REDW Advisors & CPAsThe Stakes Have Never Been Higher for FQHCs
FQHCs are not thinking abstractly about vendors. They are under real financial and regulatory pressure right now. Every message, every decision, and every advisor you bring in needs to speak to that reality.
Challenges:
- FQHC net margins went negative in 2024 (approx. -2.1%)
- Federal funding held flat for 2026 — do more with the same money
- Medicaid reimbursements remain stagnant while costs rise
- Some organizations have begun closing locations
- Many FQHCs are not HIPAA compliant — and don’t know it
- Audit findings repeat when there’s no roadmap to fix them
Financial Pressures
- Grants tracked manually with no real-time visibility
- Month-end close taking too long on stretched teams
- Unexpected revenue losses with no financial cushion
- Federal funding flat, no room for inefficiency
Compliance Requirements
- Single audit is federally required — and the stakes are real
- Audit findings with no roadmap to fix them
- Uniform Guidance complexity every leader worries about
- HIPAA non-compliance that’s often invisible until a breach
Operational Gaps
- Clinical staff recruitment and retention challenges
- Legacy financial systems slowing teams down
- Multi-location reporting with no unified picture
- No internal IT or HR function at smaller organizations
We can be your auditor…
How confident are you heading into your next audit cycle?
Single audit is a federal requirement for FQHCs. We understand FQHC funding structures from the inside — protecting your federal revenue and helping you come out of every audit cycle stronger.
Learn more about Audit & Assurance Services
When your auditor finds something, who helps you fix it?
REDW finds the problem through audit — and fixes it through Risk Advisory. Policy and procedure development, internal controls, and compliance roadmaps so findings don’t repeat. Most organizations don’t know this service exists separately from audit. That’s the differentiator.
Learn more about Risk Advisory Services
Or your finance partner.
Is your finance function holding your organization back?
For organizations without an internal accounting function, REDW steps in as the full team — bookkeeping, financial reporting, grant tracking, and audit prep.
Learn more about Accounting & Advisory Services
Is your financial system keeping up with everything your team is managing?
Cloud-based financial management implemented and supported by REDW specifically for healthcare. Real-time visibility, automated grant tracking, and custom dashboards.
Learn more about Financial System Advice & Implementation
Is staff turnover costing your organization more than you think?
Clinical staff recruitment and retention is one of the biggest operational challenges across every organization type and size. Create a culture of engagement & success with compensation studies, job classifications, employee relations, and HR process improvements — without the cost of an in-house hire.
Learn more about Human Resource (HR) Consulting
You have cyber insurance, but does it actually pay out if you are breached?
HIPAA compliance assessments, cyber awareness & phishing training, policy and procedure gap analysis, and cyber insurance readiness. A PHI breach carries penalties severe enough to close an already margin-negative organization.
Learn more about Cybersecurity Solutions
Do you know what your organization is worth, and what it would take to protect or grow that value?
Independent financial analysis for organizations evaluating growth, expansion, mergers, or PE partnerships. Gives leadership and the board the foundation to act decisively.
Learn more about Business Valuation Services
Protecting Your Mission Starts with the Right Firm
REDW brings the expertise FQHCs need — audit, compliance, technology, cybersecurity, and HR — from one firm that already knows your world.
Connect Today