Leadership for Community Health Centers

Where Performance and Access Matter Most

FQHC Forward is led by David Hughes, a C-suite FQHC executive and advisor trusted by boards and leadership teams navigating growth, financial pressure, and HRSA-driven accountability.


A Rare, System-Level Perspective

After decades leading community health centers from inside the organization, David now brings that same executive accountability to other FQHCs through FQHC Forward.

Having served as CEO, CFO, and COO across multiple FQHCs, David brings a rare, system-level understanding of how finance, operations, governance, and compliance intersect to support sustainable care delivery. His career reflects a sustained commitment to strengthening community health centers so they can operate with discipline, remain financially viable, and better serve the patients and communities who depend on them most.

That combination of executive accountability and system-level perspective helps leadership teams make decisions that hold under scrutiny, and carry through to sustained results.

The following organizations reflect executive leadership roles where David Hughes held direct responsibility for financial performance, operations, HRSA compliance, governance, and organizational outcomes within FQHCs.

Health Centers Ticker

Elica Health Centers

California

Lakeshore Community Health Care

Wisconsin

Kenosha Community Health Center

Wisconsin

Interfaith Community Health Center

Washington

Cabin Creek Health Systems

West Virginia

Elica Health Centers

California

Lakeshore Community Health Care

Wisconsin

Kenosha Community Health Center

Wisconsin

Interfaith Community Health Center

Washington

Cabin Creek Health Systems

West Virginia

These roles span rural and urban environments, single-site and multi-site systems, and organizations at different stages of growth, stabilization, and regulatory maturity.

SERVICES AT A GLANCE

How Community Health Centers Engage FQHC Forward

Organizations work with FQHC Forward when leadership decisions carry real consequences for financial performance, compliance, access, and long-term viability.

  • An upward trending arrow indicating growth or increase.

    Financial Strategy and Turnaround

    Restoring stability, cash flow, and margin discipline

  • Icon of a shield with a checkmark in the center, symbolizing protection or security.

    HRSA Readiness and Compliance

    Preparing for scrutiny with governance and operational clarity

  • Four yellow arrows pointing in the four diagonal directions (up-left, up-right, down-left, down-right).

    Expansion and Growth Planning

    Scaling sites, services, and funding without destabilizing the organization

  • Simple line drawing of a person with a circle for a head and a curved line for shoulders, in yellow color.

    Fractional and Interim Executive Leadership

    Providing experienced leadership continuity during periods of change

Ready to Begin?

Whether you're navigating a specific challenge or exploring how FQHC Forward can support your organization's future, let's start a conversation.