EIN: 581958398
UEI: MVHYMWK1XMK8
Audited by: McCannon, Rogers, Driscoll & Associates, L.L.P.
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on April 24, 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 24, 2026 (54 days from today).
What is a management decision? →FAC accepted this audit on December 30, 2025 — management decision was due June 30, 2026.
FAC accepted this audit on June 26, 2024 — management decision was due December 26, 2024.
FAC accepted this audit on June 29, 2023 — management decision was due December 29, 2023.
Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Show full finding ▾Hide full finding ▴Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Gaston Family Health Services takes application of the sliding fee scale very seriously. To help ensure that the sliding fee schedule is being applied correctly, each practice will undergo further training on the application of the Sliding Fee Scale once a year, in addition to thorough training upon hiring staff. Also, each practice manager will run a monthly report for sliding fee patients and review accounts to ensure sliding fee reduction have been properly recorded to patient accounts.
2021-001
FAC accepted this audit on May 25, 2022 — management decision was due November 25, 2022.
Two out of 60 tested of patient charges did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients was overstated. Cause: The staff did not select the charge as subject to deduction. Recommendation: We recommend the account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with the finding and will adhere to the Corrective Action Plan.
Show full finding ▾Hide full finding ▴Federal Program Identification: U.S. Department of Health and Human Services Community Health Center ? CFDA 93.224 Finding 2021-001 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of patient charges did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients was overstated. Cause: The staff did not select the charge as subject to deduction. Recommendation: We recommend the account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with the finding and will adhere to the Corrective Action Plan.
Management Response: Gaston Family Health Services takes application of the sliding fee scale very seriously. To help ensure that the sliding fee schedule is being applied correctly, GFHS has taken additional measures to improve the accuracy and consistency of application of the Sliding Fee Scale Policy. In May of 2022, Gaston Family Health Services has hired a new Revenue Cycle Director with over 25 year of experience to help guide and direct the overall revenue cycle process, including proper application of the Sliding Fee Scale Policy. Additionally, Gaston Family Health Services will have each practice managers select a sample of at least 10 self-pay patients from their schedule each month and audit the application of the sliding fee scale to the patients account for accuracy and completeness. If errors are found, the sample size will be enlarged until there is confidence the sliding fee schedule is being completed accurately. The audits will be submitted to the Business Office Supervisor and Revenue Cycle Director each month for review to ensure this is being done timely. Responsible Party Contacts: Jack Gossett, Chief Financial Officer and Hanan Waizman, Revenue Cycle Director.
2020-001
FAC accepted this audit on April 11, 2021 — management decision was due October 11, 2021.
One instance out of 60 tested of patient charges were not properly reduced for sliding fee. Effect: Accounts receivable for patients was overstated. Cause: The staff did not select the charge as subject to deduction. Recommendation: We recommend the account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with finding and will adhere to the Corrective Action Plan.
Show full finding ▾Hide full finding ▴Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: One instance out of 60 tested of patient charges were not properly reduced for sliding fee. Effect: Accounts receivable for patients was overstated. Cause: The staff did not select the charge as subject to deduction. Recommendation: We recommend the account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts. Views of Responsible Officials and Planned Corrective Actions: Management of the Organization agrees with finding and will adhere to the Corrective Action Plan.
Management Response: Gaston Family Health Services takes application of the sliding fee scale very seriously. To help ensure that the sliding fee schedule is being applied correctly, GFHS will have each practice managers select a sample of at least 10 self-pay patients from their schedule each month and audit the application of the sliding fee scale to the patients account for accuracy and completeness. If errors are found, the sample size will be enlarged until there is confidence the sliding fee schedule is being completed accurately. The audits will be submitted to the Business Office Supervisor each month for review to ensure this is being done timely. Responsible Party Contacts: Jack Gossett, Chief Financial Officer and Sharmila Anderson, Business Office Supervisor.
FAC accepted this audit on March 17, 2020 — management decision was due September 17, 2020.
FAC accepted this audit on April 28, 2019 — management decision was due October 28, 2019.
GSA_MIGRATION
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GSA_MIGRATION
FAC accepted this audit on June 5, 2018 — management decision was due December 5, 2018.
FAC accepted this audit on June 12, 2017 — management decision was due December 12, 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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