FQHC Financial Support & Fractional CFO Services

Strengthening Financial Performance for Community Health Centers

Financial management for Federally Qualified Health Centers (FQHCs) demands expertise that goes well beyond standard accounting or CFO experience. FQHC finances involve HRSA 330 grant compliance, Uniform Data System reporting, Prospective Payment System reimbursement, Medicare and Medicaid cost reports, Single Audit requirements, and the ongoing challenge of balancing mission-driven care with fiscal sustainability.

VMG Health’s financial support services provide community health centers with experienced, FQHC-specific financial leadership and operational support, on terms that make sense for your organization.

Our Services

Fractional & Interim CFO & Controller Services: Our fractional and interim CFO and Controller services provide experienced FQHC financial leadership, helping organizations navigate transitions, strengthen financial performance, and maintain compliance.
Accounting & Bookkeeping: Our specialized healthcare accounting services cover general ledger management, journal entries, fund reconciliations, month-end close, and financial statement preparation, all calibrated to the compliance standards governing FQHCs, including 2 CFR 200, Uniform Guidance, and HRSA requirements.
Audit Preparation & Single Audit Support: Federal funding brings federal audit obligations. Our team helps health centers prepare for and navigate Single Audits, HRSA fiscal reviews, and other audit processes, including organizing documentation, addressing compliance gaps, and reducing findings.
Strategic Budgeting: Our finance department assessments provide a comprehensive evaluation of your financial operations, including workflows, staffing, internal controls, systems, and compliance posture, benchmarked against high-performing FQHCs and HRSA standards.
Financial Dashboards & Reporting: We build customized financial dashboards for healthcare leaders, not just finance staff—giving leadership and boards actionable, real-time visibility into financial performance, grant compliance, and key operational metrics.
System Implementation Support: Transitioning to a new financial system is disruptive without the right guidance. Our team supports implementations and conversions for common FQHC systems, including Sage Intacct, BILL, Gusto, and MIP. We cover chart of accounts design, data migration, go-live support, and staff training.

Turning Challenges into Results

When one FQHC faced three audits behind schedule, the loss of its CFO, IRS payment delinquencies, and federal drawdown restrictions, our team restored compliance, completed all audits, removed the drawdown restrictions, and increased cash on hand by $500,000 within one year.

Our Financial Support Experts

Building the Financial Foundation Your Mission Deserves

Financial stability does not happen by accident. It is built through disciplined systems, experienced leadership, and a deep understanding of the funding environment unique to FQHCs. VMG Health brings all three. Contact our team to discuss how we can strengthen your organization’s financial foundation.

Contact Us

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