EIN: 570932597
UEI: U3LCA1J8UFR5
Data as of August 25, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on September 20, 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 20, 2022 (1620 days ago).
What is a management decision? →In our sample of eight (8) procurement expenditures tested, there was one (1) instance where the Organization purchased equipment for $43,271 on a sole source basis and did not formally document its rationale for not obtaining competitive bids. While there were various internal communications regarding circumstances related to the purchase of the equipment, including limited, if any, availability from other sources and the public exigency with respect to health concerns related to the COVID-19 pandemic. However, there was no formal documentation or memo included with the support documentation for the transaction.
Show full finding ▾Hide full finding ▴In our sample of eight (8) procurement expenditures tested, there was one (1) instance where the Organization purchased equipment for $43,271 on a sole source basis and did not formally document its rationale for not obtaining competitive bids. While there were various internal communications regarding circumstances related to the purchase of the equipment, including limited, if any, availability from other sources and the public exigency with respect to health concerns related to the COVID-19 pandemic. However, there was no formal documentation or memo included with the support documentation for the transaction.
Organization will prepare documentation at the time of purchase and include circumstances related to the rationale for the sole source procurement method and the basis for determining the purchase price was reasonable.
FAC accepted this audit on September 3, 2020 — management decision was due March 3, 2021.
In our sample of forty (40) sliding fee patients tested, the Organization applied the wrong sliding fee scale to one patient.
Show full finding ▾Hide full finding ▴In our sample of forty (40) sliding fee patients tested, the Organization applied the wrong sliding fee scale to one patient.
The Organization agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitors for completion. Instances of repeated deficiencies will result in corrective action up to and including termination where indicated. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken.
2019-002
FAC accepted this audit on October 24, 2019 — management decision was due April 24, 2020.
In our sample of forty (40) patient accounts, including sixteen (16) sliding fee patients tested, the Organization applied the wrong sliding fee scale to one (1) patient and five (5) patients had missing or incomplete documentation to support their income or application.
Show full finding ▾Hide full finding ▴In our sample of forty (40) patient accounts, including sixteen (16) sliding fee patients tested, the Organization applied the wrong sliding fee scale to one (1) patient and five (5) patients had missing or incomplete documentation to support their income or application.
Plans are in place to upgrade the qualifications and pay scale for front desk positions in order to attract more capable and competent individuals. The Practice Manager who serves as the direct dupervisor of front desk staff at the Faris Road and Dental sites has been changed. All managers responsible for supervision of the front desk staff are receiving training on HRSA Health Care Program Compliance requirements for the sliding fee discount program. This training will be ongoing. The Quality Management and Compliance Department will increase the frequency of internal audits. Front Desk performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action up to and including termination where indicated. All front desk staff will be required to participate in mandatory biannual training pertaining to the sliding fee discount program. The revenue cycle manager is communicating directly with the supervisors of front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken.
2018-005
FAC accepted this audit on October 30, 2018 — management decision was due April 30, 2019.
GSA_MIGRATION
Show full finding ▾Hide full finding ▴FAC accepted this audit on November 6, 2017 — management decision was due May 6, 2018.
GSA_MIGRATION
Show full finding ▾Hide full finding ▴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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