A key difference between clinics and hospitals is the provision of inpatient care. However, many remote Alaska clinics must provide inpatient and emergency care due to geographic and weather barriers to transport. These outpatient clinics, often federally qualified health centers or village clinics, are ineligible for reimbursement for extended inpatient stays while awaiting transport or dramatic, episodic emergency services. This project is a demonstration to document the type, frequency, and duration of services provided. The Alaska Center for Rural Health – Alaska’s AHEC, serves as the evaluator for the FESC project. Information about the participating clinics and project structure is available at the provided website: http://www.alaskafesc.org.