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Stop Waiting for Funding Certainty: The Business Model Shift You Need for 2026

What you'll learn in this episode:

Federal funding uncertainty isn't what's actually keeping your health center stuck—it's the business model you've built around it. In this episode, Jill challenges the narrative that FQHCs must be perpetually grant-dependent and shares why the current dysfunction in government might be the catalyst you need to transform your health center's financial foundation.

 

Key topics covered:

  • Why funding instability isn't the real problem facing health centers
  • The three hidden reasons health centers stay stuck (none involving Congress)
  • How Pureview Health Center went from 62.5% federal funding dependency to just 17%—while serving MORE uninsured patients
  • The dangerous mindset that keeps health centers small and mission-limited
  • Why treating symptoms instead of solving root problems keeps you in crisis mode
  • The isolation factor: How operating in silos wastes time and resources

 

Episode highlights:

"The real problem isn't funding instability itself. The real problem is that we have built our health centers and our entire business models on a system that was never meant to keep us sustainable."

"No margin, no mission. If we don't have the doors open, we can't serve anyone."

"If you built your house on a fault line, would the earthquake be the problem or would it be the fact that you built on unstable ground in the first place?"

 

Featured transformation:

Jill shares her experience taking over as CEO of what's now Pureview Health Center in Montana—facing a million-dollar deficit, newspaper headlines about layoffs, five years without recruiting a medical doctor, and a 12-month ultimatum from the board. Discover how she turned it around by diversifying revenue and challenging the limiting belief that safety net providers can't be financially thriving.

 

Join the conversation:

Jill is hosting a FREE live webinar on Friday, February 6th at 12:00 PM Pacific / 3:00 PM Eastern:

"Why Dwindling Grant Money and Government Dysfunction Might Be the Best Thing That's Ever Happened to Your Health Center"

This isn't another compliance or grant-writing webinar. It's a strategic conversation about building a business model that doesn't require you to hold your breath every time Congress debates the budget.

 

What you'll get:

  • Stories of four health centers that transformed from grant-dependent to financially thriving
  • Action steps you can take in 2026 to reduce grant dependency
  • A new perspective on why this moment of uncertainty is actually your opportunity

Click here to register for the free webinar 

 

Connect with Jill:

Subscribe to the Community Health Collective Podcast for more strategic insights on building sustainable, mission-driven health centers.