SERVICES
How FQHC Forward Works with Community Health Centers
Community health centers engage FQHC Forward and David at moments when leadership decisions carry outsized consequences for financial performance, compliance, access, and long-term viability.
David's role adapts to the situation at hand. He can serve as a strategic advisor to executive teams and boards, or step into interim or fractional executive leadership roles when direct accountability and execution are required.
-
Organizations should engage David when margins tighten, cash becomes unpredictable, or growth begins to outpace financial infrastructure. In these moments, leadership teams need clarity, control, and decisions that restore confidence without compromising access or mission.
David brings disciplined financial judgment to identify the structural drivers behind performance erosion and set direction for restoring stability. When appropriate, he can carry responsibility directly through interim or fractional executive leadership.
Services commonly delivered in this context include:
Financial strategy and turnaround
CHC business model optimization
Medicaid and Medicare reimbursement strategy
Revenue cycle redesign
Cash flow and liquidity management
-
As HRSA expectations intensify, even well-run organizations can face exposure if governance, documentation, or operational practices drift.
David works directly with leadership teams and boards to assess readiness, close gaps, and reinforce governance and operational discipline so organizations are prepared for scrutiny rather than react to it.
Services commonly delivered in this context include:
HRSA readiness assessments
Mock OSVs
Board engagement and governance alignment
Policy and documentation alignment
Grant strategy, writing, and management
-
Growth strengthens an organization only when leadership systems and decision structures scale alongside it.
David helps leadership teams anticipate the operational, financial, and compliance implications of expansion and put the right structures in place so growth improves performance rather than introducing instability.
Services commonly delivered in this context include:
Expansion and growth planning
Capital campaigns and funding strategy
Site and service launches
340B program design and optimization
Dental, mobile, and specialty service integration
-
Periods of leadership transition, execution strain, or organizational drift require continuity and experienced direction.
Where needed, David steps into interim or fractional executive roles to lead from inside the organization, align teams, and carry accountability through critical periods of change.
Services commonly delivered in this context include:
Interim CEO, CFO, or COO leadership
Fractional executive leadership support
Executive coaching and leadership development
Retention and succession strategy
How Engagements Are Structured
David's work is structured around the organization's needs, not a predefined service package. Engagements may include advisory support, on-site or remote assessments, interim or fractional executive leadership, and targeted workshops or leadership sessions.
Each engagement is designed to bring clarity, direction, and accountability to the decisions that matter most to you.