EIN: 043358048
UEI: QLA5UPZEA2G8
Data as of August 21, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on May 23, 2024. 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 November 23, 2024, which was (636 days ago).
What is a management decision? →During compliance testing, it was identified that the sliding fee discount was not accurately applied to one patient out of a sample of 25. An additional patient did not have any support on file for the discount they received. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by the Organization does not automatically apply the discount, therefore requiring the Organization's billing team to review and manually adjust patient bills. Effect: As a result of the condition, some patients received incorrect bills. Recommendation: In the future, the Organization should work with the billing system vendor to automate the billing within the system. Additionally, the Organization should implement appropriate processes and controls to ensure a review is performed prior to sending patient bills. Views of Responsible Officials: Management acknowledges the finding and will work with the system vendor to correct the discount process.
Show full finding ▾Hide full finding ▴Sliding Fee Discount: Federal Agency: U.S. Department of Health and Human Services; Award Name: Community Health Centers; Program Year: October 1, 2022 – September 30, 2023 Assistance Listing Number: 93.527/93.224; Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to one patient out of a sample of 25. An additional patient did not have any support on file for the discount they received. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by the Organization does not automatically apply the discount, therefore requiring the Organization's billing team to review and manually adjust patient bills. Effect: As a result of the condition, some patients received incorrect bills. Recommendation: In the future, the Organization should work with the billing system vendor to automate the billing within the system. Additionally, the Organization should implement appropriate processes and controls to ensure a review is performed prior to sending patient bills. Views of Responsible Officials: Management acknowledges the finding and will work with the system vendor to correct the discount process.
Sliding Fee Discount: Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to one patient out of a sample of 25. An additional patient did not have any support on file for the discount they received. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Effect: As a result of the condition, some patients received incorrect bills. Cause: The billing system utilized by the Organization does not automatically apply the discount, therefore requiring the Organization's billing team to review and manually adjust patient bills. Repeat Finding: This is a repeat finding. Recommendation: In the future, the Organization should work with the billing system vendor to automate the billing within the system. Additionally, the Organization should implement appropriate processes and controls to ensure a review is performed prior to sending patient bills. Contact: Stuart May, Chief Executive Officer Corrective Actions Taken or Planned: An employee from the revenue cycle management team has been assigned to work with our vendor to determine why the slide calculation does not work correctly and what steps are needed to correct the calculation. The corrections will then be made to the system.
2022-001
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on January 29, 2023. 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 29, 2023, which was (1119 days ago).
What is a management decision? →During compliance testing, it was identified that the sliding fee discount was not accurately applied to two patients out of a sample of 25. An additional patient did not have any support on file for the discount they received. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by the Organization does not automatically apply the discount, therefore requiring the Organization's billing team to review and manually adjust patient bills. Effect: As a result of the condition, some patients received incorrect bills. Recommendation: In the future, the Organization should work with the billing system vendor to automate the billing within the system. Additionally, the Organization should implement appropriate processes and controls to ensure a review is performed prior to sending patient bills. Views of Responsible Officials: Management acknowledges the finding and will work with the system vendor to correct the discount process.
Show full finding ▾Hide full finding ▴Finding 2022-001: Sliding Fee Discount Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers Program Year: October 1, 2021 ? September 30, 2022 Assistance Listing Number: 93.527/93.224 Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to two patients out of a sample of 25. An additional patient did not have any support on file for the discount they received. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by the Organization does not automatically apply the discount, therefore requiring the Organization's billing team to review and manually adjust patient bills. Effect: As a result of the condition, some patients received incorrect bills. Recommendation: In the future, the Organization should work with the billing system vendor to automate the billing within the system. Additionally, the Organization should implement appropriate processes and controls to ensure a review is performed prior to sending patient bills. Views of Responsible Officials: Management acknowledges the finding and will work with the system vendor to correct the discount process.
Identifying Number: 2022-001: Sliding Fee Discount Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to two patients out of a sample of 25. An additional patient did not have any support on file for the discount they received. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Effect: As a result of the condition, some patients received incorrect bills. Cause: The billing system utilized by the Organization does not automatically apply the discount, therefore requiring the Organization's billing team to review and manually adjust patient bills. Repeat finding This is not a repeat finding Recommendation: In the future, the Organization should work with the billing system vendor to automate the billing within the system. Additionally, the Organization should implement appropriate processes and controls to ensure a review is performed prior to sending patient bills. Contact: David Simmons, CFO Corrective Actions Taken or Planned: A person from the revenue cycle management team has been assigned to work with our vendor to determine why the slide calculation does not work correctly and what steps are needed to correct the calculation. The corrections will be made then be made to the system.
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