EIN: 680165855
UEI: WC6HND5TJPC4
Data as of August 23, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on June 1, 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 December 1, 2026 (99 days from today).
What is a management decision? →Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement – Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)). Condition – Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center’s policy and Health Center Compliance Manual. Cause – The Health Center did not comply with their sliding fee policy and HRSA requirements for the program. Effect or Potential Effect – Sliding fee discounts were given to patients that were inconsistent with the Health Center’s sliding fee discount policy and Health Center Compliance Manual. Questioned Costs – None. Context – A sample of 40 encounters were tested out of the total population of 173,512 encounters. The sampling methodology used is not and is not intended to be statistically valid. Two patients received a sliding fee adjustment that was inconsistent with the Health Center’s sliding fee discount policy and Health Center Compliance Manual. Identification as a Repeat Finding – Repeat finding of 2024-001. Recommendation – It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in HRSA sliding fee program requirements. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Show full finding ▾Hide full finding ▴Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement – Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)). Condition – Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center’s policy and Health Center Compliance Manual. Cause – The Health Center did not comply with their sliding fee policy and HRSA requirements for the program. Effect or Potential Effect – Sliding fee discounts were given to patients that were inconsistent with the Health Center’s sliding fee discount policy and Health Center Compliance Manual. Questioned Costs – None. Context – A sample of 40 encounters were tested out of the total population of 173,512 encounters. The sampling methodology used is not and is not intended to be statistically valid. Two patients received a sliding fee adjustment that was inconsistent with the Health Center’s sliding fee discount policy and Health Center Compliance Manual. Identification as a Repeat Finding – Repeat finding of 2024-001. Recommendation – It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in HRSA sliding fee program requirements. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Views of Responsible Officials and Planned Corrective Actions – Description of Finding: Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center’s policy. Statement of Concurrence: Shasta Community Health Center (SCHC) management acknowledges the finding and agrees that there were instances where the approved sliding fee policy of SCHC was misapplied. SCHC also recognizes that this is a repeat finding and recognize the need to strengthen controls to ensure full compliance with HRSA requirements. Root Cause: The identified errors were primarily due to: - Staff inattention in recognizing sliding fee discount expiration dates - Lack of clear guidance from management on sliding fee discounts related to nurse only or other generally unbillable patient visits - Lack of guidance in policies and procedures related to treatment of sliding fee discounts on nurse visits Corrective Action: - Management will reinforce through re-training of front office staff the importance of ensuring that sliding fee eligibility is carefully reviewed at each patient’s appointment. - Billing staff will be retrained in proper application of sliding fee discounts related to nurse-only visits. - Policy will be reviewed for any necessary changes and clarifications to nurse-only visits. - Electronic Health Record (EHR) system will be updated to correctly provide discounts based on patient’s sliding fee eligibility. Responsible Parties: - Front Office Retraining – Director of Informatics and Training - Billing Staff Retraining – Senior Director of Revenue Cycle Integrity and Billing Manager - Policy Revision – Chief Financial Officer and Senior Director of Revenue Cycle Integrity - EHR System Updates – Director of Informatics and Senior Director of Revenue Cycle Integrity Timeline: - Front Office Retraining – Next “All Staff Meeting”, currently scheduled for May 5, 2026. - Billing Staff Retraining – Billing meeting on April 29, 2026, to identify logistical issues and develop a plan to work through necessary EHR process revision. Full correction planned by June 30, 2026. - Policy Revision – Bring revised policy to board meeting in May 2026. - EHR System Updates – Full correction planned by June 30, 2026.
2024-001
FAC accepted this audit on September 10, 2025 — management decision was due March 10, 2026.
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or specific requirement – Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)) Condition – Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center’s policy. Cause – The Health Center did not comply with their sliding fee policy. Effect or potential effect – Sliding fee discounts were given to patients that were inconsistent with the Health Center’s sliding fee discount policy. Questioned costs – None Context – A sample of 40 encounters were tested out of the total population of 159,051 encounters. The sampling methodology used is not and is not intended to be statistically valid. Five patients received a sliding fee adjustment that was inconsistent with the approved policy based on their income documentation. Identification as a repeat finding – Repeat finding of 2023-001. Recommendation – It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Show full finding ▾Hide full finding ▴Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or specific requirement – Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)) Condition – Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center’s policy. Cause – The Health Center did not comply with their sliding fee policy. Effect or potential effect – Sliding fee discounts were given to patients that were inconsistent with the Health Center’s sliding fee discount policy. Questioned costs – None Context – A sample of 40 encounters were tested out of the total population of 159,051 encounters. The sampling methodology used is not and is not intended to be statistically valid. Five patients received a sliding fee adjustment that was inconsistent with the approved policy based on their income documentation. Identification as a repeat finding – Repeat finding of 2023-001. Recommendation – It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Description of Finding: Sliding fee discounts were given to five of the 40 patients tested that were inconsistent with the Health Center’s sliding fee discount policy. Statement of Concurrence: Shasta Community Health Center (SCHC) management agrees with the finding related to sliding fee discounts being provided to a small number of patients inconsistent with the Health Center’s sliding fee discount policy. The finding suggests that staff miscalculated which discount these patients would qualify for based on the income documented on the sliding fee forms. This miscalculation caused incorrect sliding fee discounts to be provided. Corrective Action: Miscalculations seem to be the leading cause of the errors noted by the auditors. Ongoing training/internal audits needs to be more robust to ensure staff understand and accurately calculate which discount the patient qualifies for. Center Managers shall review the slide audits to determine which employees are making errors and provide re-training or corrective action as applicable and document/monitor for improvement. In addition, SCHC is in the process of launching a computer-based patient form completion system, which will calculate the slide fee automatically, removing much of the human element, and thereby greatly reducing the likelihood of miscalculation. We will continue to perform audits on the new process to ensure we see an improvement in our administration of the sliding fee discount program. Individual Primarily Responsible for Corrective Action: Chief Operations Officer Projected Completion Date: Center Managers will begin documenting retraining/corrective action taken based on sliding fee audit starting June 2024. SCHC is in the process of creating the electronic forms needed to launch the computer-based registration and income verification. We expect the forms to be ready to go live late Fall, early Winter.
2023-001
FAC accepted this audit on June 14, 2024 — management decision was due December 14, 2024.
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement – Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)) Condition – Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center’s policy. Questioned costs – None Context – A sample of 40 encounters were tested out of the total population of 150,002 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy based on their income documentation. Effect – Sliding fee discounts were given to patients that were inconsistent with the Health Center’s sliding fee discount policy. Cause – The Health Center did not comply with their sliding fee policy. Identification as a repeat finding – Repeat finding of 2022-001. Recommendation – It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Show full finding ▾Hide full finding ▴Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement – Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)) Condition – Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center’s policy. Questioned costs – None Context – A sample of 40 encounters were tested out of the total population of 150,002 encounters. The sampling methodology used is not and is not intended to be statistically valid. Three patients received a sliding fee adjustment that was inconsistent with the approved policy based on their income documentation. Effect – Sliding fee discounts were given to patients that were inconsistent with the Health Center’s sliding fee discount policy. Cause – The Health Center did not comply with their sliding fee policy. Identification as a repeat finding – Repeat finding of 2022-001. Recommendation – It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Description of Finding: Sliding fee discounts were given to three of the 40 patients tested that were inconsistent with the Health Center’s sliding fee discount policy. Statement of Concurrence: Shasta Community Health Center (SCHC) management agrees with the finding related to sliding fee discounts being provided to a small number of patients inconsistent with the Health Center’s sliding fee discount policy. The finding suggests that staff miscalculated which discount these patients would qualify for based on the income documented on the sliding fee forms. This miscalculation caused incorrect sliding fee discounts to be provided. Corrective Action: Miscalculations seem to be the leading cause of the errors noted by the auditors. Ongoing training/internal audits needs to be more robust to ensure staff understand and accurately calculate which discount the patient qualifies for. Center Managers shall review the slide audits to determine which employees are making errors and provide re-training or corrective action as applicable and document/monitor for improvement. In addition, SCHC is in the process of launching a computer-based patient form completion system, which will calculate the slide fee automatically, removing much of the human element, and thereby greatly reducing the likelihood of miscalculation. We will continue to perform audits on the new process to ensure we see an improvement in our administration of the sliding fee discount program. Individual Primarily Responsible for Corrective Action: Chief Operations Officer Projected Completion Date: Center Managers will begin documenting retraining/corrective action taken based on sliding fee audit starting June 2024. SCHC is in the process of creating the electronic forms needed to launch the computer-based registration and income verification. We expect the forms to be ready to go live late Fall, early Winter.
2022-001
FAC accepted this audit on June 7, 2023 — management decision was due December 7, 2023.
Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center?s policy. Questioned costs ? None Context ? A sample of 25 patients were tested out of the total population of 152,981 encounters. The sampling methodology used is not and is not intended to be statistically valid. Two patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustments based on their income documentation. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Health Center?s sliding fee discount policy. Cause ? The Health Center did not comply with their sliding fee policy. Identification as a repeat finding ? Not a repeat finding Recommendation ? It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Show full finding ▾Hide full finding ▴Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)) Condition ? Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Health Center?s policy. Questioned costs ? None Context ? A sample of 25 patients were tested out of the total population of 152,981 encounters. The sampling methodology used is not and is not intended to be statistically valid. Two patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustments based on their income documentation. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Health Center?s sliding fee discount policy. Cause ? The Health Center did not comply with their sliding fee policy. Identification as a repeat finding ? Not a repeat finding Recommendation ? It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.
Description of Finding: Sliding fee discounts were given to 2 of the 25 patients tested that were inconsistent with the Health Center?s sliding fee discount policy. Statement of Concurrence: Shasta Community Health Center (SCHC) management agrees with the finding related to sliding fee discounts being provided to a small number of patients inconsistent with the Health Center?s sliding fee discount policy. The findings suggest that staff miscalculated which discount these patients would qualify for based on the income documented on the sliding fee forms. This miscalculation caused incorrect sliding fee discounts to be provided. Corrective Action: Since the issue here seems to be based on a lack of attention to detail, additional remediation training will be provided to the front desk staff as well as this potential issue will be trained out to the team members responsible for auditing the sliding fee forms. Additionally, we will ensure that a particular emphasis is placed on this process with our new hire training to try and avoid any mistakes that can come from high turnover amongst the front desk staff. Individual Primarily Responsible for Corrective Action: Chief Operations Officer Projected Completion Date: SCHC projects the remediation training to go out at the all staff meeting on June 6th and all relevant personnel will have been trained by that date.
FAC accepted this audit on June 5, 2022 — management decision was due December 5, 2022.
Provider Relief Funds Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (45 CFR 75.403) Condition ? The Health Center is required to prepare and submit period one provider relief fund reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned costs ? Unknown Context - The period one provider relief fund report was tested. The Health Center selected option one to report lost revenues based on quarterly actuals. A material error in the patient service revenue for the quarters reported was identified. The Health Center did not include contracted pharmacy revenue as part of patient service revenue which impacted the quarterly lost revenues reported. Effect ? Errors were made in reporting quarterly Total Revenue/Net Charges from Patient Care. Lost revenues were not accurately reported. Cause ? The Health Center did not identify certain material patient service revenue components to be included in their calculation. The Health Center selected option one and did not properly allocate these components to each quarter reported. Identification as a repeat finding ? Not a repeat finding Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information.
Show full finding ▾Hide full finding ▴Provider Relief Funds Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (45 CFR 75.403) Condition ? The Health Center is required to prepare and submit period one provider relief fund reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned costs ? Unknown Context - The period one provider relief fund report was tested. The Health Center selected option one to report lost revenues based on quarterly actuals. A material error in the patient service revenue for the quarters reported was identified. The Health Center did not include contracted pharmacy revenue as part of patient service revenue which impacted the quarterly lost revenues reported. Effect ? Errors were made in reporting quarterly Total Revenue/Net Charges from Patient Care. Lost revenues were not accurately reported. Cause ? The Health Center did not identify certain material patient service revenue components to be included in their calculation. The Health Center selected option one and did not properly allocate these components to each quarter reported. Identification as a repeat finding ? Not a repeat finding Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information.
Statement of Concurrence: Shasta Community Health Center (SCHC) management agrees with the finding related to Phase 1 reporting on Provider Relief Funds. The requirement to report revenue derived from the 340B program was incorrectly interpreted to mean only 340B revenue received from an entity owned pharmacy. This misinterpretation caused incorrect reporting of revenue for the Phase 1 report submitted on 9/29/2021. Corrective Action: When management was alerted regarding this issue, the Health Resources and Services Administration (HRSA), was contacted with a request to reopen the reporting portal so that we could correctly report our revenue. The situation was fully explained over the phone. A case was opened by the representative and escalated through the proper channels. We received a response from HRSA that they were declining to reopen the reporting portal, and the report could not be changed. Management has also evaluated whether any funds would need to be repaid. It is management?s position that even if the 340B revenue would have been included, lost revenue still would have been sufficient to keep the entire award amount. Because lost revenue is still sufficient to retain the entire award, the possibility of repayment is viewed as unlikely. Going forward, for subsequent reporting periods related to the Provider Relief Funds SCHC will fully report 340B generated revenue as required, by current guidance. Individual Primarily Responsible for Corrective Action: Dan Santi, Director of Finance Projected Completion Date: SCHC believes that all necessary steps have been completed to correct this misreporting and believe this matter to be closed.
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.
Track your findings and corrective action plans across audit cycles.
Start tracking findings →Monitor subrecipient audit findings and compliance status.
Start monitoring →© 2026 Single Audit Intelligence. All data is public domain.