Rural Health Clinics/Federally Qualified Health Centers Cost Report - Freestanding

2019

Cost report due 150 days after facility FYE

• Cost Report Instructions for FY2019 Freestanding RHC facility 
• RHC Cost Report FY2019 - Excel Version 

2018

Cost report due 150 days after facility FYE 

• Cost Report Instructions for FY2018 Freestanding FQHC facility
• FQHC Cost Report FY2018 - Excel Version
• FQHC Cost Report FY2018 - PDF Version

• Cost Report Instructions for FY2018 Freestanding RHC facility 
• RHC Cost Report FY2018 - Excel Version 
• RHC Cost Report FY 2018 - PDF Version 

2017

Cost report due 150 days after facility FYE

• Cost Report Instructions for FY2017 Freestanding FQHC/RHC facility
• FQHC/RHC Cost Report FY2017 - Excel Version
• FQHC/RHC Cost Report FY2017 - PDF

2016

Cost report due 150 days after facility FYE

• Cost Report Instructions for FY2016 Freestanding FQHC/RHC facility
• FQHC/RHC Cost Report FY2016 Excel Version
• FQHC/RHC Cost Report FY2016 PDF Version

Contact

NC Medicaid Finance Section
John Mathewson, CPA, Audit Manager
Phone: 919-527-7161
Fax: 919-527-0600