EIN: 760289927
UEI: VK1PJGKAJ7E3
Audited by: Brown, Ewing and Co. CPA
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 December 30, 2025. 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 June 30, 2026 (60 days ago).
What is a management decision? →FAC accepted this audit on January 28, 2025 — management decision was due July 28, 2025.
FAC accepted this audit on January 20, 2026 — management decision was due July 20, 2026.
FAC accepted this audit on October 26, 2023 — management decision was due April 26, 2024.
FAC accepted this audit on December 28, 2022 — management decision was due June 28, 2023.
FAC accepted this audit on November 14, 2022 — management decision was due May 14, 2023.
FAC accepted this audit on December 21, 2021 — management decision was due June 21, 2022.
FAC accepted this audit on July 7, 2020 — management decision was due January 7, 2021.
The Organization should have an approved sliding fee program in place and a method of review and correction of slides applied to ensure proper application of the sliding scale based on documented income. Context: During the audit process, CLA noted several instances of testing where adequate testing for calculating the sliding fee could not be located or the slide was calculated based on an initial estimated of income and not corrected when additional documentation was obtained Cause: No review process is in place to review documentation, once received,on slides and ensure that the ending discount was properly applied. Potential Effect: Sliding fees could be inappropriately or inadequately calculated without adequate follow up and review of slide applied. Recommendation: We recommend that management implement a sliding fee policy and review process to ensure that income slides are appropriately calculated and applied.
Show full finding ▾Hide full finding ▴2019-002 Health Centers Cluster 93.224; Grant Period: Year Ended March 31, 2019 Criteria and Condition: The Organization should have an approved sliding fee program in place and a method of review and correction of slides applied to ensure proper application of the sliding scale based on documented income. Context: During the audit process, CLA noted several instances of testing where adequate testing for calculating the sliding fee could not be located or the slide was calculated based on an initial estimated of income and not corrected when additional documentation was obtained Cause: No review process is in place to review documentation, once received,on slides and ensure that the ending discount was properly applied. Potential Effect: Sliding fees could be inappropriately or inadequately calculated without adequate follow up and review of slide applied. Recommendation: We recommend that management implement a sliding fee policy and review process to ensure that income slides are appropriately calculated and applied.
The Center has a sliding fee scale in place where to qualify for a potential discount the patient must furnish proof of household income. We offer patients levels of eligibility. The following types of proof will be acceptable: A. Eleven (11) Month Eligibility Period: 1. Current year income tax return (complete 1040 and all schedules) 2. Social security award letter 3. Copy of most recent check received from social security or retirement This information will qualify the patient for an eleven-month period, at which time GCHC updated information must be furnished. B. Three (3) Month Eligibility Period: 1. A notarized letter of support with the person signing furnishing current income information 2. Patient?s food stamp eligibility letter with dollar amount 3. Notarized letter of cash payments from patient?s employer 4. Current unemployment statement or check stub 5. Copies of child support checks 6. Most recent check stubs for a complete month C. One (1) Month Eligibility Period: 1. Most recent check stub 2. Copy of most recent bank statement showing direct deposits D. Letters of Assistance and Award Letters When a patient presents a letter of assistance from a relative, their income must be provided and included with the patient?s documentation. When a patient presents a Social Security, Disability or SSI award letter, Administrative Clerks shall check Medicare eligibility. All recipients are required to pay for Medicare Part A coverage, which is the program, our Center bills from. E. Proper Calculation Proper calculation of Sliding Fee Scale is essential. When calculating income, Administrative Clerks shall first determine the pay range for the patient. Is the check stub for two weeks, one week, etc.? Administrative Clerks shall calculate off the year to date figure and not the single check stub. Additionally, when you calculate income, Administrative Clerks shall calculate numbers from the gross amounts on the check and not the net amounts. The gross amount is the dollars paid before taxes and other deductions, not the net amount which is the actual check amount. The CEO, CFO or COO must approve any exceptions to the above policy.
2018-002
FAC accepted this audit on November 19, 2019 — management decision was due May 19, 2020.
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2017-001
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2017-003
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2017-004
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2017-005
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2017-010
FAC accepted this audit on April 14, 2019 — management decision was due October 14, 2019.
GSA_MIGRATION
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Show full finding ▾Hide full finding ▴FAC accepted this audit on January 5, 2017 — management decision was due July 5, 2017.
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