partner in the firm’s Healthcare Practice with extensive experience advising the nation’s healthcare safety net community, including Federally Qualified Health Centers (FQHCs), clinics, and behavioral health providers. She delivers a full range of solutions solving the challenges that AAFCPAs’ healthcare clients face, including audits in accordance with Uniform Guidance/Single Audit and Government Auditing Standards, 340B pharmacy program requirements, best practices for reconciliation and analysis of statistical and programmatic data, tracking and monitoring risk-based contracts, maximizing reimbursements, and guidance on healthcare reform.

Courtney trains professional staff on topics related to assurance, financial management and regulatory compliance for healthcare organizations. She is a regular guest speaker for the Massachusetts League of Community Health Centers, the Rhode Island Health Center Association (RIHCA), the Mass Council of Human Services Providers, and the Healthcare Financial Management Association (HFMA). She co-developed and taught 340B Program management workshops for members of the Massachusetts League and RIHCA. Courtney is recognized as a 340B Apexus Certified Expert™ (ACE) in the 340B Drug Pricing Program. She has extensive expertise evaluating decision points, potential compliance challenges, and audit areas of focus for 340B program participants.

Her STAT First Opinion article published in March 2026, ‘The greatest threat to federally qualified health centers may not be federal funding cuts,’ highlights strategic considerations for the nation’s healthcare safety net. A former member of AAFCPAs’ COVID-19 Response Task Force, Courtney helped organizations navigate rapidly evolving government relief programs at a critical moment for the nation’s healthcare safety net, experience she continues to bring to clients facing today’s regulatory, financial, and operational challenges.

Courtney was a 2023 MassCPAs Women to Watch honoree in the Experienced Leader category and has been serving AAFCPAs’ clients with dedication and insight since 2004.

Education

• Bentley University, Master of Science – Accounting
• Gordon College, Bachelor of Science – Accounting

Professional and Civic Associations

• 340B Apexus Certified Expert Community
• Healthcare Financial Management Association
• American Institute of Certified Public Accountants
• New England Society of Certified Public Accountants (NECPAs)

Service

• Rising Tides Strength and Conditioning – Treasurer

Publications

• STAT First Opinion (March 17, 2026): “The Greatest Threat to Federally Qualified Health Centers May Not Be Federal Funding Cuts.”
• HealthLeaders (April 10, 2026): “The Hardest Year Yet: How This FQHC Is Fighting to Regain Financial Footing”