EIN: 382308659
UEI: DTGSAZLNB9Y4
Data as of August 19, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on November 25, 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 May 25, 2025, which was (452 days ago).
What is a management decision? →Significant Deficiency and Noncompliance – Special Tests Federal Program: Assistance Listing #93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services Criteria: Health Centers must prepare and apply a sliding fee discount schedule so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: During our testing of sliding fee encounters we noted 2 instances out of 60 where the patient was not slid the proper amount based on their level of income. Additionally, we noted 5 instances where the center was missing supervisor approval on the application. Also, there were 6 instances where ECW was using the old slide fee scale, and 4 instances where ECW rounded patients up to the next slide, resulting in the wrong slide. Questioned Costs: None Cause and Effect: There has been significant turnover in the billing department over the past 4 years, as well as implementation of new billing software. Many instances are due to improper documentation or manual error in inputting the patients’ slide scale. Recommendation: We recommend that management reviews all current sliding fee patients and ensure that the center has an up to date sliding fee application for each. If the center is not able to locate the sliding fee application, then we recommend that the center obtains the proper application. Additionally, we recommend that the center reviews current applications to ensure that patients are being charged the proper sliding fee scale. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached corrective action plan.
Family Medical Center will have management or assigned staff to review all current sliding fee patients and ensure that the Center has an updated sliding fee application for each. FMC will provide additional training to front desk staff at each site and require them to obtain the proper application and documentation. Patient Accounts will review the current application to ensure that the current patients are charged the proper sliding fee scale. Management will develop a training module with Human Resources to have each staff complete in addition to hiring additional staff. This corrective action is expected to be completed by March 31, 2025.
2023-003
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on December 22, 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 June 22, 2024, which was (789 days ago).
What is a management decision? →2023-003, 2022-003 – Material Weakness and Material Noncompliance – Special Tests Federal Program: Assistance Listing #93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services Criteria: Health Centers must prepare and apply a sliding fee discount schedule so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: During our testing of sliding fee encounters we noted 15 instances out of 60 where the patient was not slid the proper amount based on their level of income. Additionally, out of the 60 sliding fee adjustments tested, we noted 5 instances where the center was not able to locate the sliding fee application for the applicable patient, however a sliding fee adjustment was still applied. Also, there were 3 instances where the sliding fee application that was on file for the patient tested was 2 years old and has not been updated. Questioned Costs: N/A Cause and Effect: There has been significant turnover in the billing department over the past 3 years, as well as implementation of new billing software. Many instances are due to improper documentation or manual error in inputting the patients’ slide scale. Recommendation: We recommend that management reviews all current sliding fee patients and ensure that the center has an up to date sliding fee application for each. If the center is not able to locate the sliding fee application, then we recommend that the center obtains the proper application. Additionally, we recommend that the center reviews current applications to ensure that patients are being charged the proper sliding fee scale. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached corrective action plan.
2023-003 - Material Weakness and Material Noncompliance - Special Tests FMC Comment: Family Medical Center's Patient Accounts department has had significant turnover over the past three years as well as implementation of a new software. FMC hired several temporary staff to support that led to more turnover and a lack of consistency in personnel. Many of the issues are due to improper documentation or manual error inputting the patients' slide scale into the system. Corrective Action: Family Medical Center will have management or assigned staff to review all current sliding fee patients and ensure that the Center has an updated sliding fee application for each. FMC will provide additional training to front desk staff at each site and require them to obtain the proper application and documentation. Patient Accounts will review the current application to ensure that the current patients are charged the proper sliding fee scale. Management will develop a training module with Human Resources to have each staff complete in addition to hiring additional staff. This corrective action is expected to be completed by March 31, 2024.
2022-003
2023-004 – Material Weakness and Material Noncompliance – Allowable Costs: Missing Timesheets Federal Program: Assistance Listing #93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services Criteria: Pay’s should be supported by approved timesheets. Condition: We noted that 10 out of 40 payroll transactions tested for the Health Center Program Cluster could not be supported by approved timesheets. Questioned Costs: N/A Cause and Effect: There has been significant turnover in the finance department. Timesheets were not retained for a period of the fiscal year under audit. Recommendation: We recommend that management retain approved timesheets for each pay period for all employees. Timesheets should be retained in the Center’s payroll system and records. This will ensure that employees are being paid accurately for the time they have worked for each pay period. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached corrective action plan.
2023-004 - Material weakness and Material Noncompliance - Missing Timesheets FMC Comment: FMC was in the process of converting for a one payroll system to another system during the Audit year. The conversion process was time consuming and involved files being transferred from one system to another system. This could have resulted in some timesheets being misplaced as opposed to staff being paid without a timesheet being approved. Corrective Action: FMC has a new timekeeping system - Paylocity- that should prevent the issue of missing timesheets since the system is all electronic. Staff cannot get paid unless within the Paylocity system there is an electronic timesheet. The process is described below: The employee's clock in and out electronically, through a web portal on their phone, desktop or laptop. The supervisor is notified through the Paylocity if there are errors or missed punches. The supervisor works with the employee to correct any errors. The supervisor electronically approves the electronic time card. All approved electronic timecards are locked by payroll, then electronically brought from the time and attendance system to the payroll system. Payroll and HR will review all timecards to ensure all hours are correct and the vacation, sick and personal time are within appropriate parameters. Any additional corrections are made electronically with the supervisor and employee's input. Once all the electronic records are approved, Payroll submits the payroll for processing by Paylocity. The electronic timesheet record is printed on one document and kept with the payroll register for each pay period.
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on January 30, 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 30, 2023, which was (1117 days ago).
What is a management decision? →2022-003 ? Material Weakness and Noncompliance ? Special Tests. Federal Program: Assistance Listing #93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: Health Centers must prepare and apply a sliding fee discount schedule so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. Condition: During our testing of sliding fee?s we noted 7 instances out of 40 where the patient was not slid the proper amount based on their level of income. Additionally, out of the 40 sliding fee adjustments tested, we noted 10 instances where the center was not able to locate the sliding fee application for the applicable patient, however a sliding fee adjustment was still applied, as well as one instance where the sliding fee application that was on file for the patient tested was 2 years old and has not been updated. Questioned Costs: N/A. Cause and Effect: There has been significant turnover in the billing department over the past 2 years, as well as implementation of new billing software. Many instances are due to improper documentation or manual error in inputting the patients slide scale. Recommendation: We recommend that management reviews all current sliding fee patient?s and ensure that the center has an up to date sliding fee application for each. If the center is not able to locate the sliding fee application, then we recommend that the center obtains the proper application. Additionally, we recommend that the center reviews current applications to ensure that current patients are being charged the proper sliding fee scale. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached corrective action plan.
Section II Government Auditing Standards Findingd 2022-003. Material Weakness and Material Noncompliance - Special Tests. FMC Comments: FMC Patient Account Department has had significant turnover in the billing department over the past two years, as well as implementation of new software. FMC hire several Temp staff and their turnover and out due to medical issues. Many of the issues are due to improper documentation or manual error in inputting the patients slide scale in the system. Corrective Action: Family Medical will have management or assigned staff to review all the current sliding fee patient's and ensure that the center has an up to date sliding fee application for each. FMC will retrain staff at the Front Desk at each site and require them to provide obtain the proper application and d ocuments. Patient Accounts will review the current application to ensure that the current patients are being charged the proper sliding fee scale. Management will develop a training module with HR to have each staff complete and test out. FMC is working on hiring additional Staff. We expect this to be completed by February 28, 2023. Responsible Staff: Sena Jolliffi and Christine Croley.
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on September 17, 2018. 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 March 17, 2019, which was (2713 days ago).
What is a management decision? →GSA_MIGRATION
GSA_MIGRATION
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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