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Low Country Health Care System, Inc.Non-Profit

EIN: 582366697

UEI: TS4RYVXMCB25

Audited by: Terry Horne, CPA

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

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Data as of August 31, 2026

Low Country Health Care System, Inc.10 audit years2 findings
10
Audit Years
2
Total Findings
0
Repeat Findings
$4.5M
Federal Awards Expended (FY 2025)

FY 2025-11-30

LOW-RISK AUDITEE$4,526,570 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 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 September 13, 2026 (11 days from today).

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FY 2024-11-30

LOW-RISK AUDITEE$5,164,300 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 17, 2025 — management decision was due September 17, 2025.

FY 2023-11-30

$5,699,295 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 9, 2024 — management decision was due September 9, 2024.

FY 2022-11-30

$6,354,796 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 5, 2023 — management decision was due September 5, 2023.

FY 2021-11-30

LOW-RISK AUDITEE$7,369,110 federal awards expended

FAC accepted this audit on March 22, 2022 — management decision was due September 22, 2022.

2021-001
Special Tests & Provisions
MATERIAL WEAKNESSMODIFIED OPINION

Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by eligible patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization did not properly apply the sliding fee discount for four sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain sliding fee patient accounts. Questioned Costs: None reported Context/Sampling: 4 of 20 sliding fee patients selected for testing, had an incorrect discount applied. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee policy. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Dr. Ashley Barnes, CEO Anticipated Date of Completion: March 31, 2022

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Full finding narrative

Finding: 2021-001 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by eligible patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization did not properly apply the sliding fee discount for four sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain sliding fee patient accounts. Questioned Costs: None reported Context/Sampling: 4 of 20 sliding fee patients selected for testing, had an incorrect discount applied. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee policy. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Dr. Ashley Barnes, CEO Anticipated Date of Completion: March 31, 2022

Corrective Action Plan

In Finding 2021-001, a condition was noted that during compliance testing, it was determined that the Organization did not properly apply the sliding fee discounts for 4 patients out of a sample of 20 patients for the year ended December 31, 2021. Management recognizes the importance of complying with grant guidelines. In response to Finding 2021-001, management will give proper training to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis the ensure compliance with the sliding fee scale. This review will be performed by the Chief Executive Officer and completed by March 31, 2022.

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FY 2020-11-30

$5,093,746 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 16, 2021 — management decision was due September 16, 2021.

FY 2019-11-30

$4,111,868 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 22, 2020 — management decision was due September 22, 2020.

FY 2018-11-30

LOW-RISK AUDITEE$3,584,651 federal awards expended

FAC accepted this audit on April 30, 2019 — management decision was due October 30, 2019.

2018-001
Cash Management
MATERIAL WEAKNESSMODIFIED OPINION

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Cash Management →

FY 2017-11-30

$3,267,648 federal awards expendedNo findings recorded this year

FAC accepted this audit on April 26, 2018 — management decision was due October 26, 2018.

FY 2016-11-30

$3,174,764 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 22, 2017 — management decision was due September 22, 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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