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Regulatory Labyrinth
HRSA Section 330 grant compliance, 2 CFR 200 Uniform Guidance, Single Audit requirements, UDS reporting, and Medicaid/Medicare cost reports demand specialized expertise year-round.
COMPLIANCE RISKFQHC-EXCLUSIVE PRACTICE
Financial leadership built exclusively for community health centers.
Fractional CFO leadership, financial compliance, and strategic growth—purpose-built for Federally Qualified Health Centers.
Financial OversightRegulatory ComplianceStrategic GrowthCommunity Health
UNDERSTANDING THE LANDSCAPE
The FQHC Financial Challenge
Federally Qualified Health Centers operate in one of the most complex financial environments in healthcare.
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Mission vs. Margin
FQHCs must balance expanding access to underserved communities with fiscal discipline, positive cash flow, and long-term financial sustainability.
STRATEGIC TENSION◎
Finance Leadership Gaps
CFO turnover, interim vacancies, and under-resourced finance teams can expose health centers to audit findings, compliance risk, and missed revenue opportunities.
OPERATIONAL EXPOSUREFRACTIONAL CFO SERVICES
What We Do
A comprehensive suite of fractional CFO services—purpose-built for the FQHC environment.
Financial Oversight & Reporting
Monthly financial statements, board-ready reporting, budget vs. actual analysis, and variance explanations tailored to FQHC governance.
HRSA & Federal Compliance
Section 330 grant financial management, UDS reporting support, 2 CFR 200 compliance, and HRSA fiscal review preparation.
Audit & Cost Report Support
Single Audit preparation, Medicare/Medicaid cost report oversight, internal controls review, and findings remediation.
Revenue Optimization
PPS rate analysis, 340B program financial oversight, and grant draw-down strategy to maximize available revenue streams.
Strategic Financial Planning
Multi-year forecasting, scenario modeling, capital planning, new site feasibility, and long-range sustainability strategy.
Leadership Continuity
Interim CFO coverage, CFO transition support, finance staff mentoring, and board financial literacy training.
WHY 330 GURU
Not a generalist firm that serves FQHCs. An FQHC firm—period.
Every engagement is designed around the HRSA-funded community health center environment.
01
100% FQHC-Focused Practice
Tools, methodologies, and engagement frameworks designed for community health centers.
02
Deep Regulatory Expertise
HRSA Section 330, 2 CFR 200, UDS, PPS, Single Audit, and federal grant financial management.
03
Strategic + Operational
Financial leadership that supports executive decisions, board governance, and sustainable growth.
04
Right-Sized & Flexible
Engagement levels designed to scale with your organization, without a long-term lock-in.
SUBSCRIPTION TIERS
Right-sized financial leadership
Transparent engagement levels designed to scale with your health center.
ESSENTIAL
$2,500–$4,500/mo
Smaller FQHCs & New Health Centers
- Monthly financial review & reporting
- HRSA 330 grant compliance oversight
- UDS financial element support
- Quarterly board financial reports
- Cash flow monitoring
- Quarterly strategic check-in
MOST POPULAR
STRATEGIC
$5,000–$8,500/mo
Growth-Focused Mid-Size FQHCs
- Everything in Essential, plus:
- Bi-weekly CFO engagements
- PPS rate optimization
- Single Audit preparation
- Cost report & 340B oversight
- Monthly board presentations
- Finance staff mentoring
EXECUTIVE
$9,500–$15,000/mo
Complex FQHCs & Full Fractional CFO
- Everything in Strategic, plus:
- Weekly executive CFO leadership
- Board & leadership representation
- Capital planning & debt structuring
- New site feasibility analysis
- Finance department design
- HRSA application financial narratives
Pricing ranges are indicative and subject to engagement scope.
ADD-ON SERVICES & FLEXIBILITY
Targeted engagements when you need them
Complement a subscription or engage project-by-project.
Finance Dept. Assessment
Workflows, staffing, internal controls, and systems evaluation.
Starting from $4,500Cost Report Preparation
Medicare & Medicaid cost report preparation and filing support.
Starting from $3,000CFO Transition Support
Immediate interim CFO coverage and structured leadership knowledge transfer.
Custom engagementFinancial System Implementation
Chart of accounts design, EHR/accounting integration, and go-live support.
Starting from $5,000HRSA Grant Financial Narratives
New Access Point, SAC, and scope-of-project financials.
Starting from $2,500Board Financial Training
Customized financial literacy workshops for board members and leadership.
Starting from $1,500OUR ENGAGEMENT PROCESS
A clear path from conversation to partnership
1
Discovery Call
A complimentary conversation about your financial landscape, compliance posture, team, and goals.
30–60 minutes2
Custom Proposal
A right-sized scope with transparent pricing and clear deliverables.
3
Structured Onboarding
A focused onboarding into financial systems, reporting cycles, board calendar, and leadership workflow.
30-day sprint4
Ongoing Partnership
Regular deliverables, leadership touchpoints, strategic reviews, and proactive guidance.
OngoingLET'S TALK
Your mission deserves a financial foundation that can support it.
Tell us where your FQHC is today. We'll start with a complimentary discovery conversation and determine the right path forward.
Email: info@330guru.com
Phone: 708-575-3507