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Ozark Tri-County Health Care Consortium DBA Access Family CareNon-Profit

EIN: 431752799

UEI: TALMHN73LJH8

Audited by: Anders CPAs + Advisors

Oversight agency: 93 [Department of Health and Human Services]

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Data as of September 2, 2026

Ozark Tri-County Health Care Consortium DBA Access Family Care10 audit years3 findings1 repeat
10
Audit Years
3
Total Findings
1
Repeat Findings
$9.1M
Federal Awards Expended (FY 2025)

FY 2025-04-30

LOW-RISK AUDITEE$9,052,246 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on January 5, 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 5, 2026 (60 days ago).

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FY 2024-04-30

$8,492,295 federal awards expendedNo findings recorded this year

FAC accepted this audit on December 3, 2024 — management decision was due June 3, 2025.

FY 2023-04-30

$8,708,157 federal awards expendedNo findings recorded this year

FAC accepted this audit on November 22, 2023 — management decision was due May 22, 2024.

FY 2022-04-30

LOW-RISK AUDITEE$8,045,443 federal awards expendedNo findings recorded this year

FAC accepted this audit on November 17, 2022 — management decision was due May 17, 2023.

FY 2021-04-30

LOW-RISK AUDITEE$7,634,097 federal awards expended

FAC accepted this audit on December 26, 2021 — management decision was due June 26, 2022.

2021-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCY

Patients were given inappropriate sliding scale fee adjustments based on supporting sliding scale fee calculation documentation in accordance with the Organization's policy. Criteria: Out of 12,930 patients who received sliding scale fee adjustments, a sample of 100 patients who received sliding scale fee adjustments were tested. Two patients were billed an inappropriate amount based on the Organization's sliding scale fee adjustment. Cause: Organization personnel recorded inputs to the sliding scale fee calculation, such as family size or annual household income, incorrectly in the medical billing software. Effect: Improper sliding scale fee adjustments were given. Recommendation: Management should ensure all personnel understand the sliding scale fee policy and adhere to the requirements and guidelines set forth in the policy. Because the policy affects program income, procedures should be implemented to ensure that all patients are billed the appropriate amount based on the sliding fee scale and only individuals who qualify under the policy guidelines receive sliding scale fee adjustments.

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Full finding narrative

Condition: Patients were given inappropriate sliding scale fee adjustments based on supporting sliding scale fee calculation documentation in accordance with the Organization's policy. Criteria: Out of 12,930 patients who received sliding scale fee adjustments, a sample of 100 patients who received sliding scale fee adjustments were tested. Two patients were billed an inappropriate amount based on the Organization's sliding scale fee adjustment. Cause: Organization personnel recorded inputs to the sliding scale fee calculation, such as family size or annual household income, incorrectly in the medical billing software. Effect: Improper sliding scale fee adjustments were given. Recommendation: Management should ensure all personnel understand the sliding scale fee policy and adhere to the requirements and guidelines set forth in the policy. Because the policy affects program income, procedures should be implemented to ensure that all patients are billed the appropriate amount based on the sliding fee scale and only individuals who qualify under the policy guidelines receive sliding scale fee adjustments.

Corrective Action Plan

Views of Responsible Officials and Planned Corrective Actions: The Organization has implemented an internal audit program that focuses on the slide adjustments as well as an additional monitoring program to verify the data utilized.

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FY 2020-04-30

$5,420,687 federal awards expendedNo findings recorded this year

FAC accepted this audit on December 20, 2020 — management decision was due June 20, 2021.

FY 2019-04-30

$5,088,332 federal awards expendedNo findings recorded this year

FAC accepted this audit on November 19, 2019 — management decision was due May 19, 2020.

FY 2018-04-30

$5,058,236 federal awards expended

FAC accepted this audit on November 16, 2018 — management decision was due May 16, 2019.

2018-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCYREPEAT OF 2017-002

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-002

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FY 2017-04-30

LOW-RISK AUDITEE$4,673,857 federal awards expended

FAC accepted this audit on December 10, 2017 — management decision was due June 10, 2018.

2017-002
Program Income
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2016-04-30

LOW-RISK AUDITEE$4,283,092 federal awards expendedNo findings recorded this year

FAC accepted this audit on November 10, 2016 — management decision was due May 10, 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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