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Preparing for Your HRSA Operational Site Visit: A Readiness Checklist

For a Federally Qualified Health Center, the HRSA Operational Site Visit (OSV) is one of the most consequential compliance reviews in the grant cycle. Unlike a financial statement audit, the OSV evaluates whether the organization complies with the Health Center Program requirements that support its Section 330 funding. HRSA generally conducts an OSV once each…

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Case Study: Regional Healthcare System Optimized IT Costs and Operating Model to Support Financial Stabilization

Executive Summary The client engaged Withum to support its immediate cost optimization priorities across labor and non-labor categories and identifying actionable efficiency opportunities. The engagement was delivered within a condensed two-week timeline, with a focus on producing actionable, decision-ready insights. Withum collaborated with the client to validate assumptions, pressure test cost-reduction scenarios and conduct an…

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Case Study: Medicare Underpayment Identification and Revenue Recovery

The Client An academic medical center operating multiple hospitals and specialized service lines. The Situation Following a recent conversion to a new electronic health record (EHR) platform (EPIC), the health system engaged Withum to perform a comprehensive Medicare underpayment audit to validate the accuracy and completeness of prior reimbursement. Given the complexity of Medicare reimbursement…

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What Healthcare IT Leaders Should Know About Migrating from Tableau to Power BI 

Healthcare IT teams don’t have the luxury of lengthy, speculative technology projects. When you’re balancing clinical operations, regulatory compliance and a long list of competing priorities, a healthcare business intelligence (BI) migration that drags on for a year simply isn’t realistic, even if the outcome would be worth it.  That’s why the conversation about moving from Tableau to Power BI has stalled…

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Proposed New IRS Reporting Requirements for Nonprofit Hospitals

A Congressional discussion draft released May 12, 2026, would significantly expand the information that tax-exempt hospitals must report annually on their Form 990. The draft amends Section 6033 of the Internal Revenue Code by adding a new subsection (p) and would apply to every organization described in IRS Code Section 501(r)(2) that is required to…

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Audits, Fines and Ransomware: The High Cost of ‘Good Enough’ IT in Healthcare

Healthcare organizations operate in a complex environment; stakes are high and there is no margin for error. Cybersecurity in healthcare is no longer just an IT concern – it directly impacts patient safety, regulatory compliance, and day-to-day operations. Protecting sensitive patient data, ensuring regulatory compliance, and supporting continuous care have never been more important.   When organizations settle for “good enough” IT solutions (systems and support/delivery) that merely meet minimum standards, they…

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