EIN: 203131989
UEI: WXGMEK9H7K35
Audited by: Blue and Co.
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 7, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on July 13, 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 13, 2027 (122 days from today).
What is a management decision? →FAC accepted this audit on August 19, 2025 — management decision was due February 19, 2026.
FAC accepted this audit on July 24, 2024 — management decision was due January 24, 2025.
FAC accepted this audit on September 19, 2023 — management decision was due March 19, 2024.
FAC accepted this audit on August 30, 2022 — management decision was due March 2, 2023.
FAC accepted this audit on October 6, 2021 — management decision was due April 6, 2022.
Sliding Fee Discounts Criteria ? Sliding fee discounts should be granted in accordance with organizational policy based on the application of a qualifying patient?s household income and family size to the sliding fee discount schedule in effect. Condition ? Based on the 40 patients selected for testing, we noted 5 errors. In three instances, the effective sliding fee discount schedule was improperly applied based on the household income and family size. In two instances, sliding fee discounts were granted to patients without obtaining the appropriate documentation of the patient?s household income and family size. Cause ? Due to the numerous operational disruptions caused by the COVID-19 pandemic, CFMC staff was unable to perform regular internal audits of sliding fee patient encounters or employee training sessions on sliding fee discounts. As a result, undetected errors in applying the sliding fee discount schedule and obtaining required supporting documentation were identified. Effect ? The errors noted resulted in sliding fee discounts granted at improper amounts and sliding fee discounts granted without appropriate documentation supporting household income and family size. Context: A sample of 40 sliding fee discounts totaling $13,314 was selected for audit from a population of approximately 9,000 sliding fee discounts totaling $1,869,601. The test found five discounts that were not in compliance with errors totaling $356. Our sample was a statistically valid sample. Recommendation ? We recommend that CFMC perform regular internal audits of sliding fee discounts and staff training that corresponds to the audit results. Management?s Response ? CFMC will perform regular internal audits of sliding fee discounts and staff training that corresponds to the audit results.
Show full finding ▾Hide full finding ▴Sliding Fee Discounts Criteria ? Sliding fee discounts should be granted in accordance with organizational policy based on the application of a qualifying patient?s household income and family size to the sliding fee discount schedule in effect. Condition ? Based on the 40 patients selected for testing, we noted 5 errors. In three instances, the effective sliding fee discount schedule was improperly applied based on the household income and family size. In two instances, sliding fee discounts were granted to patients without obtaining the appropriate documentation of the patient?s household income and family size. Cause ? Due to the numerous operational disruptions caused by the COVID-19 pandemic, CFMC staff was unable to perform regular internal audits of sliding fee patient encounters or employee training sessions on sliding fee discounts. As a result, undetected errors in applying the sliding fee discount schedule and obtaining required supporting documentation were identified. Effect ? The errors noted resulted in sliding fee discounts granted at improper amounts and sliding fee discounts granted without appropriate documentation supporting household income and family size. Context: A sample of 40 sliding fee discounts totaling $13,314 was selected for audit from a population of approximately 9,000 sliding fee discounts totaling $1,869,601. The test found five discounts that were not in compliance with errors totaling $356. Our sample was a statistically valid sample. Recommendation ? We recommend that CFMC perform regular internal audits of sliding fee discounts and staff training that corresponds to the audit results. Management?s Response ? CFMC will perform regular internal audits of sliding fee discounts and staff training that corresponds to the audit results.
Condition: Sliding fee discounts: Based on the 40 patients selected for testing, we noted 5 errors. In three instances, the effective sliding fee discount schedule was improperly applied based on patient income and family size. In the other two instances, the documentation required to support eligibility for sliding fee discounts was not obtained. Action: As a result of the operational disruptions caused by the outbreak of the coronavirus pandemic, regular internal audits and employee trainings required by the Sliding Fee Discount Schedule Policy were not performed during 2020. In accordance with policy, CFMC will reinstitute the performance of regular internal audits and employee trainings on the administration of the sliding fee discount program beginning January 1, 2022. These procedures were performed in each of the two years prior to 2020 in which no findings were noted during the testing of sliding fee discounts.
FAC accepted this audit on June 24, 2020 — management decision was due December 24, 2020.
FAC accepted this audit on July 11, 2019 — management decision was due January 11, 2020.
FAC accepted this audit on June 19, 2018 — management decision was due December 19, 2018.
GSA_MIGRATION
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GSA_MIGRATION
FAC accepted this audit on July 12, 2017 — management decision was due January 12, 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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