EIN: 351842342
UEI: DNBFWHYJDPU6
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 January 31, 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 31, 2026 (31 days ago).
What is a management decision? →We noted the Health Center did not properly apply the sliding fee discounts approved by the board of directors for 2 patients, out of a sample of 40 patients tested for the year ended June 30, 2025. Cause: The Health Center did not comply with its sliding fee policy due to posting errors in the system and inconsistencies between the application and information entered into the system. Effect or Potential Effect: Discounts were not properly applied to patient accounts. Questioned costs: None Context: From a total of 4,541 sliding fee discounts for the period, 40 discounts were selected for testing. This sample was not, and was not intended to be, a statistically valid sample. The Health Center’s management did prepare a schedule of discounts adjusted on the basis of the patient’s ability to pay; such schedule was updated and approved annually by the Health Center’s board of directors. However, there were errors when comparing the approved schedule to certain actual adjustments to patients accounts and the patients supporting documentation during the year ended June 30, 2025. Identification as a repeat finding, if applicable: Repeat finding, 2024-001 Recommendation: All personnel involved in the sliding fee discount program should demonstrate their understanding of the sliding fee scale policy and receive appropriate training during the year. We also recommend internal review of patient accounts and sliding fees applied during the year. Views of responsible officials and planned corrective actions. The Health Center agrees with the finding. See separate report for planned corrective action.
Show full finding ▾Hide full finding ▴Health Center Program Cluster; Federal Assistance Listing No. 93.224 and 93.527; HHS; grant number H80CS08782; budget period May 1, 2024 to April 30, 2025. Criteria or specific requirement: Special Tests and Provisions – 42 CFR, Part 56.303(e), (f) and (g). Health Centers receiving funds under the Health Center Program Cluster are required to prepare a schedule of fees or payments for the provision of its services designed to cover its reasonable costs of operation and a corresponding schedule of discounts adjusted on the basis of the patient’s ability to pay, to make every reasonable effort, including the establishment of systems for eligibility determination, billing and collection, and to secure from patient payments for services in accordance with the schedule of fees and discounts. Condition: We noted the Health Center did not properly apply the sliding fee discounts approved by the board of directors for 2 patients, out of a sample of 40 patients tested for the year ended June 30, 2025. Cause: The Health Center did not comply with its sliding fee policy due to posting errors in the system and inconsistencies between the application and information entered into the system. Effect or Potential Effect: Discounts were not properly applied to patient accounts. Questioned costs: None Context: From a total of 4,541 sliding fee discounts for the period, 40 discounts were selected for testing. This sample was not, and was not intended to be, a statistically valid sample. The Health Center’s management did prepare a schedule of discounts adjusted on the basis of the patient’s ability to pay; such schedule was updated and approved annually by the Health Center’s board of directors. However, there were errors when comparing the approved schedule to certain actual adjustments to patients accounts and the patients supporting documentation during the year ended June 30, 2025. Identification as a repeat finding, if applicable: Repeat finding, 2024-001 Recommendation: All personnel involved in the sliding fee discount program should demonstrate their understanding of the sliding fee scale policy and receive appropriate training during the year. We also recommend internal review of patient accounts and sliding fees applied during the year. Views of responsible officials and planned corrective actions. The Health Center agrees with the finding. See separate report for planned corrective action.
The Family Health Centers of Clark County, Inc. dba The Family Health Centers of Southern Indiana will institute a further refined 2nd review of all newly assigned or changed sliding fee assignments. This review will be completed by individuals who are briefed on all related sliding fee policies and procedures. Any discrepancies will be sent to the billing manager for updates and aggregation of discrepancy type for further personnel training. The Accounting department will also institute a monthly internal audit process and review a random sample of patients with claims in each particular month that has a sliding fee profile and forwarding to billing manager for correction and aggregation of discrepancy type for further personnel education and possible process changes to ease issues. The Family Health Centers of Clark County, Inc., doing business as The Family Health Centers of Southern Indiana, will adjust secondary review of all newly assigned or modified sliding fee scale determinations, assigning this review to designated staff members who are trained and knowledgeable in all applicable sliding fee scale policies and procedures. Any discrepancies found during the secondary review will be sent to the Billing Manager for timely correction. The Billing Manager will document, categorize, and aggregate discrepancies by type to identify trends and support targeted staff education and retraining efforts. This corrective action will be maintained on an ongoing basis to ensure continued compliance with sliding fee scale requirements and to strengthen internal controls.
2024-001
FAC accepted this audit on December 30, 2024 — management decision was due June 30, 2025.
We noted the Health Center did not properly apply the sliding fee discounts approved by the board of directors for 3 patients, and 2 patients did not have a sliding fee application on file, out of a sample of 25 patients tested for the year ended June 30, 2024. Cause: The Health Center did not comply with its sliding fee policy due to posting errors in the system and lack of supporting documentation. Effect or Potential Effect: Discounts were not properly applied to patient accounts. Questioned costs: None Context: From a total of 3,983 sliding fee discounts for the period, 25 discounts were selected for testing. This sample was not, and was not intended to be, a statistically valid sample. The Health Center’s management did prepare a schedule of discounts adjusted on the basis of the patient’s ability to pay; such schedule was updated and approved annually by the Health Center’s board of directors. However, there were errors when comparing the approved schedule to certain actual adjustments to patients accounts and the patients supporting documentation during the year ended June 30, 2024 or there was no sliding fee application located for the patient. Identification as a repeat finding, if applicable: Not a repeat finding. Recommendation: All personnel involved in the sliding fee discount program should demonstrate their understanding of the sliding fee scale policy and receive appropriate training during the year. We also recommend internal review of patient accounts and sliding fees applied during the year. Views of responsible officials and planned corrective actions. The Health Center agrees with the finding. See separate report for planned corrective action.
Show full finding ▾Hide full finding ▴Health Center Program Cluster; Federal Assistance Listing No. 93.224 and 93.527; HHS; grant number H80CS08782; budget period May 1, 2023 to April 30, 2024. Criteria or specific requirement: Special Tests and Provisions – 42 CFR, Part 56.303(e), (f) and (g). Health Centers receiving funds under the Health Center Program Cluster are required to prepare a schedule of fees or payments for the provision of its services designed to cover its reasonable costs of operation and a corresponding schedule of discounts adjusted on the basis of the patient’s ability to pay, to make every reasonable effort, including the establishment of systems for eligibility determination, billing and collection, and to secure from patient payments for services in accordance with the schedule of fees and discounts. Condition: We noted the Health Center did not properly apply the sliding fee discounts approved by the board of directors for 3 patients, and 2 patients did not have a sliding fee application on file, out of a sample of 25 patients tested for the year ended June 30, 2024. Cause: The Health Center did not comply with its sliding fee policy due to posting errors in the system and lack of supporting documentation. Effect or Potential Effect: Discounts were not properly applied to patient accounts. Questioned costs: None Context: From a total of 3,983 sliding fee discounts for the period, 25 discounts were selected for testing. This sample was not, and was not intended to be, a statistically valid sample. The Health Center’s management did prepare a schedule of discounts adjusted on the basis of the patient’s ability to pay; such schedule was updated and approved annually by the Health Center’s board of directors. However, there were errors when comparing the approved schedule to certain actual adjustments to patients accounts and the patients supporting documentation during the year ended June 30, 2024 or there was no sliding fee application located for the patient. Identification as a repeat finding, if applicable: Not a repeat finding. Recommendation: All personnel involved in the sliding fee discount program should demonstrate their understanding of the sliding fee scale policy and receive appropriate training during the year. We also recommend internal review of patient accounts and sliding fees applied during the year. Views of responsible officials and planned corrective actions. The Health Center agrees with the finding. See separate report for planned corrective action.
Corrective Action:The Family Health Centers of Clark County, lnc. dba The Family Health Centers of Southern IN will thoroughly review all relevant policies and will conduct a training to ensure all staff involved in the sliding fee discount program are fully trained, demonstrate a clear understanding of the program, and confirm that they understand that the expectation is for them to consistently apply this knowledge in their daily responsibilities. This applies in both gathering and keeping correct information on file and applying the correct sliding fee scale in accordance with policy.
FAC accepted this audit on December 4, 2023 — management decision was due June 4, 2024.
FAC accepted this audit on December 16, 2022 — management decision was due June 16, 2023.
FAC accepted this audit on January 16, 2022 — management decision was due July 16, 2022.
FAC accepted this audit on March 29, 2021 — management decision was due September 29, 2021.
FAC accepted this audit on October 9, 2019 — management decision was due April 9, 2020.
FAC accepted this audit on October 2, 2018 — management decision was due April 2, 2019.
FAC accepted this audit on September 28, 2017 — management decision was due March 28, 2018.
FAC accepted this audit on September 29, 2016 — management decision was due March 29, 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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