Before cutting staff or services, what revenue opportunities should community health centers investigate? Rebecca Mankin and Sheila Long from Mankin Consulting Services join Target Continuum’s Jerry Hofer to explore revenue cycle gaps, provider capacity, payer mix, 340B pharmacy performance, and untapped funding resources. They explain how aligning finance, operations, and marketing can help FQHCs strengthen financial sustainability while protecting their mission.
Takeaways
- Cash balances alone can hide financial trouble, making days cash on hand, aging receivables, and accounts payable trends essential indicators to monitor together.
- Revenue cycle improvements can help health centers collect payment for care they have already delivered before considering staffing or service cuts.
- Fractional financial leadership can supplement an internal team with the time and expertise needed for strategic planning, realistic budgets, and measurable goals.
- Patient growth strategies should reflect available capacity and payer mix, while enrollment assistance helps eligible patients secure coverage that extends beyond the health center.
- Reviewing 340B compliance, prescription capture, and pharmacy utilization can reveal opportunities to support affordable medications and fund essential wraparound services.
- Helping existing patients access medical, dental, behavioral health, and pharmacy services can strengthen continuity of care and increase utilization.
- Provider vacancies carry costs beyond lost visits, including overtime, temporary staffing, burnout, and turnover, making recruitment a financial priority.
- Finance, operations, and marketing should share measures tied to appointments, completed visits, retention, and service utilization, while evaluating grants and resources such as the Google Ad Grant.








