EIN: 010567661
UEI: WHJCMRT7WDL4
Audited by: AAFCPAs, Inc.
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on January 20, 2026. 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 July 20, 2026 (47 days ago).
What is a management decision? →FAC accepted this audit on January 29, 2025 — management decision was due July 29, 2025.
FAC accepted this audit on February 9, 2024 — management decision was due August 9, 2024.
FAC accepted this audit on December 20, 2022 — management decision was due June 20, 2023.
FAC accepted this audit on January 25, 2022 — management decision was due July 25, 2022.
FAC accepted this audit on February 28, 2021 — management decision was due August 28, 2021.
FAC accepted this audit on May 20, 2020 — management decision was due November 20, 2020.
2019-003 Reporting ? Uniform Data System (UDS) Health Center Program Cluster ? 93.224, 93.527 U.S. Department of Health and Human Services Award Number ? H80CS02327, Program Year ? 2019 Criteria or specific requirement ? Reporting (45 CFR 75.342) ? An entity is required to implement controls over reporting to ensure adequate source documentation exists to support amounts and items reported. Condition ? The Center submits the Uniform Data System (UDS) report annually covering the period January 1 through December 31. Certain line items selected for testing in the report for the period ending December 31, 2018, did not match the supporting documentation maintained. Questioned Costs ? None Context ? A sample of 13 reporting attributes were tested out of the total of 19 reporting attributes. The sampling methodology used is not and is not intended to be statistically valid. 2 out of the 7 UDS report sections selected for testing did not have supporting documentation that matched the final amounts and items reported. The first section reported total medical staff cost and other direct medical cost after allocation of facility and non-clinical support staff. Total medical staff cost per the report was $2,692,439 and the support totaled $2,739,111 ? a difference of $46,672. Total other direct medical cost per the report was $1,711,269 and per support was $1,738,732 ? a difference of $27,463. The second section was for other revenues and the report totaled $2,957,345. The support totaled $3,049,153 ? a difference of $91,808. Effect ? Not retaining the appropriate source documentation has resulted in the Center to not be in compliance with grant requirements. Cause ? The Center did not ensure that the supporting documentation retained for the UDS report supported and matched the final amounts reported. Identification as a repeat finding ? Not applicable. Recommendation ? We recommend that the Center implement policies and procedures to ensure that source documentation is retained to support the amounts and items reported in the annual UDS report. Views of responsible officials and planned corrective actions ? All financial services were performed in-house during the financial year after the Center terminated its third-party agreement for providing financial services. The Center encountered delays in receiving financial information from the third party that prevented the proper reporting. The Center has hired a UDS consultant to review the UDS report and is implementing a procedure manual for UDS record keeping and reporting.
Show full finding ▾Hide full finding ▴2019-003 Reporting ? Uniform Data System (UDS) Health Center Program Cluster ? 93.224, 93.527 U.S. Department of Health and Human Services Award Number ? H80CS02327, Program Year ? 2019 Criteria or specific requirement ? Reporting (45 CFR 75.342) ? An entity is required to implement controls over reporting to ensure adequate source documentation exists to support amounts and items reported. Condition ? The Center submits the Uniform Data System (UDS) report annually covering the period January 1 through December 31. Certain line items selected for testing in the report for the period ending December 31, 2018, did not match the supporting documentation maintained. Questioned Costs ? None Context ? A sample of 13 reporting attributes were tested out of the total of 19 reporting attributes. The sampling methodology used is not and is not intended to be statistically valid. 2 out of the 7 UDS report sections selected for testing did not have supporting documentation that matched the final amounts and items reported. The first section reported total medical staff cost and other direct medical cost after allocation of facility and non-clinical support staff. Total medical staff cost per the report was $2,692,439 and the support totaled $2,739,111 ? a difference of $46,672. Total other direct medical cost per the report was $1,711,269 and per support was $1,738,732 ? a difference of $27,463. The second section was for other revenues and the report totaled $2,957,345. The support totaled $3,049,153 ? a difference of $91,808. Effect ? Not retaining the appropriate source documentation has resulted in the Center to not be in compliance with grant requirements. Cause ? The Center did not ensure that the supporting documentation retained for the UDS report supported and matched the final amounts reported. Identification as a repeat finding ? Not applicable. Recommendation ? We recommend that the Center implement policies and procedures to ensure that source documentation is retained to support the amounts and items reported in the annual UDS report. Views of responsible officials and planned corrective actions ? All financial services were performed in-house during the financial year after the Center terminated its third-party agreement for providing financial services. The Center encountered delays in receiving financial information from the third party that prevented the proper reporting. The Center has hired a UDS consultant to review the UDS report and is implementing a procedure manual for UDS record keeping and reporting.
2019-003 - All financial services were performed in-house during the financial year after the Center terminated its third-party agreement for providing financial services. The Center encountered delays in receiving financial information from the third party that prevented the proper reporting. The Center has hired a UDS consultant to review the UDS report and is implementing a procedure manual for UDS record keeping and reporting. Anticipated Completion Date - 7/1/2020; Responsible Contact Person - Lisa Cowhey, CFO
FAC accepted this audit on October 13, 2019 — management decision was due April 13, 2020.
GSA_MIGRATION
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GSA_MIGRATION
GSA_MIGRATION
Show full finding ▾Hide full finding ▴FAC accepted this audit on March 12, 2018 — management decision was due September 12, 2018.
FAC accepted this audit on March 2, 2017 — management decision was due September 2, 2017.
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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