Sponsor of NACHC
FASB Revenue Recognition for CHCs

Community Health Centers

BKD National Health Care Group is comprised of numerous trusted advisors who spend nearly 100 percent of their time focused on serving the needs of community health center (CHC) and federally qualified health center (FQHC) clients.

The BKD Center of Excellence for Community Health Centers focuses on the specific issues CHCs face every day. Each CHC has individual needs and goals, so we work with each of them to design a tailored solution that suits their unique operating environment.

We’re also active in the National Association of Community Health Centers (NACHC) and consult with regional and state primary care associations (PCA).

BKD wants to help you build confidence in your abilities as a CHC and to create a more sustainable future for your organization. See below for how our trusted CHC advisors can help you today!

Audit & Assurance

According to data compiled by the U.S. Office of Management and Budget via the Federal Audit Clearinghouse, BKD audits more CHCs than any other firm in the U.S. and more than double the number of the closest ranking CPA firm.

Our CHC audit clients range in annual budgets of $1 million to more than $100 million. In addition, our strong reputation with government regulators lends significant credibility to your financial statements. That means we can leverage our expertise and experience to provide you with the high-quality audit and assurance services you deserve.

Plus, you won’t have to train our auditors on CHC grant compliance requirements or sliding fee discounts. They're professionally focused on CHCs, so they can advise you on key issues and share best practices.


To help CHCs address the challenges associated with IRS Form 990, we developed BKD 990connect. This innovative tool helps reduce time, simplify the preparation process and communicate directly with your trusted tax advisor.


BKD has been working with Medicare since its inception in 1965 and prepares hundreds of FQHC cost reports each year. We also work with many CHCs on their state Medicaid cost report filings. We’ve developed cost report forms for several states and are familiar with the scope-change process under the Medicaid Prospective Payment System (PPS) that many states use to reimburse CHCs.

Our third-party reimbursement solutions for CHCs and FQHCs include:

  • Cost report preparation and filing
  • Medicaid PPS scope-change filing assistance
  • Medicare and/or Medicaid PPS planning and strategy
  • Medicare Advantage assistance
  • Assistance with Medicare and/or Medicaid cost report settlement process and related desk audits or reviews

Revenue Cycle & Operations

BKD’s trusted advisors specialize in revenue operation matters specific to CHCs, including:

  • Revenue cycle management and key performance indicators
  • Medicare and Medicaid reporting
  • Fee schedule development
  • Medicare G code development
  • Billing, coding and compliance
  • Charge structure development
  • Third-party payor contracts
  • Strategic positioning
  • 340B Drug Pricing Program

Grants Management

BKD’s CHC team has a group of advisors dedicated to federal and state grants management and compliance who know the rules governing these programs inside and out. We can help with:

  • Section 330 grant funds
  • Notice of Award
  • Federal requirements and uniform grant guidance (subparts B, C and D)
  • Health Center Program Compliance Manual
  • Cost principles and uniform grant guidance (subpart E)
  • Bureau of Primary Health Care (BPHC) site visit preparation
  • Grant applications
  • Uniform data system reporting
  • Federal financial report
  • And more

Managing Risks & Security

Your patients rely on you to keep their information secure. That means you should be able to rely on your information systems and controls. We can help you manage risk with:

Chief Financial Officer & Accounting Support

Is your organization in between CFOs, or are you having difficulty finding a qualified CFO?

BKD’s trusted advisors can help bridge the gap and provide operational support to your finance department. We can assist with monthly financial statement preparation, dashboard development, board reporting and other finance department duties.

We offer myriad accounting outsourcing solutions tailored to meet your needs.

Contact us today to get the accounting support you need!

Boot Camp Trainings

Are you looking for ways to better train your board, association or staff?

Through your local PCAs or other industry groups, BKD offers in-depth, CPE-eligible training that covers the issues and concerns most important to CHCs, such as revenue cycles, grants management, finance department operations, financial decision making and billing. We frequently facilitate trainings for NACHC and PCAs nationwide.

Interested in what trainings we offer? Complete the form below to download BKD’s complete menu of CHC trainings available.

Contact us today to get the accounting support you need!



March 15, 2018 - Washingoton, DC
NACHC Policies & Issues Forum
"The Health Center Program Compliance Manual from a Financial Perspective" – Presented By:  Jeff Allen & Catherine Gilpin

Sterling Health Solutions Inc.

"BKD is highly knowledgeable of how FQHC and CHC organizations operate, and I have found their advice invaluable. We have access to additional members of BKD’s CHC team for complex issues and questions."

— Tina Hall, Finance & Operations Director
Sterling Health Solutions Inc.
Mount Sterling, Kentucky

AxessPointe Community Health Center

“AxessPointe, an FQHC organization, retained BKD for board training to help us better understand and manage our unique financial risks. BKD professionals shared their FQHC expertise and provided in-depth, quality financial training, delivered insights on trends and facilitated board discussion resulting in identifying areas for improvement.”

— Kristine Drummond, Chief Executive Officer
AxessPointe Community Health Center
Akron, Ohio

Jordan Valley Community Health Center

“BKD was recommended to me 10 years ago as an accounting firm with a specialty niche focused on community health centers. Since that time, I have used BKD at two different facilities for a full range of financial services. Their professionals have provided us with audit, tax, coding and billing and cost report services and have assisted us in operations management and revenue enhancement. Routinely, implementation of their recommendations had a positive influence on the financial outcomes of our program. In addition to their efforts at the individual health centers, BKD is actively involved at both the national and state levels in addressing issues of interest related to health centers and their ongoing fiscal viability. This broad range of experience and knowledge has made them among the best in the industry.”

— Brooks Miller, Executive Director
Jordan Valley Community Health Center
Springfield, Missouri

Fairview Community Health Center

“BKD’s deep health care audit experience recently was demonstrated when we had to address an unusual situation regarding Medicaid receivables. I appreciate the engagement team’s thoughtful approach and their ability to explain, educate and work with my staff and me. BKD demonstrates deep experience, sharing insights from its other FQHC clients, which benefits Fairview Community Health Center.”

— John Lillybridge, Jr., Chief Financial Officer
Fairview Community Health Center
Bowling Green, Kentucky

Upcoming Trainings

May 22-23, Springfield, MO | Modeling Successful Finance Department Boot Camp | Click here to register.

August 1-2, Harrisburg, PA | Data-Driven Decision Making Boot Camp | Click here to register.

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