EIN: 461859206
UEI: SA5JB867C998
Audited by: Draffin & Tucker, 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 April 13, 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 October 13, 2026 (35 days from today).
What is a management decision? →Sliding Fee Discount Documentation and Application of Policies – Significant Deficiency 2024-003 Federal Program Identification :U.S. Department of Health and Human Services Health Centers Cluster – Health Center Program and Affordable Care Act – Grants for Expanded Service, AL 93.224 and 93.527, Grant number H8026592 Condition/Criteria: Community Health Centers are required to offer sliding fee discounts to patients with annual incomes at or below 200% of the federal poverty guidelines. While the Organization has established policies to administer these discounts, opportunities exist to strengthen controls, particularly in documentation practices and application of the policy. Supporting documentation used to determine sliding fee discounts is not consistently maintained in every patient file. Application of the policy guidelines to determine discounts was not consistent. Cause: The Organization experienced constraints resulting from significant growth and various other unforeseen circumstances during the year. Effect: Without proper documentation and consistent application, there is a risk that patients may receive incorrect sliding fee discounts, potentially resulting in overpayment or underpayment for services. Recommendation: We recommend the Organization enhance its procedures to ensure that all required documentation used in the determination of sliding fee discounts is consistently collected and retained in each patient's file. We also recommend the Organization consistently apply the policies used to determine sliding fee discounts. View of Responsible Officials and Planned Corrective Action: See corrective action plan.
Show full finding ▾Hide full finding ▴Sliding Fee Discount Documentation and Application of Policies – Significant Deficiency 2024-003 Federal Program Identification :U.S. Department of Health and Human Services Health Centers Cluster – Health Center Program and Affordable Care Act – Grants for Expanded Service, AL 93.224 and 93.527, Grant number H8026592 Condition/Criteria: Community Health Centers are required to offer sliding fee discounts to patients with annual incomes at or below 200% of the federal poverty guidelines. While the Organization has established policies to administer these discounts, opportunities exist to strengthen controls, particularly in documentation practices and application of the policy. Supporting documentation used to determine sliding fee discounts is not consistently maintained in every patient file. Application of the policy guidelines to determine discounts was not consistent. Cause: The Organization experienced constraints resulting from significant growth and various other unforeseen circumstances during the year. Effect: Without proper documentation and consistent application, there is a risk that patients may receive incorrect sliding fee discounts, potentially resulting in overpayment or underpayment for services. Recommendation: We recommend the Organization enhance its procedures to ensure that all required documentation used in the determination of sliding fee discounts is consistently collected and retained in each patient's file. We also recommend the Organization consistently apply the policies used to determine sliding fee discounts. View of Responsible Officials and Planned Corrective Action: See corrective action plan.
Sliding Fee Discount Supporting Documentation - Significant Deficiency 2024-003 Management acknowledges that supporting documentation used to determine sliding fee discounts should be consistently maintained. Management will implement procedures and controls to ensure that documentation is consistently maintained.
FAC accepted this audit on April 30, 2025 — management decision was due October 30, 2025.
FAC accepted this audit on September 29, 2023 — management decision was due March 29, 2024.
FAC accepted this audit on August 21, 2022 — management decision was due February 21, 2023.
FAC accepted this audit on September 22, 2021 — management decision was due March 22, 2022.
FAC accepted this audit on September 16, 2020 — management decision was due March 16, 2021.
FAC accepted this audit on July 17, 2019 — management decision was due January 17, 2020.
FAC accepted this audit on June 25, 2018 — management decision was due December 25, 2018.
FAC accepted this audit on August 16, 2017 — management decision was due February 16, 2018.
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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