What is a virtual CPA?

A virtual CPA provides the same services as a traditional CPA firm — tax preparation, bookkeeping, audits, financial planning — but delivers them remotely using secure cloud technology. You get expert-level service without visiting a physical office.

How much do virtual CPA services cost?

Pricing depends on the complexity of your financial situation and the services you need. We provide transparent fee estimates during your initial consultation. Virtual CPA firms typically have lower overhead than traditional firms, which translates to more competitive rates.

Do I need an audit for my nonprofit?

Many states require nonprofits to have an independent audit once they exceed certain revenue thresholds, often $500,000-$750,000. Grant-making organizations and government agencies frequently require audited financial statements. We can help determine your specific audit requirements.

What is the difference between an S-Corp and an LLC for tax purposes?

An LLC provides liability protection and pass-through taxation by default. An S-Corp election can provide additional tax savings by allowing owners to split income between salary (subject to payroll taxes) and distributions (not subject to payroll taxes). The right choice depends on your income level, business structure, and state tax laws.

What does a virtual CFO do?

A virtual CFO (fractional CFO) provides high-level financial strategy and oversight on a part-time basis — budgeting, forecasting, cash flow management, financial analysis, KPI reporting, and strategic financial planning. You get C-suite financial leadership without the full-time cost.

Can you help if I'm behind on bookkeeping or taxes?

Yes. We offer catch-up bookkeeping services to bring your books current and can help resolve back tax issues including IRS notices, unfiled returns, and payment plans.

What accounting software do you work with?

We work with QuickBooks Online, Xero, FreshBooks, Wave, and other major cloud accounting platforms. We can also help you select and set up the best software for your business.

How do I prepare for tax season?

Organize financial records throughout the year, keep receipts for business expenses, track mileage and home office usage, make quarterly estimated tax payments, and schedule a year-end tax planning session before December 31.

What is DCAA compliant accounting?

DCAA (Defense Contract Audit Agency) compliant accounting is a system that meets federal government requirements for contractors. It includes proper timekeeping, job cost accounting, indirect cost allocation, and specific internal controls required for government contract work.

Do I need a CPA or a bookkeeper?

Bookkeepers handle day-to-day recording of financial transactions. CPAs handle higher-level work — tax planning and preparation, audits, financial analysis, and strategic advice. Many businesses need both. Our firm provides both services so you have one team managing everything.

What's the difference between an audit, review, and compilation?

An audit provides the highest level of assurance through independent verification of financial statements. A review provides limited assurance through analytical procedures and inquiries. A compilation presents financial information in statement format without assurance. The right choice depends on your stakeholders' requirements.

Do you serve businesses outside the DMV area?

Yes. While our primary service area is Washington DC, Maryland, and Virginia, we serve clients nationwide through our 100% virtual model. Our cloud-based systems allow us to work with businesses anywhere in the United States.

Do all FQHCs need a Single Audit?

FQHCs that are Section 330 grantees (receive direct HRSA Health Center Program funding) almost always exceed the $1M federal award threshold and thus require a Single Audit. FQHC Look-Alikes (HRSA-designated but no Section 330 grant) need Single Audit only if they receive other federal awards exceeding $1M in a year.

What is the UDS reconciliation requirement?

HRSA requires that the financial data reported in the annual UDS (Form UDS Table 9E) reconcile to the organization's audited financial statements. Auditors test this reconciliation and report discrepancies as findings. Preparing a detailed UDS-to-audit reconciliation schedule before fieldwork significantly reduces audit risk.

How are Ryan White grants tested in a Single Audit?

Each Ryan White Part (A, B, C, D) is a separate federal program with its own ALN number and compliance requirements. If the combined expenditure on all Ryan White grants exceeds the Type A threshold, each Part may be selected as a major program requiring separate compliance testing covering eligibility determination, service documentation, and clinical quality management.

What happened to the Provider Relief Fund audit requirements?

Organizations that received $1M or more in PRF (ALN 93.498) in a year must include PRF compliance testing in their Single Audit. HHS published specific compliance requirements for PRF in the OMB Compliance Supplement. PRF compliance testing covers allowable expenses, lost revenue calculations, and PRF Reporting Portal submissions.

Does our FQHC need to comply with HIPAA as part of the audit?

HIPAA compliance is not directly tested in a Single Audit or financial statement audit — it's regulated by HHS Office for Civil Rights (OCR), not through the audit process. However, healthcare nonprofits handling PHI should maintain HIPAA compliance independently. Some SOC 2 engagements can complement HIPAA compliance evidence.

How much does an FQHC Single Audit cost?

FQHC Single Audits in the DC/MD/VA area typically range from $18,000 to $45,000, depending on organizational size, number of federal programs, clinic locations, UDS complexity, and whether prior-year findings need remediation. We provide fixed-fee quotes after reviewing your federal award portfolio.

FQHC & Healthcare Nonprofit Audit

FQHC & Ryan White Healthcare Nonprofit Audit — DC, Maryland & Virginia

What audit requirements apply to Federally Qualified Health Centers?

FQHCs receiving HRSA Health Center Program grants (ALN 93.224) must complete a Single Audit when federal awards exceed $1,000,000 (raised from $750,000 effective for fiscal years beginning on or after October 1, 2024), as required by 2 CFR Part 200. HRSA also requires annual financial data submission through the Uniform Data System (UDS). The audit must reconcile UDS financial data to audited financial statements, and must cover Health Center Program compliance requirements.

Healthcare Nonprofit Audit Challenges We Solve

"Our HRSA audit found our UDS data doesn't reconcile to our audited financials"

The Uniform Data System (UDS) annual report is HRSA's primary performance and financial monitoring tool. Auditors are required to reconcile UDS financial data to the audited financial statements. Discrepancies are a significant finding.

"We received COVID-19 Provider Relief Funds (PRF) and don't know our audit obligations"

Provider Relief Funds (ALN 93.498) are federal awards subject to Single Audit when combined with other federal awards to reach $1M. HHS also requires separate PRF Reporting Portal submissions — and the audit tests compliance with both.

"Our Ryan White Part A grant has compliance requirements we've never been tested on"

Ryan White programs (ALN 93.914 through 93.918) have specific compliance requirements including client eligibility determination, service documentation, and income assessment. These are tested separately from the health center program requirements.

"We're a look-alike FQHC — are our audit requirements the same as Section 330 grantees?"

FQHC Look-Alikes are approved by HRSA but do not receive Section 330 grants. They do not receive federal grant funds directly from HRSA, so they are generally not subject to Single Audit from the FQHC designation alone. However, they may receive other federal grants (Ryan White, Medicaid wrap-around) that trigger Single Audit.

"SAMHSA behavioral health grants added to our federal portfolio and pushed us over $1M"

Behavioral health grants from SAMHSA (Substance Abuse and Mental Health Services Administration) are federal awards counted toward the Single Audit threshold. Organizations that add SAMHSA funding often cross $1M for the first time without realizing it.

Receive HRSA or Ryan White funding? Let's review your audit requirements.

We'll review your federal award portfolio, UDS reconciliation needs, and major program status — then provide a fixed-fee audit quote.

Key Healthcare Nonprofit Definitions

Federally Qualified Health Center (FQHC): A community-based health care provider designated by HRSA that receives Health Center Program grants (Section 330 of the Public Health Service Act). FQHCs provide comprehensive primary care services regardless of ability to pay, and receive enhanced Medicaid and Medicare reimbursement rates. All Section 330 grantees are subject to HRSA Health Center Program requirements, including annual UDS reporting and financial reporting.

Uniform Data System (UDS): HRSA's annual reporting system for Health Center Program grantees and look-alikes. The UDS collects clinical, operational, and financial data on each health center. Financial data in the UDS must reconcile to the center's audited financial statements, and discrepancies between UDS and audit data are a specific finding area.

Healthcare Nonprofit Federal Programs — Audit Requirements

Feature	Program	ALN Number
Health Center Program (Section 330)	93.224	UDS reconciliation, sliding fee scale, governance
Ryan White Part A (Emergency)	93.914	Client eligibility, service documentation, income assessment
Ryan White Part B (ADAP)	93.917	ADAP eligibility, formulary compliance, reporting
Ryan White Part C (Early Intervention)	93.918	Clinical quality management, core services
Provider Relief Funds (COVID-19)	93.498	PRF reporting, allowable costs, lost revenue calculation
SAMHSA Behavioral Health	93.243	Evidence-based practice, client eligibility, data reporting
Maternal & Child Health	93.994	Priority needs assessment, service delivery, reporting

Our FQHC & Healthcare Audit Process

Federal Award Portfolio Review

We inventory all federal grants and identify ALN numbers, total expenditures, and major program determination for your FQHC or healthcare nonprofit portfolio.

UDS Reconciliation

We prepare or review the reconciliation of your UDS financial data to your audited financial statements as required by HRSA. This is a critical pre-audit step.

Healthcare Program Compliance Testing

We test compliance with Health Center Program requirements (Section 330 grantees), Ryan White program requirements (each Part separately), and any other major healthcare federal programs.

Reporting & HRSA Submission

We issue the complete Single Audit report package and assist with HRSA-required submissions, including UDS reconciliation documentation.

Serving DC/MD/VA Healthcare Nonprofits

DC has the highest concentration of FQHCs per capita in the DMV, including Unity Health Care, Mary's Center, Whitman-Walker Health, and others. DC also has significant Ryan White Part A funding through the DC HIV/AIDS Administration. Maryland FQHCs include Community Clinic Inc., Chase Brexton, and others receiving HRSA and Ryan White funding. Virginia community health centers include HealthWorks for Northern Virginia and many rural health clinics receiving federal designation.

Related Services

Nonprofit Audit Services Single Audit (2 CFR 200)HUD & Housing Audit Grant Compliance Audit

Frequently Asked Questions

FQHC & Healthcare Nonprofit Audit Experts in DC/MD/VA

Fixed-fee Single Audit services with deep expertise in HRSA, Ryan White, SAMHSA, and HHS compliance requirements. UDS reconciliation included.