FQHC Associates is often asked about the role private philanthropy can play in the Federally Qualified Health Center (FQHC) arena.  Traditionally, FQHCs have two main sources of revenue: federal grants and patient service fee revenue.  Although many FQHCs maintain fundraising as a revenue stream, they can be hesitant to pursue larger estate gifts, restricted gifts or gifts of complex assets.  These charitable gifts, whether current or planned (e.g. a gift from the donor’s estate) can further diversify a center’s revenue stream.  However, if the FQHC is not careful, that surprise gift that looks like a “game changer” can also be a hindrance to the organization’s mission.  That is why a strong gift acceptance policy is crucial.