FQHC Cash Flow and Working Capital
Grant dependency and sliding-fee leakage are leaving critical safety-net funding on the table. We rebuild the financial engine so the mission can continue.
Where FQHCs break.
Community health centers face unique funding pressures. We identify the exact structural breakdowns that threaten financial viability.
Enrollment Gaps
If patients are not properly enrolled in Medicaid or insurance, the FQHC absorbs the cost. We audit the front-end enrollment process to ensure every eligible patient is captured and verified before care is delivered.
Sliding-Fee Leakage
The sliding-fee scale is a critical safety-net mechanism, but without proper verification and collection processes, it becomes a source of bad debt. We rebuild the sliding-fee workflow to improve collection rates while protecting patient access.
Enabling Services Billing
Many FQHCs fail to capture reimbursable enabling services (case management, transportation, outreach). We identify the billable services being delivered but not claimed, unlocking hidden revenue.
How we protect the mission.
We do not approach FQHCs with a generic cost-cutting plan. We build a financial model that protects the safety-net mission while stabilizing the operating margin.
1. Diagnose the Revenue Streams
We map every revenue stream: grants, Medicaid, Medicare, and self-pay. We identify where the funding is underperforming and where the billing process is failing to capture the true value of the services delivered.
2. Rebuild the Financial Model
We build a board-ready Quality of Earnings (QoE) model that clearly separates grant dependency from operating margin. This gives the board and funders a clear view of the FQHC's financial sustainability.
Ready to stabilize your FQHC?
We sit at the table with you in a half-day interactive workshop to model the practice together and co-solution the path forward.