EIN: 205896415
UEI: RWLLTMA8J2A5
Audited by: Forvis Mazars, LLP
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 March 9, 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 September 9, 2026 (9 days from today).
What is a management decision? →FAC accepted this audit on March 12, 2025 — management decision was due September 12, 2025.
FAC accepted this audit on March 19, 2025 — management decision was due September 19, 2025.
FAC accepted this audit on March 8, 2024 — management decision was due September 8, 2024.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 6 H80CS24171-12-01, 3 H8FCS40636-01-01, and 4 H8GCS48070-01-01 Program Year 2023 Criteria or Specific Requirement – Procurement, Suspension, & Debarment – 45 CFR 75.329 Condition – The Organization’s procurement policy established a threshold of $25,000 for small purchase procedures rather than the $10,000 prescribed by US DHHS. In addition, the health center did not maintain documentation demonstrating the activities performed to demonstrate a vendor is not included on a federal suspension or debarment list. Questioned Costs – Unknown Context – A sample of sixteen procurements were tested out of a population of one hundred fifty-six transactions subject to procurement requirements. The population sampled represented $136,774 in federal expenditures. The sample was not, and is not intended to be, statistically valid. Of the sixteen procurements tested, four procurements in the amount of $56,451 were not completed in accordance with federal procurement requirements. Effect – Purchases were made without fully adhering to federal procurement requirements. Cause – The Organization’s procurement policy included a small purchases threshold that exceeds US DHHS guidance. Identification as a Repeat Finding – Not a repeat finding Recommendation – The Organization should revise its procurement policy to reflect the appropriate small purchase threshold and the policy should be reviewed annually to ensure compliance with the federal regulations.
Show full finding ▾Hide full finding ▴Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 6 H80CS24171-12-01, 3 H8FCS40636-01-01, and 4 H8GCS48070-01-01 Program Year 2023 Criteria or Specific Requirement – Procurement, Suspension, & Debarment – 45 CFR 75.329 Condition – The Organization’s procurement policy established a threshold of $25,000 for small purchase procedures rather than the $10,000 prescribed by US DHHS. In addition, the health center did not maintain documentation demonstrating the activities performed to demonstrate a vendor is not included on a federal suspension or debarment list. Questioned Costs – Unknown Context – A sample of sixteen procurements were tested out of a population of one hundred fifty-six transactions subject to procurement requirements. The population sampled represented $136,774 in federal expenditures. The sample was not, and is not intended to be, statistically valid. Of the sixteen procurements tested, four procurements in the amount of $56,451 were not completed in accordance with federal procurement requirements. Effect – Purchases were made without fully adhering to federal procurement requirements. Cause – The Organization’s procurement policy included a small purchases threshold that exceeds US DHHS guidance. Identification as a Repeat Finding – Not a repeat finding Recommendation – The Organization should revise its procurement policy to reflect the appropriate small purchase threshold and the policy should be reviewed annually to ensure compliance with the federal regulations.
Promise Community Health Center established the threshold of $25,000 for small purchase procedures rather than the $10,000 noted by US DHHS. Promise also reviewed its procurement samples tested and noted that many of the samples were individually below the threshold of $10,000 and misunderstood this to be a full purchase order of $10,000 to require a secondary quote. Promise will revise its procurement policy to reflect the appropriate small purchase threshold and the policy will continue to be reviewed bi‐annually and approved by the board. Kara Acevedo, Chief Financial Officer, is responsible for the oversight of the corrective action. Completion of the corrective action plan is expected by March 31, 2024.
FAC accepted this audit on March 20, 2023 — management decision was due September 20, 2023.
FAC accepted this audit on February 8, 2022 — management decision was due August 8, 2022.
Health Center Program Cluster ? Assistance Listing Number 93.527/93.224 U.S. Department of Health and Human Services Award No. 6 H80CS24171-10-02 Program Year 2021 Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g) and 42 CFR section 56.303(f)). Condition ? Patients who were eligible for sliding fee discounts under the Organization?s policy were not given sliding fee discounts or received sliding fee discounts inconsistent with the policy. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 22,955 adjustments. The sampling methodology used is not, and is not intended to be, statistically valid. Of the 25 transactions tested, 3 were determined to include errors in the application of the sliding fee discount program and policy. Effect ? Improper sliding fee discounts were given and appropriate documentation was not maintained for all discounts given as noted in the sample selected for testing. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding ? No Recommendation ? We recommend management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale. Patient files should include documentation of eligibility to receive sliding fee scale adjustments.
Show full finding ▾Hide full finding ▴Health Center Program Cluster ? Assistance Listing Number 93.527/93.224 U.S. Department of Health and Human Services Award No. 6 H80CS24171-10-02 Program Year 2021 Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g) and 42 CFR section 56.303(f)). Condition ? Patients who were eligible for sliding fee discounts under the Organization?s policy were not given sliding fee discounts or received sliding fee discounts inconsistent with the policy. Questioned cost ? None Context ? A sample of 25 patients were tested out of the total population of 22,955 adjustments. The sampling methodology used is not, and is not intended to be, statistically valid. Of the 25 transactions tested, 3 were determined to include errors in the application of the sliding fee discount program and policy. Effect ? Improper sliding fee discounts were given and appropriate documentation was not maintained for all discounts given as noted in the sample selected for testing. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding ? No Recommendation ? We recommend management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale. Patient files should include documentation of eligibility to receive sliding fee scale adjustments.
Promise plans to implement training courses on the sliding fee scale policy and to ensure all employees are aware of the requirements and guidelines. Promise also will perform biannual audits, selecting a sample of 20 patients to ensure that eligible patients receive discounts in accordance with the sliding fee scale and proper documentation is maintained. Amy Kleinhesselink, Co-Executive Director/Chief Financial Officer, is responsible for the oversight of the corrective action. The estimated completion date was December 2021.
FAC accepted this audit on March 7, 2021 — management decision was due September 7, 2021.
FAC accepted this audit on February 16, 2020 — management decision was due August 16, 2020.
FAC accepted this audit on February 6, 2019 — management decision was due August 6, 2019.
FAC accepted this audit on March 25, 2018 — management decision was due September 25, 2018.
GSA_MIGRATION
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GSA_MIGRATION
FAC accepted this audit on February 20, 2017 — management decision was due August 20, 2017.
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