Implementing Affiliations within the Bounds of HRSA Restrictions: Exploring the Range of Opportunities

November 3, 2022

Access the on-demand webinar here.

Health centers often seek to affiliate with other entities in an effort to expand services and health center resources. There is a broad spectrum of opportunities, ranging from corporate consolidation, such as merger, to the purchase of administrative and/or clinical support services. Health centers must, however, scrutinize whether and how such opportunities are restricted by virtue of the HRSA programmatic requirements.  

As a transactional attorney at FTLF for over 15 years, Carrie Riley has assisted hundreds of health centers explore and implement affiliation opportunities. During this webinar, Carrie will answer the below 10 most frequently asked questions and touch upon common pitfalls and innovative strategies: 

  1. Can a health center be a subsidiary to another non-profit corporation?
  2. What is the difference between an acquisition and a merger?  
  3. Can a health center merge with another health center?  Can a health center merge with a non-profit corporation that isn’t a health center?  
  4. What is the process for transferring a health center grant?  
  5. Can another non-profit corporation appoint members to the health center’s governing board? 
  6. Can a health center contract for management staff and/or administrative services? 
  7. Can a health center accept a grant or loan from a hospital?
  8. When must HRSA approve an affiliation? 
  9. What are some collaboration models that often set the foundation for a future more integrated affiliation relationship?  
  10. What is the best process to kick off the planning process to explore affiliation opportunities?

Target Audience

  • Health Center Executive Staff (CEO and COO)
  • Chief Strategy Officer
  • Compliance Officer
  • In-House Legal Counsel
  • Contract Management Staff

Learning Objectives

After this webinar, you will be able to:

  • Identify the key features to a merger and acquisition
  • Understand the HRSA requirements applicable to maintaining an autonomous governing board 
  • Describe whether and how a health center can operate as a subsidiary 
  • Describe the HRSA requirements applicable to procuring clinical and administrative support services
  • Implement tools to develop a collaborative relationship with another entity
Course summary
Available credit: 
  • 1.00 Certificate of Attendance
Course opens: 
Course expires: 
Event starts: 
11/03/2022 - 1:00pm EDT
Event ends: 
11/03/2022 - 2:00pm EDT


Carrie Riley is a Partner in the health law, non-profit and corporate law, and federal grants law practice groups. She counsels a wide variety of health care clients, including Title X grantees and subrecipeints, and other private and public health care providers, on contracting, regulatory compliance, fraud and abuse, and reimbursement matters. Carrie also provides counsel on transactional matters, including formation and agreements for multi-provider affiliations/joint ventures, general contracting, and residency training arrangements. [Full Bio]

Participants can earn up to 1.20 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.


If you purchase CPE credit for this webinar you must satisfy the following conditions in order to receive your certificate:

  1. Answer at least 3 of the 5 polling questions during the webinar
  2. Complete the evaluation survey after the conclusion of the webinar or in the follow-up email

Upon completion of these requirements, FTLF will email you your CPE Certificate within seven (7) business days.


  • Prerequisites: None 
  • Target Audience: Health Center Executive Staff (CEO and COO), Chief Strategy Officer, Compliance Officer, In-House Legal Counsel, Contract Management Staff
  • Advanced Preparation: None  
  • Program Level: All
  • Delivery Method: Group Internet Based
  • Attendance Requirements: In order to be awarded the full credits, you must respond to three (3) out of five (5) polling questions.

Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website (formerly

Available Credit

  • 1.00 Certificate of Attendance


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Access to the recorded version of this webinar is included in your purchase.


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