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Audit and Advisory Services for Federally Qualified Health Centers

FQHCs operate at the intersection of nonprofit governance, federal funding requirements, and healthcare regulation. Our FQHC practice is built on deep familiarity with the compliance obligations, funding structures, and reporting requirements specific to community health centers.

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Years Serving Ohio Nonprofits

Professionals In Your Industry

Offices Across Ohio and Florida

Built for the Compliance Environment You Operate In

Community health centers exist to serve the people who need them most. We take that mission seriously, and it shapes how we approach every engagement: not just as a compliance exercise, but as work that helps your organization stay strong enough to keep doing what it was built to do.

Your board wants confidence in the audit. Your CFO needs a firm that already knows how health centers are funded, regulated, and reviewed. Whether you’re evaluating new partners or looking for a stronger fit, you need a team that can step in and be productive from day one.

That’s what we do. We work with FQHCs across Ohio, the Midwest, and beyond, and we know the landscape that drives your year.

The Organizations We Work With

We work with a diverse range of not-for-profit healthcare organizations, from single-site health centers to multi-location organizations managing multiple federal programs and complex Medicaid cost reporting obligations.

Our clients range from smaller centers navigating their first single audit to larger organizations with significant 340B pharmacy programs and employee benefit plan audit requirements.

FQHCs

Community Health Centers

Rural Health Clinics

Multi-Site Health Centers

Federally Funded Health Programs

Meet Our FQHC Advisors

Our FQHC practice is led by professionals with specific, sustained experience in community health center audits, single audits under Uniform Guidance, and the regulatory environment that governs federally funded healthcare organizations. We work with health center leadership year-round to keep compliance ahead of the curve.

Adam Schultz, CPA

Principal, Not-For-Profit Industry Leader

Adam has over 14 years of experience in assurance and financial reporting for nonprofit and government-funded organizations, with deep expertise in single audits under OMB Uniform Guidance. As Rea’s Not-For-Profit Industry Leader, he oversees the firm’s FQHC practice.

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Ben Antonelli, CPA

Principal

Ben has specialized in assurance services for nonprofit and government-funded organizations since 2004, with extensive experience working directly with FQHCs on financial statement audits, single audits, and employee benefit plan audits.

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Jacob Self, CPA

Audit Manager

Jacob works with nonprofit organizations and community health centers s on audit, compliance, and federal reporting – helping finance leaders navigate the regulatory frameworks that govern federal award recipients. Jacob brings clarity to complex federal requirements so FQHC leaders can focus on the mission they’re building toward.

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How We Work with FQHCs

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Single Audit Expertise

Federal program compliance under Uniform Guidance, scoped around your specific funding mix. We handle this work throughout the year so that findings are timely and useful to your leadership team.

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340B Program Experience

340B pharmacy revenue is often the most significant line item in a health center’s budget — and one of the most scrutinized. We bring direct experience with 340B compliance to both the audit process and the strategic conversations around it.

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Medicare and Medicaid Cost Reporting

We handle cost report preparation and review alongside the financial statement audit. One firm, one relationship, one team that understands how the pieces connect.

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Employee Benefit Plan Audits

Most FQHCs include benefit plan audits in their RFP process. We conduct a significant volume of these annually and handle them as part of the same engagement relationship.

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A Deep Bench of Professionals

FQHCs have compliance needs that span audit, tax, IT, and data. As a full-service firm with professionals across all of those disciplines, we bring the right people to the table when the engagement calls for it — without sending you to a separate provider.

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A Relationship You’ll Value

We’re responsive, we’re prepared, and we make your team’s job easier. When you have a question, you get an answer. That’s the standard for every engagement, every client, all year.

We Know the Regulatory Landscape

Serving FQHCs requires fluency in a regulatory and funding environment unlike any other nonprofit sector. We work within all of the following frameworks on a regular basis.

HRSA Compliance

OMB Uniform Guidance

Single Audit Act

Medicaid Cost Reporting

Medicare Cost Reporting

340B Drug Pricing Program

FQHC Look-Alike Designation

Ohio Association of Community Health Centers

Employee Benefit Plan Audits (ERISA)

National Association of Community Health Centers

Trusted by Ohio’s FQHC Community

Our team brings direct experience working with a variety of FQHCs and similar not-for-profit healthcare organizations.

Local Expertise. Regional Reach.

We serve FQHCs across Ohio and offices throughout the state. Ohio’s Medicaid program and FQHC regulatory environment have specific characteristics that require advisors with in-state experience.