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This is the first in a two-part series that provides a detailed examination of Form 990, Schedule A, offering practical guidance to the many organizations responsible for its complete and accurate preparation. This article focuses on organizations that qualify under Part I, Line 7 – 509(a)(1) – and the steps required to substantiate this classification through the Part II public support test. 

Charitable organizations play a vital role in addressing social issues, supporting communities, and promoting public welfare. As part of their mission, these organizations often make direct charitable expenditures to fund projects, provide services, and support individuals in need. However, with the privilege of tax-exempt status comes the responsibility to ensure that funds are used appropriately and in compliance with regulatory requirements. One crucial aspect of this compliance is expenditure responsibility, a concept that ensures charitable resources are used for their intended purposes. 

The Governmental Accounting Standards Board (GASB) issued Statement No. 105, Subsequent Events to enhance the transparency, consistency, and value of financial reporting related to events that occur after the financial statement date, but before the financial statements are issued. The statement realigns existing guidance by clearly describing the subsequent events' time frame, distinguishing between recognized and non-recognized subsequent events, and providing specific disclosure requirements. 

Rolling out new software isn’t just clicking “Install” and calling it a day. It’s more like planning a wedding. There’s the venue (servers), the guests (users), and yes, the unexpected costs that show up like distant relatives. In today’s digital-first world, implementing software is a strategic investment that can boost efficiency, strengthen compliance, and support long-term growth. However, the true cost goes beyond the sticker price on that shiny new platform. For nonprofits operating on limited budgets, careful planning is essential to avoiding hidden costs when making a technology upgrade. 

The affordable housing landscape in the United States is on the cusp of significant change with the introduction of the Renewing Opportunity in the American Dream (ROAD) to Housing Act of 2025. For nonprofit organizations operating in the affordable housing sector, this proposed legislation brings both new opportunities and important considerations. Here’s what you need to know. 

Liquidity is the lifeline of any nonprofit organization. Strong liquidity ensures uninterrupted programs, financial stability, and the flexibility to respond to unexpected challenges. This article shares practical steps to monitor and manage liquidity effectively, including setting clear policies, tracking cash flow, using key financial ratios, managing reserves, and leveraging technology. By following these best practices, organizations can maintain resilience, build trust with stakeholders, and stay focused on their mission—even during uncertain times.

Private foundations are vital players in the philanthropic landscape, channeling resources toward charitable, educational, and scientific causes. However, to maintain their tax-exempt status and avoid excise taxes, these organizations must comply with strict IRS rules—particularly those governing qualifying distributions. In the second installment of our trilogy, we will follow the McQueen Family Foundation to determine their qualifying distributions. As a non-operating foundation, this is a crucial step in their annual compliance requirements. 

The Minimum Investment Return (MIR) is a critical component for all private foundations. It is a standardized calculation based primarily on the value of the foundation’s investment (i.e., non-charitable use) assets to ensure that endowments are put to charitable use rather than accumulating excessive wealth with little to no public benefit. By adhering to IRS guidelines and maintaining diligent records, foundations not only avoid costly penalties but also contribute meaningfully to the communities and causes they support. 

A new Executive Order issued by President Donald Trump on August 7, 2025, brings major changes to how federal agencies handle discretionary grants. Titled "Improving Oversight of Federal Grantmaking," the changes in this Order introduce more political oversight, tighter controls on how funds are used, and new compliance rules that will directly affect organizations receiving federal funding. 

Capital campaigns can be game changers for nonprofits, enabling bold investments in infrastructure, programs, and long-term growth. Whether you're building a new facility, expanding services, or upgrading technology, a capital campaign aligns fundraising with your strategic vision. 

Signed into law by President Trump on July 4, 2025, the One Big Beautiful Bill Act (OBBBA) marks a significant step forward in addressing America’s growing need for affordable housing. With the demand for low-cost units far outpacing supply nationwide, the legislation offers targeted solutions aimed at making development more feasible and sustainable.

As artificial intelligence (AI) becomes increasingly woven into nonprofit operations, boards are stepping into a new and critical role. Traditionally focused on mission oversight and fiscal responsibility, today's boards must also shape how AI is introduced, governed, and aligned with the organization’s values. Below are the seven most important actions a board can take to ensure responsible and strategic AI implementation. 

Credit, purchase, and debit cards each offer convenience for small-dollar purchases, but carry varying levels of risk. Strong internal controls are essential to prevent fraud, misuse, and compliance violations.

Nonprofit leaders must assess the risks and strategically position their organizations to adapt to changing funding landscapes. This article outlines key steps to help your organization proactively evaluate funding vulnerabilities, mitigate risks, and plan for sustainable operations. 

With default federal student loan collections now resumed by the Department of Education, higher education institutions and other effected nonprofits need a strategy to ensure compliance. 

Most nonprofits rely on federal and state government funds to fulfill their missions. With a federal funding freeze in the headlines, many clients are asking us how they can best prepare for a freeze and protect their organizations if funding is cut. Here are three steps you can take today to stay ahead. 

As the new year begins, your organization may be starting to plan for your next fundraising event. In addition to raising money for the organization, fundraising events are a wonderful way to build relationships within the community, raise awareness for a cause, and provide a meaningful experience to donors. Beyond the excitement and benefits of these events, there are important Form 990 reporting and compliance requirements that you must consider. Below are the most frequently asked questions we receive from our clients. We hope this helps you avoid some common pitfalls around fundraising events.

Is your nonprofit using a break-even bottom line as your ultimate budget goal? If so, you may be missing out on opportunities to strategically further your mission. By looking at your budget using a statement of financial position perspective, rather than just a profit and loss perspective, you can gain a more complete financial picture of your organization.

As organizations navigate the complexities ahead in 2025, economic uncertainty presents both challenges and opportunities. Organizations must strategically address financial stability, donor engagement, federal compliance requirements, and workforce management to sustain their missions. This article dives into five critical finance trends and explores how nonprofits can effectively adapt.

The housing industry is subject to ongoing regulatory changes that are critical to their operations. Recently, we shared changes impacting compliance for multifamily housing, but that's just one example; all facets of the industry are subject to ongoing changes to compliance.

If it’s been a while since your nonprofit organization last conducted a review of its governing documents and policies, worry not, you’re not alone! This article will highlight a few of the most critical documents applicable to nonprofits to ensure you remain in compliance and good standing.

The United States Department of Housing and Urban Development (HUD) signed the Housing Opportunity through Modernization Act (HOTMA) into law on July 29, 2016. For multifamily housing owners, HOTMA went into effect on January 1, 2024, and owners are expected to be fully compliant by January 1, 2025.

Not-for-profit board members need to wear many hats for the organization they serve. Every board member begins their term with a different set of skills, often chosen specifically for those unique abilities. As board members, we often assist the organization in raising money and as such, it is important for all members of the board to be fluent in the language of fundraising. Here are some basic definitions you need to know, and the differences between them

Of all the changes that came with the sweeping Tax Cuts and Jobs Act (TCJA) in late 2017, none has prompted as big a response from our clients as the changes TCJA makes to the qualified parking deduction.

A capital campaign is a big undertaking. During the planning stage of a capital campaign you need to not only focus on your donor outreach strategy, but also on outreach materials. 

Good fundraising and good accounting do not always seamlessly align. While they all feed the same mission, fundraisers work to meet revenue goals while accountants focus on recording transactions in compliance with accounting standards. 

As 2018 is about to come to a close, organizations with fiscal year ends after December 15, 2018, are poised to start implementing the new not-for-profit reporting standard. Here are three areas to address before the close of the fiscal year to set your organization up for a smooth and successful transition, and keep in compliance:

With the wind down of the Federal Perkins Loan Program and announcement that the Federal Capital Contribution (FCC) (the federal funds contributed to the loan program over time) will begin to be repaid, higher education institutions must now decide how to handle these outstanding loans.

Last week, in addition to The Eagles Greatest Hits (1971-1975) album becoming the highest selling album of all time, overtaking Michael Jackson’s Thriller, the IRS issued Notice 2018-67—its first formal guidance on Internal Revenue Code Section 512(a)(6).

Over the course of its day-to-day operations, every organization acquires, stores, and transmits Protected Health Information (PHI), including names, email addresses, phone numbers, account numbers, and social security numbers.

Recently the Governmental Accounting Standards Board (GASB) finished its Governmental Accounting Research System (GARS), a full codification of governmental accounting standards.

As we begin the second year of Uniform Guidance, here’s what we’ve learned from year one, and some strategies you can use to approach various challenges, all told from a runner's point of view.

When it comes to offering non-qualified deferred compensation to executives of not-for-profit organizations, there aren’t many options.

With the implementation of GASB 72 now in full force, GASB organizations are hard at work drafting their new fair value disclosures. The addition of a fair value hierarchy table in the footnotes will add a bit more thickness to a likely already hefty financial package. 

Why it can happen to you and how to protect yourself. We’ve all seen the headlines. Stories about not-for-profit fraud have been popping up in the news, and the statistics confirm what you might have suspected: fraud in the not-for-profit sector is on the rise.

With the most recent overhaul to the Form 990, Return of Organization Exempt From Income Tax, the IRS has made clear its intention to increase the transparency of a not-for-profit organization’s mission and activities and to promote active governance. To point, the IRS asks whether a copy has been provided to an organization’s board prior to filing and requires organizations to describe the process, if any, its board undertakes to review the 990.

Procurement is often described as “ground zero” for audit findings—and for good reason. In single audits and other compliance reviews, procurement files are one of the first places auditors look. Not because organizations are acting in bad faith, but because procurement is where documentation, judgment, and regulatory requirements collide. 

The good news? Most procurement findings are preventable. With the right structure, controls, and habits in place, organizations can significantly reduce risk while making procurement more efficient and defensible. Below are practical, hands‑on steps organizations can take to move toward truly audit‑ready procurement. 

What “audit‑ready” really means 

Audit‑ready procurement isn’t about having a great explanation when questions arise. Auditors don’t audit intent or institutional knowledge—they audit files. 

An audit‑ready procurement file clearly and completely demonstrates that: 

  • The procurement method was appropriate 
  • Competition was real and fair (or properly justified when not) 
  • Prices were reasonable 
  • Vendors were eligible and responsible 
  • Required approvals and controls were followed 

All of this must be documented in a way that aligns with 2 CFR 200.317–327 and tells a clear procurement story from start to finish. 

If that story isn’t obvious from the file itself, risk increases quickly. 

Use the 5‑Pane File Model to organize every procurement 

One of the most effective ways to reduce procurement risk is to structure files around the questions auditors actually ask. The 5‑Pane File Model does exactly that: 

  1. Plan – Why this method? 
    Document the procurement method selected, the applicable thresholds, and why that method was appropriate at the time. 

  1. Compete – Was competition real? 
    Include solicitations, bid lists, evaluation criteria, and justification when competition is limited or not feasible. 

  1. Analyze – Is the price reasonable? 
    Cost or price analysis is required for all procurements—regardless of dollar value or method. This is a frequent gap. 

  1. Award – Was the vendor eligible? 
    Responsibility checks, including SAM.gov verification, conflict‑of‑interest disclosures, and required contract clauses, belong here. 

  1. Administer – Was the contract managed? 
    Post‑award monitoring, amendments, approvals, and performance oversight are often overlooked—but auditors expect to see them. 

Using this structure consistently creates files that are easier to maintain, easier to review, and far easier to defend. 

Watch for these common (and costly) pitfalls 

Across municipalities, nonprofits, and other federally funded organizations, certain procurement issues show up again and again: 

  • Artificially splitting procurements to stay under thresholds 
  • Selecting the wrong procurement method—or failing to reassess it 
  • Weak or missing competition documentation 
  • No cost or price analysis 
  • Missing or outdated federal contract clauses 
  • Assuming responsibility checks were completed, without evidence 
  • Poor post‑award contract administration 

Individually, these gaps may seem minor. In an audit, they often snowball into findings, questioned costs, and funding risk. 

Learn from real‑world audit findings 

Consider two scenarios we see frequently in audits: 

  1. Emergency procurements that never transition 
    An emergency justifies noncompetitive procurement—but only for as long as the emergency exists. When work continues after exigent conditions end, organizations must reassess the procurement method, document justification, and perform cost or price analysis. Failure to do so often results in invalidated sole‑source determinations and questioned costs. 

  1. Contracts that follow internal policy—but violate federal rules 
    Internal procurement policies don’t override federal requirements. Percentage‑based contracts, for example, are prohibited under Uniform Guidance regardless of entity type. Without documented review of contract type compliance, organizations can unknowingly create audit findings—even when they believe they followed their own rules. 

The lesson is clear: documentation and reassessment matter just as much as initial decisions. 

Build controls that actually work in practice 

Strong procurement controls don’t have to be complex—but they do need to be consistent and practical. High‑performing organizations often implement the following: 

  • Standardized procurement file checklists aligned to federal requirements 
  • Required approvals at each stage of the 5‑Pane File 
  • Triggers to reassess emergency or sole‑source procurements 
  • Standard templates for:  
    • Sole‑source justifications 
    • Cost or price analyses 
    • Conflict‑of‑interest disclosures 
  • Centralized digital file storage with consistent naming conventions 
  • Periodic self‑reviews of procurement files using an auditor’s lens 

These controls shift procurement from a reactive process to a proactive one. 

Make audit readiness part of everyday procurement 

The most important takeaway is also the simplest: If it isn’t documented, it didn’t happen. 

Audit‑ready procurement isn’t about perfection—it’s about consistency. Small documentation gaps create big audit risks, but they’re also the easiest risks to fix when organizations know where to look. 

By structuring procurement files intentionally, reassessing decisions as conditions change, and embedding practical controls into daily workflows, organizations can protect federal funding, reduce audit stress, and strengthen overall governance. 

How BerryDunn can help 

At BerryDunn, we work hands‑on with organizations to identify procurement gaps, strengthen internal controls, and build audit‑ready processes that stand up to scrutiny. Our approach is practical, regulatory‑informed, and grounded in real audit experience—helping clients close gaps before auditors ever find them. Learn more about our services and team.  

Article
Audit‑ready procurement: How to spot risks and close the gaps

Benjamin Franklin is attributed with having once said: “Nothing is certain but death and taxes.” While true, 501(c)(3) organizations, which are exempt from income taxes on activities related to their exempt purposes, could have a different spin on Ben Franklin’s classic line: “Nothing is certain but death, taxes, and Schedule A.” This is because any 501(c)(3) organization (or organization treated as such) claiming tax exemption as a public charity is required in one way, shape, or form to complete Schedule A. 

While at first glance the schedule seems easy enough, it is chock-full of nuances, potential limitations, and issues that can make or break a public charity’s tax-exempt status. To borrow from a somewhat less historical source, Avril Lavigne once observed, “Why’d you have to go and make things so complicated?”

This article is the first in a two-part series that provides a detailed examination of Form 990, Schedule A, offering practical guidance to the many organizations responsible for its complete and accurate preparation. Part one will focus on organizations that qualify under Part I, Line 7—509(a)(1) and the steps required to substantiate this classification through the Part II public support test.  

What is Schedule A? 

As noted above, Schedule A is required for all 501(c)(3) organizations claiming public charity status. Other tax-exempt organizations—such as 501(c)(2)s, 501(c)(4)s, 501(c)(5)s, and 501(c)(6)s—are not required to complete it. Additionally, 501(c)(3) private foundations are exempt from this requirement, as they file Form 990-PF instead.  

In simple terms, Schedule A lets the IRS confirm that an organization is truly supported by the public, which is what allows it to keep its public charity status. 

This determination begins in Schedule A, Part I, where an organization selects one of the IRS‑defined public charity categories listed on lines 1–12. Certain organizations, such as churches, schools, and hospitals, qualify automatically and are recognized as public charities without needing to demonstrate public support. 

For organizations that do not meet one of these automatic classifications, public charity status must instead be demonstrated through one of two IRS public support tests: 

  • Organizations primarily supported by contributions generally rely on the Part II public support test 
  • Organizations that earn most of their revenue from program service activities may qualify under the Part III public support test 

These two tests form the core framework through which many nonprofits establish and maintain public charity status. However, if an organization fails the applicable public support test for two consecutive years, it will automatically become a private foundation and face stricter rules and reporting requirements. Understanding these basics helps ensure your organization remains well‑positioned to maintain its public charity status and avoid surprises down the line. 

The basics: Understanding Schedule A, Part II 

Who qualifies? 

An organization qualifies as a public charity under Part II, over the five-year computation period, if it meets either of the following thresholds: 

  • More than 33.33% of its total support is from governmental units, contributions from the general public, and contributions or grants from other public charities 
  • More than 10% of its total support is from governmental units, contributions from the general public, and contributions or grants from other public charities, and the facts and circumstances indicate it is a publicly supported organization 

How is Part II different from Part III? 

1. Excess contributions 
A critical feature of the Part II public support test is how the IRS treats large contributions from a single donor. On Line 5, organizations must exclude the portion of a donor’s contributions that exceeds 2% of the organization’s total support over the five‑year computation period (the current year plus the four preceding years). 

This safeguard prevents an organization from appearing “publicly supported” merely because a few large donors provided most of its support. Instead, the Part II test is designed for organizations that maintain a diverse donor base, with many contributors giving smaller amounts rather than relying on a handful of major donors.  

It is important to recognize that certain types of support, such as contributions from governmental units or other publicly supported organizations qualifying under section 170(b)(1)(A)(vi), are not subject to exclusion under the 2% limitation rule. These sources are considered inherently public in nature and therefore always count fully toward public support, even when the amounts received are large.

Example: Calculating excess contributions 
Assume the organization has $4,000,000 in total support for the five‑year period. 

  • The 2% limit is: $4,000,000 × 2% = $80,000

Now consider two donors: 

  • Donor A contributes $50,000 → below the $80,000 limit 
    • None of Donor A’s contribution is an excess contribution. 
    • Full $50,000 counts as public support. 
  • Donor B contributes $200,000 → above the limit 
    • Excess: $200,000 − $80,000 = $120,000 
    • Only $80,000 counts toward public support. 
    • The $120,000 excess must be reported on Line 5 and excluded from the numerator. 

Although large donations are beneficial for operations, they can hurt public support percentages if they are concentrated in a few donors. 

Key takeaway: For organizations completing the Part II test, it is essential to stay vigilant around donor concentration throughout the five-year period to ensure that the organization is not receiving the majority of their support from just a few donors. 

2. Treatment of unusual grants 
Another nuance to the Schedule A, Part II test is the treatment of unusual grants. Unusual grants are large, unexpected contributions from disinterested parties that would skew an organization’s public support percentage if treated as regular support. Because these gifts are extraordinary in size and could jeopardize an organization’s ability to meet the 33.33% public support test or the 10% facts‑and‑circumstances test, they are excluded entirely from both the numerator and denominator of the Part II calculation. This allows organizations to accept significant one‑time gifts without risking “tipping” into private‑foundation status. Organizations must report the amount only in Schedule A, Part VI, and keep internal records documenting the donor, date, and why the grant qualifies as unusual.

3. The 10% facts‑and‑circumstances test
For organizations completing Schedule A, Part II, the 10% facts‑and‑circumstances test provides a backup option for demonstrating public charity status if they fall short of the standard public support requirement. If an organization does not meet the 33.33% public support requirement under Part II, it may still qualify as a public charity as long as it still receives at least 10% public support and it can demonstrate that it truly operates for the benefit of the community.  

The IRS considers a variety of factors to determine whether an organization still functions as a public charity. This includes whether it actively fundraises from the general public, whether its board of directors reflects the community it serves, and whether its programs, services, and facilities are open and easily accessible to the general public. The IRS also looks at whether the organization receives grants or support from government agencies, which reinforces that it operates for the general public and not private benefit. 

This backup rule helps organizations maintain public charity status during years when donation patterns fluctuate—for example, when a large gift temporarily skews the support ratio or when a newer organization is still building its donor base. With good records and a clear explanation of how it serves the public, many organizations can rely on this test when their support dips below the standard threshold. 

4. The Schedule B “special rule” 
Organizations that complete and pass the Schedule A, Part II support test may also qualify for the “special rule” related to donor disclosure on Form 990, Schedule B. Under the general Schedule B rules, organizations must report any donor who contributed $5,000 or more during the year, including the donor’s name and address. However, organizations that complete and pass the Part II support test are only required to disclose donors whose contributions exceed 2% of the organization’s total contribution income for the year. This higher disclosure threshold can significantly reduce the Schedule B reporting burden, particularly for organizations that receive a substantial portion of their revenue from individual contributions. 

Pro tip: Certain organizations (namely, colleges and universities) can opt to complete the Schedule A, Part II support test in order to take advantage of this special rule as well. For additional information, please see the article, Easy ‘A’ for schools: Pass the test to reduce requirements under Schedule B

Now that we’ve covered how Schedule A, Part II measures public support based largely on contributions, the next step is understanding the alternative approach. In the second article in our series, we’ll explore Schedule A, Part III, which is often a better match for organizations supported primarily through program services and fees. 

We can help

BerryDunn’s team of professionals serves a range of nonprofit organizations, including but not limited to educational institutions, foundations, behavioral health organizations, community action programs, conservation organizations, and social services agencies. We provide the vital strategic, financial, and operational support necessary to help NFPs fulfill their missions. Learn more about our team and services. 

Article
Navigating Schedule A, Part II: A guide to the public support test

When a company is operating successfully and seeking liquidity—whether to fund growth or return value to shareholders—two primary pathways or “tracks” exist: the public market (IPO), and the private market (a sales transaction). 

The private market track can take several forms: 

  • A full or partial sale to a strategic buyer 
  • A full or partial sale to a private equity fund (a financial buyer)  
  • A hybrid approach involving both strategic and financial buyers 

Why consider both tracks at once? 

Companies can increase their valuation by investing in the dual-track process. Private markets understand that well-run, high-growth, prepared companies have a public market option and can go either way. The primary advantage of this dual process is to maximize shareholder value. Additional benefits include: 

  • Saving time and resources—running both tracks concurrently is more efficient than running them separately or in series 
  • Managing bandwidth issues—by utilizing incentive units or other forms of compensation for key team members, and by outsourcing critical components of each process to experts 
  • Preserving optionality—retaining the ability to cross tracks when the time is right creates additional value 

What goes into a dual-track process? 

Significant analytical and structural work is required to prepare for both tracks simultaneously. Key workstreams include: 

  • Financial modeling across exit scenarios 
  • Tax structuring to optimize shareholder outcomes 
  • Obtaining bids from capital markets for either track 
  • Pre-transaction readiness to ensure internal operations, reporting, and governance are prepared for scrutiny 

Consulting with your trusted advisors who are experienced with IPO readiness, capital raises, and M&A transactions early in the process is a great first step.  When feasibility level financial analysis steps are complete, shareholders and management can pursue and push further into the dual-track process. 

Managing the demands of due diligence 

Before initiating a dual-track process, detailed planning will be required to ensure the proper resources are in place—both to keep the company’s core operations running uninterrupted and to provide timely support to due diligence efforts.  

Due diligence for a sell-side transaction involves the company’s internal team providing a significant amount of data and responding to advisor inquiries, including: 

  • Internal reporting 
  • Contracts 
  • Historical information about the company 

An IPO process includes all of this work, plus working with outside counsel to handle the regulatory and compliance requirements of the Securities and Exchange Commission (SEC). 

How BerryDunn can help 

If you are considering either an IPO or a minority/majority sale transaction, BerryDunn professionals can help you assess your options and build a clear path forward. Our services include: 

  • Valuations based on a myriad of exit options  
  • Private market sale readiness (Quality of Earnings)  
  • Management's Discussion and Analysis (MD&A)  
  • Governance and control assessments for the Public Company Accounting Oversight Board (PCAOB) and Sarbanes-Oxley (SOX)  
  • Compliance consulting with respect to disclosure  
  • Dual-track readiness scorecard construction 

Learn more about our services and team. 

Article
Navigating a dual-track process: How to evaluate a public vs. private sale

Read this if you are a compliance officer, revenue integrity director, clinical documentation improvement specialist, clinical documentation and coding auditor, or telehealth provider at a healthcare facility or medical practice.

The telehealth field is steadily changing as federal policymakers aim to keep patient access open while shaping long-term regulations. The Consolidated Appropriations Act of 2026 (H.R. 7148), signed into law on February 3, 2026, brought the biggest changes by extending major Medicare telehealth benefits for most services until December 31, 2027. Additionally, the US Department of Health and Human Services (HHS) updated its telehealth guidance, confirming these extensions and ensuring that Medicare beneficiaries in all regions continue to have broad access. 

Summary of telehealth extensions 

The new law and updated federal guidance preserve several significant telehealth flexibilities: 

  • Home as an originating site: Medicare beneficiaries may continue to receive non-behavioral telehealth services from their residences, without geographic limitations, through 2027. 
  • Expansion of eligible providers: Physical therapists, occupational therapists, speech-language pathologists, audiologists, and other qualified clinicians remain authorized to deliver telehealth services under Medicare. 
  • FQHCs and RHCs as distant-site providers: Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) retain the ability to provide telehealth services, enhancing access for rural and underserved communities. 
  • Audio-only telehealth options: Certain services may still be delivered via audio-only communication, supporting patients without reliable broadband or digital devices. 
  • Behavioral health flexibilities: The requirement for in-person visits for tele-mental health services is waived until January 1, 2028, allowing continued virtual access to behavioral healthcare. 

Compliance requirements for telehealth providers 

While the extensions offer substantial continuity, providers must stay vigilant in meeting federal compliance expectations: 

  1. Maintain documentation standards: Telehealth sessions are required to comply with Medicare's documentation standards. These include verification of patient identity, specification of the modality utilized, documentation of patient consent where applicable, and comprehensive clinical notes. Extensions do not alter or diminish these documentation requirements. 
  2. Use approved platforms: Providers are required to utilize HIPAA-compliant technology whenever feasible, despite the expiration of certain enforcement flexibilities implemented during the COVID-19 era. Accordingly, the use of encrypted and secure platforms remains imperative. 
  3. Track modality requirements: Since audio-only is allowed for specific services, clinicians need to carefully follow Medicare guidelines and choose the right method for each service. It's important to stay up to date by checking CMS bulletins and HHS telehealth policy updates regularly. 
  4. Monitor state-level rules: Although federal extensions cover Medicare, state-specific telehealth laws, licensure agreements, and prescribing rules can vary. Healthcare providers delivering care across multiple states need to make sure they follow all relevant regulations in each jurisdiction. 

BerryDunn can help 

Recent telehealth extensions show that both political parties continue to back virtual care, ensuring its stability until at least the end of 2027. Healthcare providers should take advantage of these new flexibilities while continuing to carefully follow updated federal and state regulations. 

Our healthcare compliance team can help. We incorporate deep, hands-on knowledge with industry best practices to help your organization manage compliance and revenue integrity risks. Learn more about BerryDunn’s healthcare compliance consulting team and services. 

Article
How Medicare telehealth extensions impact provider compliance

Read this article if you are a CFO, business owner, tax director, controller, investor, or CTO at a company with research and development expenses, and you want to help ensure compliance while maximizing your tax benefits.  

The research and development (R&D) tax landscape is undergoing significant transformation in 2026. While some provisions restore previous benefits, others introduce heightened compliance requirements that demand immediate attention from businesses claiming R&D deductions and credits.

The return of immediate expensing

Beginning with tax years after December 31, 2024, the One Big Beautiful Bill Act (OBBBA), passed in July 2025, reverses the five-year amortization requirement for domestic research expenses that had been in effect since 2022. Companies can once again deduct domestic R&D costs immediately, restoring a critical cash-flow advantage and eliminating one of the most burdensome compliance challenges of recent years. 

However, this relief comes with an important caveat: foreign research expenses remain subject to 15-year amortization. Businesses must continue to maintain separate tracking systems to distinguish between domestic and foreign R&D activities—a requirement that adds complexity to what might otherwise seem like a straightforward regulatory rollback.

Heightened IRS scrutiny and documentation standards 

While immediate expensing returns, the documentation burden intensifies. The IRS has significantly increased its scrutiny of R&D claims, and this trend shows no signs of abating in 2026. Companies must now provide more detailed, specific explanations of their research activities, demonstrate how each project qualifies for the tax credit, and clearly link expenses to qualifying activities. 

The agency now expects documentation that is: 

  • Specific and organized 
  • Based on robust, contemporaneous data collection throughout the research process 
  • Supported by comprehensive records that can substantiate claims 

With audit activity on the rise, insufficient or vague records carry substantially higher risk than in previous years. While year-end compilation of documentation remains acceptable, it must be grounded in thorough, ongoing data collection and record-keeping systems established during the actual research activities. The key is ensuring that supporting documentation is comprehensive and can withstand scrutiny, regardless of when it is formally assembled. 

Updated Form 6765 requirements

Critical reporting changes have been incorporated into Form 6765, which now requires more upfront disclosure. After years of reviewing weak refund claims and resolving disputes, the IRS has pushed for clearer descriptions, better substantiation, and greater transparency. As of 2026, these enhanced expectations are the standard. 

Businesses must provide a comprehensive explanation of their R&D components, activities, and qualified expenses with their filing—not after questions arise. While the IRS extended the transition period for meeting updated R&D credit documentation standards to January 10, 2026, this grace period doesn't soften the underlying requirements. The new standards are permanent, and claims that fail to meet them will face greater pushback. 

Retroactive relief for 2022 – 2024

The legislation doesn't ignore businesses that were forced to amortize domestic R&D expenses during 2022 through 2024. Companies can take advantage of retroactive relief by deducting all remaining unamortized amounts in 2025, or by splitting the deduction between 2025 and 2026. 

Small businesses—defined as those with average gross receipts of $31 million or less—receive an additional option: they can amend their 2022 – 2024 returns to apply immediate expensing retroactively. This window remains open until the earlier of July 4, 2026, or statute of limitations, providing small businesses with meaningful opportunities to recapture lost cash flow from prior years. 

Strategic implications 

The 2026 changes present a dual reality: improved cash flow through immediate expensing, coupled with a substantially more rigorous compliance environment. The financial benefit is clear, but it comes with strings attached. 

Companies that invest in robust tracking systems and maintain contemporaneous documentation will be best positioned to maximize available incentives while withstanding IRS scrutiny. Those who delay implementing stronger documentation practices risk disallowances, penalties, and significant compliance costs down the road. 

The message is clear: take advantage of the restored immediate expensing benefit but do so with meticulous attention to documentation. The era of informal R&D record-keeping is definitively over. 

Payroll tax credit for early-stage startups

For early-stage startups that may not yet have federal income tax liability, the Section 41(h) payroll tax credit provides an essential mechanism to monetize research activities immediately. A Qualified Small Business (QSB)—defined as an entity with less than $5 million in gross receipts for the current year and no gross receipts dating back more than five years—can elect to apply up to $500,000 of its federal R&D credit against the employer's portion of payroll taxes. 

Following the passage of the Inflation Reduction Act, this credit first offsets the 6.2% Social Security (OASDI) tax and then applies to the 1.45% Medicare tax. To secure this benefit, the election must be made on the company's timely filed income tax return using Form 6765, and the credit is subsequently claimed on a quarterly basis via Form 8974 attached to the payroll tax return (e.g., Form 941). 

Key eligibility summary 

Gross receipts: Must be under $5 million for the tax year 

Five-year rule: No gross receipts for any year preceding the five-taxable-year period ending with the current year 

Annual cap: Up to $500,000 (increased from $250,000 for tax years beginning after December 31, 2022) 

Duration: The election can be made for a maximum of five taxable years

Alternative minimum tax relief for pass-through entities 

For pass-through entities such as S corporations and partnerships, the Alternative Minimum Tax (AMT) was historically a major barrier to utilizing the R&D tax credit. Because the credit is part of the General Business Credit, it generally cannot be used to reduce a taxpayer's tax liability below their Tentative Minimum Tax (TMT). This often meant that business owners who fell into the AMT net would see their R&D credits trapped as carryforwards, providing no immediate cash-flow benefit. 

The eligible small business exception 

Since 2016, the Protecting Americans from Tax Hikes (PATH) Act has provided critical relief for Eligible Small Businesses (ESBs). R&D credits for an ESB are treated as "specified credits," meaning they can be used to offset both regular tax and AMT. This is a "look-through" provision for pass-through owners with specific requirements: 

Entity qualification: The entity must be a non-publicly traded corporation, partnership, or sole proprietorship. 

The $50 million test: The business must have average annual gross receipts of $50 million or less for the three preceding taxable years. 

Shareholder/partner level: For the credit to offset AMT at the individual level, the owner must also separately meet the $50 million gross receipts test for that taxable year.

The 25/25 limitation 

While the AMT relief is a significant advantage, it does not allow the credit to eliminate tax liability entirely. The credit remains subject to a general limitation designed to ensure taxpayers maintain a minimum level of tax payment. Specifically, the R&D credit cannot reduce your tax below a calculated threshold based on your tax liability. In practical terms, this means that even qualifying businesses will retain some tax obligation after applying the credit—it cannot reduce your tax bill to zero. 

Next steps for R&D tax planning 

The convergence of beneficial tax treatment with stringent documentation requirements makes 2026 a pivotal year for R&D tax planning. Companies should: 

  • Review and strengthen R&D documentation processes immediately. 
  • Implement contemporaneous tracking systems for all research activities. 
  • Assess eligibility for retroactive relief opportunities. 
  • Ensure clear segregation between domestic and foreign R&D expenses. 
  • Update Form 6765 preparation procedures to meet enhanced standards. 
  • Evaluate eligibility for the payroll tax credit if your startup qualifies as a QSB. 
  • Determine whether your pass-through entity and its owners meet the ESB criteria for AMT relief. 

BerryDunn can help 

To ensure compliance and maximize your R&D tax benefits under the new 2026 framework, contact your BerryDunn accounting and tax advisors today. Learn more about our team and services.  

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R&D reporting: Navigating the 2026 changes