Over the past 15 years, the Ethiopian Federal Ministry of Health and USAID Ethiopia, through the Health Sector Financing Reform (HSFR) and HSFR-HFG projects, have broken new ground by increasing both the generation and retention of revenue at the health facility level, resulting in better access to quality of health services for thousands of families. As of December 2014, the facility had amassed nearly 4.6 Million Ethiopian Birr ($231,795) and used most of it to improve quality of care for its clients. Revenue retention has helped the health center transition from a basic service provider to the level of a model health center. It was selected by Addis Ababa City Health Bureau for its quality care for four consecutive years.