# Can a donor-funded clinic charge patients fees, and how is that income reported?

URL: https://tymirahealth.com/resources/faqs/can-a-donor-funded-clinic-charge-patients-fees-and-how-is-that-income-reported
For: Finance | Clinic operations | Reviewed by Independent clinical reviewer, Registered mental health clinician, Kenya | Last reviewed 8 November 2026

**Answer:** Check your grant agreement, because some funders prohibit user fees for funded services and others allow them but treat the money as programme income. Under US federal rules (2 CFR 200.307), programme income must generally be used as the award specifies, for example added to the project or deducted from costs. Keep fees from donor-funded services in a separate ledger code, report them as the funder requires, and make sure patients are not charged for services the donor already pays for.

Sources: US eCFR: https://www.ecfr.gov/current/title-2/section-200.307 - The Global Fund: https://resources.theglobalfund.org/media/bimbktnq/cr_gc8-grant-budgeting_guidelines_en.pdf

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