EIN: 391328331
UEI: CXANMMKWPE85
260806477, 381443361, 382908586, 383236977, 390782130, 390806250, 390807065, 390808443, 390808503, 390808511, 390868982, 390873606, 390964813, 390985690, 391138241, 391390638, 391670223, 391965593 · unlinked EINs have no separate FAC filing
Audited by: Wipfli LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 16, 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 16, 2026 (13 days from today).
What is a management decision? →FAC accepted this audit on March 31, 2025 — management decision was due October 1, 2025.
FAC accepted this audit on March 29, 2024 — management decision was due September 29, 2024.
FAC accepted this audit on March 30, 2023 — management decision was due September 30, 2023.
The Organization?s internal controls over compliance related to eligibility were not effective. Criteria: The program requires the Organization to confirm that the patient is uninsured and does not have coverage through an individual, or employer-sponsored plan, a federal healthcare program, or the Federal Employees Health Benefits Program at the time services were rendered, and no other payer will reimburse you for the COVID-19 related care. Context: During the audit, it was determined that 2 of the 40 patients selected for testing had adequate insurance at the time of their visit and therefore did not qualify for reimbursement under the program. Cause: Management oversight. Effect: The Organization?s internal controls around compliance were not effective. Recommendation: We recommend that management have a process in place to review insurance coverage on patients and the visits submitted under this program. View of Responsible Management will review the process that is currently in place to ensure accuracy in the eligibility Officials: calculations under this program.
Show full finding ▾Hide full finding ▴Finding 2022-001 Program Name/Assistance Listing Title: HRSA COVID-19 Claims Reimbursement for the Uninsured Program Federal Assistance Listing Number: 93.461 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiency Compliance Requirement: Eligibility Questioned Costs: None Reported Condition: The Organization?s internal controls over compliance related to eligibility were not effective. Criteria: The program requires the Organization to confirm that the patient is uninsured and does not have coverage through an individual, or employer-sponsored plan, a federal healthcare program, or the Federal Employees Health Benefits Program at the time services were rendered, and no other payer will reimburse you for the COVID-19 related care. Context: During the audit, it was determined that 2 of the 40 patients selected for testing had adequate insurance at the time of their visit and therefore did not qualify for reimbursement under the program. Cause: Management oversight. Effect: The Organization?s internal controls around compliance were not effective. Recommendation: We recommend that management have a process in place to review insurance coverage on patients and the visits submitted under this program. View of Responsible Management will review the process that is currently in place to ensure accuracy in the eligibility Officials: calculations under this program.
Response: At the time of sending the claim to HRSA the patient did not have other insurance coverage. Subsequently we received information that the patient had other coverage. This information was received by the Financial Clearance department but there was a lack of communication to the Credit Balance Manager as provided for in our process. Although the Credit Balance team would have found and refunded the money to HRSA after the other insurance paid through their normal credit review process, this was not yet completed at the time of the audit. There is an opportunity to increase the timeliness of the refunding process as addressed in our action plan. Corrective Action Plan: ? Refund HRSA for overpayments found during audit ? Completed on 3/13/2023 and 3/15/2023, respectively. ? Reeducation to Financial Clearance team to notify Credit Balance Manager of change of coverage for HRSA accounts as soon as receive information. ? Education and process change with Initial Claims Team, who also reviews coverage changes, to notify Credit Balance Manager of change of coverage for HRSA accounts as soon as they receive. ? Explore Epic build to route accounts with HRSA coverage change to a Credit Balance WQ to be promptly worked.
FAC accepted this audit on September 26, 2022 — management decision was due March 26, 2023.
The Organization?s internal controls over compliance related to payroll were not effective. Criteria: The Provider Relief Funds were provided under the Coronavirus Aid, Relief, and Economic Security Act (Pub. L. No. 116-136, 134 Stat. 563) and are to be used to prevent, prepare for, and respond to coronavirus and that the funds shall reimburse the recipient only for health care related expenses or lost revenues that are attributable to coronavirus. Context: During the audit, it was determined that 1 of the 40 payroll disbursements tested were not recorded accurately under the Provider Relief Fund. The spreadsheet used to calculate the amount of payroll applicable to the program contained an error. Cause: Management oversight. Effect: The Organization?s internal controls around compliance were not effective. Recommendation: We recommend that management review all expenditures for accuracy under the criteria provided by the Department of Health and Human Services to ensure all errors are identified and corrected. View of Responsible Management will review calculations and support for all payroll expenditures to ensure Officials: accuracy in future reporting.
Show full finding ▾Hide full finding ▴Finding 2021-001 Program Name/Assistance Listing Title: Provider Relief Fund Federal Assistance Listing Number: 93.498 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Significant Deficiency Compliance Requirement: Allowable Costs, Cost Principles Condition: The Organization?s internal controls over compliance related to payroll were not effective. Criteria: The Provider Relief Funds were provided under the Coronavirus Aid, Relief, and Economic Security Act (Pub. L. No. 116-136, 134 Stat. 563) and are to be used to prevent, prepare for, and respond to coronavirus and that the funds shall reimburse the recipient only for health care related expenses or lost revenues that are attributable to coronavirus. Context: During the audit, it was determined that 1 of the 40 payroll disbursements tested were not recorded accurately under the Provider Relief Fund. The spreadsheet used to calculate the amount of payroll applicable to the program contained an error. Cause: Management oversight. Effect: The Organization?s internal controls around compliance were not effective. Recommendation: We recommend that management review all expenditures for accuracy under the criteria provided by the Department of Health and Human Services to ensure all errors are identified and corrected. View of Responsible Management will review calculations and support for all payroll expenditures to ensure Officials: accuracy in future reporting.
Finding # 2021-001 Response In compiling the listing of employee?s salary costs related to covid services, a formula was incorrectly stated. This was not found during supervisor review. We have evaluated the error and the review process and developed templates for payroll supporting documents that provide for correct calculations and updated the supervisor review process. Responsible Party Pat Tincher, VP of Regional Markets Estimated Completion 09/30/2022
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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