EIN: 141958494
UEI: PQTYYC4ELL15
Audited by: Carr Riggs Ingram
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on July 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 January 20, 2027 (145 days from today).
What is a management decision? →FAC accepted this audit on May 21, 2026 — management decision was due November 21, 2026.
FAC accepted this audit on August 8, 2024 — management decision was due February 8, 2025.
FAC accepted this audit on July 17, 2023 — management decision was due January 17, 2024.
FAC accepted this audit on July 19, 2022 — management decision was due January 19, 2023.
The Clinic did not maintain support that review for suspension and debarment was performed prior to execution of contracts for 6 of 6 contractors tested. Cause: The Clinic has implemented controls to review for suspension or debarment, but did not maintain support that the suspension and debarment review occurred prior to execution of the contracts. Effect: Contracts could be entered into with vendors who are suspended or debarred without documented support that a review for suspension or debarment is performed prior to execution of the contract. Auditors? Recommendation: CRI recommends that the Clinic document controls performed to review for suspension and debarment prior to execution of contracts.
Show full finding ▾Hide full finding ▴Title and Assistance Listing Number of Federal Program: Health Resources and Services Administration 93.224 Federal Award Identification Number and Year: 2021 Name of Federal Agency: Department of Health and Human Services Questioned Costs: None Criteria: Per 2 CFR 180, non-federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended or debarred. In accordance with 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over federal awards. Condition: The Clinic did not maintain support that review for suspension and debarment was performed prior to execution of contracts for 6 of 6 contractors tested. Cause: The Clinic has implemented controls to review for suspension or debarment, but did not maintain support that the suspension and debarment review occurred prior to execution of the contracts. Effect: Contracts could be entered into with vendors who are suspended or debarred without documented support that a review for suspension or debarment is performed prior to execution of the contract. Auditors? Recommendation: CRI recommends that the Clinic document controls performed to review for suspension and debarment prior to execution of contracts.
2021-001 Significant Deficiency: Internal control over Compliance with Suspension and Debarment Requirement Planned Corrective Action: Management has contracted with an external vendor that assists with review and documentation of suspended or debarred vendors prior to execution of contracts. Anticipated Completion Date: September 30, 2022 Responsible Party: Indred Rogers, HR Director
The Clinic did not apply the sliding fee discounts to patient charges consistent with its sliding fee discount schedule. Cause: Household income was incorrectly entered for 6 of 40 patient encounters tested, which can result in an incorrect sliding fee discount being applied to the patient encounter. Effect: Patient encounters could be incorrectly charged for the patient?s responsibility portion of the visit. Auditors? Recommendation: The Clinic should design, implement, and monitor controls to ensure information is entered correctly in order for the electronic system to correctly apply the sliding fee discount.
Show full finding ▾Hide full finding ▴Title and Assistance Listing Number of Federal Program: Health Resources and Services Administration 93.224 Federal Award Identification Number and Year: 2021 Name of Federal Agency: Department of Health and Human Services Questioned Costs: $140 Criteria: Health centers 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. In accordance with 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over federal awards. Condition: The Clinic did not apply the sliding fee discounts to patient charges consistent with its sliding fee discount schedule. Cause: Household income was incorrectly entered for 6 of 40 patient encounters tested, which can result in an incorrect sliding fee discount being applied to the patient encounter. Effect: Patient encounters could be incorrectly charged for the patient?s responsibility portion of the visit. Auditors? Recommendation: The Clinic should design, implement, and monitor controls to ensure information is entered correctly in order for the electronic system to correctly apply the sliding fee discount.
2021-002 Significant Deficiency: Compliance with Special Test - Sliding Scale Requirement Planned Corrective Action: Management will implement additional training of intake employees and additional review procedures to verify that the information entered into the electronic patient records matches the information provided by the patient. Anticipated Completion Date: September 30, 2022 Responsible Party: Dr. Mary Abell, Associate CEO
The transactions and related data for the Provider Relief Fund (PRF) was compiled, reviewed, and approved by the same person. Additionally, the reporting included expenses and lost revenue by should have only included lost revenue. Cause: Although the PRF lost revenue calculation was submitted and accepted by the federal agency, controls and processes related to the PRF program were not designed such that there is an appropriate segregation of duties related to compilation, review, and approval of PRF transactions and related data. Guidance for the submission was not clear, thus expense information was included in the submission erroneously. Effect: Lack of appropriate segregation of duties and monitoring could result in unallowable activities or costs. Auditors? Recommendation: CRI recommends implementing controls and processes to ensure appropriate segregation of duties and monitoring.
Show full finding ▾Hide full finding ▴Title and Assistance Listing Number of Federal Program: Provider Relief Fund 93.498 Federal Award Identification Number and Year: 2021 Name of Federal Agency: Department of Health and Human Services Questioned Costs: none Criteria: Per 2 CFR 200.303(a), non-federal entities receiving federal awards are required to establish and maintain internal control over the federal awards that provide reasonable assurance that the non-federal entity is managing the federal awards in compliance with federal statues, regulations, and the terms and conditions of the federal awards. Condition: The transactions and related data for the Provider Relief Fund (PRF) was compiled, reviewed, and approved by the same person. Additionally, the reporting included expenses and lost revenue by should have only included lost revenue. Cause: Although the PRF lost revenue calculation was submitted and accepted by the federal agency, controls and processes related to the PRF program were not designed such that there is an appropriate segregation of duties related to compilation, review, and approval of PRF transactions and related data. Guidance for the submission was not clear, thus expense information was included in the submission erroneously. Effect: Lack of appropriate segregation of duties and monitoring could result in unallowable activities or costs. Auditors? Recommendation: CRI recommends implementing controls and processes to ensure appropriate segregation of duties and monitoring.
2021-003 Significant Deficiency: Internal control over Compliance with Allowable Costs and Activities Requirement Planned Corrective Action: Management will implement additional procedures for review and approval of all federal award reports prior to submission. Anticipated Completion Date: September 30, 2022 Responsible Party: Robert Darrow, CFO
Internal controls were not implemented such that Reporting Period 1 information was submitted timely to the Provider Relief Fund Reporting Portal. Cause: Although lost revenues filed were eligible under the federal program and the report was accepted by the federal agency, controls over reporting were not effective and the Clinic submitted Period 1 information to the Provider Relief Fund Reporting Portal after the stated deadline.Effect: Lack of internal controls could result in incorrect or untimely reporting. Auditors? Recommendation: CRI recommends that the Clinic implement controls to ensure all reporting requirements are met.
Show full finding ▾Hide full finding ▴Title and Assistance Listing Number of Federal Program: Provider Relief Fund 93.498 Federal Award Identification Number and Year: 2021 Name of Federal Agency: Department of Health and Human Services Questioned Costs: none Criteria: Per the 2021 Compliance Supplement, the Clinic was required to report expenditures and/or lost revenue through the Provider Relief Fund Reporting Portal for Period 1 no later than September 30, 2021 (further extended to November 30, 2021 as noted on the PRF website). In accordance with 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over federal awards. Condition: Internal controls were not implemented such that Reporting Period 1 information was submitted timely to the Provider Relief Fund Reporting Portal. Cause: Although lost revenues filed were eligible under the federal program and the report was accepted by the federal agency, controls over reporting were not effective and the Clinic submitted Period 1 information to the Provider Relief Fund Reporting Portal after the stated deadline.Effect: Lack of internal controls could result in incorrect or untimely reporting. Auditors? Recommendation: CRI recommends that the Clinic implement controls to ensure all reporting requirements are met.
2021-004 Significant Deficiency: Internal control over Compliance and Compliance with Special Reporting Requirement Planned Corrective Action: Management will set up a task reminder to ensure all federal reporting requirements are submitted timely. Anticipated Completion Date: June 30, 2022 Responsible Party: Robert Darrow, CFO
FAC accepted this audit on September 9, 2021 — management decision was due March 9, 2022.
FAC accepted this audit on June 10, 2020 — management decision was due December 10, 2020.
FAC accepted this audit on July 21, 2019 — management decision was due January 21, 2020.
GSA_MIGRATION
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GSA_MIGRATION
2017-001
FAC accepted this audit on July 29, 2018 — management decision was due January 29, 2019.
GSA_MIGRATION
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GSA_MIGRATION
FAC accepted this audit on July 2, 2017 — management decision was due January 2, 2018.
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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