EIN: 010514750
UEI: JM7KPB91QJZ3
Audited by: BDMP ASSURANCE, LLP
Oversight agency: 93 [Department of Health and Human Services]
Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on July 7, 2020. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by January 7, 2021 (2059 days ago).
What is a management decision? →Finding Number: 2019-002 Information on the Federal Program: Program Name: Health Center Program Cluster (CFDA numbers 93.224 and 93.527) Grant Award: 2 H80CS04291-14 from February 1, 2018 through January 31, 2019 and 5 H80CS04291-15 from February 1, 2019 through January 31, 2020 Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration Pass-Through Entity: n/a Criteria: In accordance with 42 USC 254(k)(3)(F), as an FQHC, the Organization must prepare and apply a sliding fee discount schedule so that the amounts owed for the Organization?s services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. Condition Found and Context: The Organization has not applied sliding fee discounts to patient charges consistent with its sliding fee discount program. Through testing the application of the Organization's sliding fee discount program to 25 individual patient balances, we noted the sliding fee discount applied was not consistent with the Organization's sliding fee discount policy for two patients. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The Organization has limited internal monitoring procedures established for ensuring compliance with the sliding fee discount program. The errors resulted in patients paying less than what was required under the Organization sliding fee discount program. Questioned Costs: None Repeat Finding: No Recommendation: The Organization has a robust compliance department which performs internal testing of billing transactions. We recommend the compliance department expand internal testing to include sliding fee discounts to ensure compliance with the Organization?s sliding fee discount program. Views of a Responsible Official and Corrective Action Plan: Management agrees with the finding. Routine and timely documented reviews of sliding fee discounts will be completed to ensure compliance with the Organization's sliding fee discount program by the compliance department.
Show full finding ▾Hide full finding ▴Finding Number: 2019-002 Information on the Federal Program: Program Name: Health Center Program Cluster (CFDA numbers 93.224 and 93.527) Grant Award: 2 H80CS04291-14 from February 1, 2018 through January 31, 2019 and 5 H80CS04291-15 from February 1, 2019 through January 31, 2020 Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration Pass-Through Entity: n/a Criteria: In accordance with 42 USC 254(k)(3)(F), as an FQHC, the Organization must prepare and apply a sliding fee discount schedule so that the amounts owed for the Organization?s services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. Condition Found and Context: The Organization has not applied sliding fee discounts to patient charges consistent with its sliding fee discount program. Through testing the application of the Organization's sliding fee discount program to 25 individual patient balances, we noted the sliding fee discount applied was not consistent with the Organization's sliding fee discount policy for two patients. The total difference between the discount and the policy was less than 1% of the sample tested. Cause and Effect: The Organization has limited internal monitoring procedures established for ensuring compliance with the sliding fee discount program. The errors resulted in patients paying less than what was required under the Organization sliding fee discount program. Questioned Costs: None Repeat Finding: No Recommendation: The Organization has a robust compliance department which performs internal testing of billing transactions. We recommend the compliance department expand internal testing to include sliding fee discounts to ensure compliance with the Organization?s sliding fee discount program. Views of a Responsible Official and Corrective Action Plan: Management agrees with the finding. Routine and timely documented reviews of sliding fee discounts will be completed to ensure compliance with the Organization's sliding fee discount program by the compliance department.
An audit process was established to evaluate the accuracy of the effective date recorded and amount of the sliding fee adjustment. Monthly Billing will audit 10 random tickets with sliding fee adjustments. They will evaluate the adjustment applied for the sliding fee level applied in the patient record. Billing will ensure that all adjustments made to the patient visits are within the approved period of coverage and for the correct amount.
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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