EIN: 391181480
UEI: M4BMRKWKU688
Data as of August 21, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on September 27, 2021. 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 27, 2022 (1609 days ago).
What is a management decision? →The Clinic's sliding fee scale policy provides for the application of discounts to eligible patients based on the ability to pay. During our testing of participants, it was noted that two out of the 25 individuals sampled and tested had incorrect data entered to determine which discount to apply. Criteria: 42 CFR Sections 51c.303(e), (f), and (g) require a health center to apply sliding fee discounts to patients consistent with its sliding fee discount schedule. Cause: The Clinic's monitoring and approval process failed to identify when information was entered or assigned incorrectly in the billing system. Effect: The internal control did not operate effectively and that failure resulted in two individuals being charged incorrectly. There is a risk that other individuals could be charged incorrectly. Recommendation: Wipfli LLP recommends the Clinic review its internal process for approval of the sliding fee scale calculation and determine that the review is adequate to prevent, or detect and correct errors in data entry. Views of responsible officials: The Clinic concurs with the findings regarding the sliding fee errors. In investigating them we determined they were not due to any lack of necessary documentation required to perform the sliding fee analysis but rather an unfortunate data entry error. Corrective processes have been put into place to significantly reduce the change of these errors happening again.
Show full finding ▾Hide full finding ▴Section III - Federal and State Award Findings and Questioned Costs Finding No. 2021-001: Special Tests and Provision - Sliding Fee Scale Discounts Program Affected: Direct Award - Department of Health and Human Services: Health Center Program Cluster (Health Center Program CFDA No. 93.224 and Grants for New and Expanded Services under the Health Center Program CFDA No. 93.527). Grant No. H80CS00713 for the grant period April 1, 2020 through March 31, 2021. Questioned Costs: None Condition: The Clinic's sliding fee scale policy provides for the application of discounts to eligible patients based on the ability to pay. During our testing of participants, it was noted that two out of the 25 individuals sampled and tested had incorrect data entered to determine which discount to apply. Criteria: 42 CFR Sections 51c.303(e), (f), and (g) require a health center to apply sliding fee discounts to patients consistent with its sliding fee discount schedule. Cause: The Clinic's monitoring and approval process failed to identify when information was entered or assigned incorrectly in the billing system. Effect: The internal control did not operate effectively and that failure resulted in two individuals being charged incorrectly. There is a risk that other individuals could be charged incorrectly. Recommendation: Wipfli LLP recommends the Clinic review its internal process for approval of the sliding fee scale calculation and determine that the review is adequate to prevent, or detect and correct errors in data entry. Views of responsible officials: The Clinic concurs with the findings regarding the sliding fee errors. In investigating them we determined they were not due to any lack of necessary documentation required to perform the sliding fee analysis but rather an unfortunate data entry error. Corrective processes have been put into place to significantly reduce the change of these errors happening again.
Corrective Action Plan for Current Year Findings 2021-001- Special Tests and Provisions - Sliding Fee Scale Discounts Corrective Action Plan: 1) All scheduled patient's accounts will flow to a work queue and a review of the most recent sliding fee calculation will be completed by the Patient Services Navigators. 2) Patient Financial Service's staff will confirm sliding fee calculation prior to posting any self-pay payment to an account. Person(s) Responsible: Karen Balderson, Director of Revenue Cycle Timing for Implementation: By August 1, 2021
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.
Track your findings and corrective action plans across audit cycles.
Start tracking findings →Monitor subrecipient audit findings and compliance status.
Start monitoring →© 2026 Single Audit Intelligence. All data is public domain.