EIN: 474591341
UEI: Q9NQNGV7BKG4
Data as of August 19, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on June 12, 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 December 12, 2024, which was (616 days ago).
What is a management decision? →2023-002 – Significant Deficiency and Noncompliance – Reporting 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 submit their Uniform Data System (UDS) report on an annual basis. Condition: During our review of the Organization’s UDS report, we noted that the Organization was not able to provide support for tables 8 and 9E of the report. Questioned Costs: None Cause: The Organization had turnover in the accounting department in the current year and the former CFO did not properly maintain the supporting schedules for the UDS report. Effect: The Organization may have improperly reported information on its UDS report. Recommendation: We recommend that the Organization maintains documentation for all required reporting submissions. View of Responsible Officials: Management is in agreement with the finding. Corrective Action Plan: See attached corrective action plan.
Significant changes have been made to how Finance maintains all files and documents to ensure accuracy and integrity of all reports issued by the Finance Department. Specific folders have been set up in the Shared Drive and all members of the Finance Team have appropriate access. These changes were made in February 2024 and are monitored monthly by the Finance Manager and CFO.
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 13, 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 August 13, 2023, which was (1103 days ago).
What is a management decision? →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: We tested 60 sliding fee encounters and noted that 2 of 60 sliding fee encounters tested had incorrect sliding fee discounts applied. In addition, 1 out of 60 sliding fee encounters was missing an application and 3 of 60 sliding fee encounters were missing employee approving signatures on the applications. Questioned Costs: None. Cause: The Organization did not properly bill the sliding fee discount based on information provided in the application or did not properly document approved applications. Effect: The Organization may have incorrectly charged the client for the services provided. Recommendation: We recommend that sliding fee billings be applied based on the application data in accordance with the sliding discount schedule and verify that patient charges agree to the calculated amount. Procedures should be implemented to verify sliding fee discounts at the time of billing to ensure all are accurate when originally billed. In addition, the Organization could consider doing sampling throughout the year to verify sliding fee charges are correct. View of Responsible Officials: Management is in agreement with the finding. Corrective Action Plan: See attached corrective action plan.
Cause: The Organization did not properly bill the sliding fee discount based on information provided in the application. Effect: The Organization may have incorrectly charged the client for the services provided. Corrective action: 1. Sliding fee billings will be applied based on the application data in accordance with the sliding discount schedule and verified that patient charges agree to the calculated amount. An appropriate member of management will approve sliding fee applications and proper sliding fee rates applied. 2. In addition, appropriate management to verify Sliding Fee patient account balances to ensure the claims have been billed accurately with the previous Slide. 3. Sliding fee billings will be sampled quarterly by HIT Coordinator and Billing Specialist to verify sliding fee charges are correct. Anticipated completion date: May 1, 2023. Responsible party: Stacy Linihan, CEO.
2021-001
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 2, 2022. 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 2, 2022, which was (1448 days ago).
What is a management decision? →2021-001 - 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: We tested 40 sliding fee encounters and noted that 3 of 40 sliding fee encounters tested had sliding fee adjustments applied that did not agree to the sliding fee application information. In addition, 1 out of 40 sliding fee encounters was never billed due to a provider leaving, Questioned Costs: None, Cause: The Organization did not properly bill the sliding fee discount based on information provided in the application, Effect: The Organization may have incorrectly charged the client for the services provided, Recommendation: We recommend that sliding fee billings be applied based on the application data in accordance with the sliding discount schedule and verify that patient charges agree to the calculated amount. Procedures should be implemented to verify sliding fee discounts at the time of billing to ensure all are accurate when originally billed. In addition, the Organization could consider doing sampling throughout the year to verify sliding fee charges are correct, View of Responsible Officials: Management is in agreement with the finding, & Corrective Action Plan: See attached corrective action plan.
2021-001 Significant Deficiency and Noncompliance ? Special Tests: Cause: The Organization did not properly bill the sliding fee discount based on information provided in the application, Effect: The Organization may have incorrectly charged the client for the services provided. Corrective action: 1) Sliding fee billings will be applied based on the application data in accordance with the sliding discount schedule and verified that patient charges agree to the calculated amount. An appropriate member of management will approve sliding fee applications and proper sliding fee rates applied, 2) Procedures will be implemented to verify sliding fee discounts at the time of billing to ensure all are accurate when originally billed. Patient statements will be reviewed prior to billing to ensure sliding fees are appropriate. & 3) Sliding fee billings will be sampled quarterly to verify sliding fee charges are correct. Anticipated completion date: May 1, 2022. Responsible party: Ashley Miller, CEO.
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 28, 2019. 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 August 28, 2019, which was (2549 days ago).
What is a management decision? →GSA_MIGRATION
GSA_MIGRATION
2017-002
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 18, 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 September 18, 2018, which was (2893 days ago).
What is a management decision? →GSA_MIGRATION
GSA_MIGRATION
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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