EIN: 860524321
UEI: T7KJKFWEKNR9
Audited by: Fester & Chapman, PLLC
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 31, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 2, 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 2, 2026 (today).
What is a management decision? →The Center requires patients that apply for the SFS discount to complete attestation forms that includes their household sizes and income levels, and these forms are then used to determine patients' SFS discounts. One SFS encounter that we tested had incorrectly calculated SFS discount applied in the patient management system. Cause: Unknown Effect: Due to incomplete attestation forms, we could not determine whether the Center consistently provided patients with the proper discount based upon their income levels, and internal controls over compliance requirements do not appear to have been operating effectively to detect calculation errors on attestation forms. Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications to detect and correct errors or incomplete applications on a timely basis.
Show full finding ▾Hide full finding ▴Special Tests and Provisions - Sliding Fee Scale Discounts Federal program: FAL# 93.224 Health Centers Cluster: Health Center Program U.S. Department of Health and Human Services Federal grant number: 24H80CS00752 Questioned Costs: None Criteria: Patients applying for sliding fee scale (SFS) discounts should have their income levels adequately documented and accurately calculated, and patients should be given the proper discount based upon their income level in accordance with 42 CFR Section 51c.303(f). Condition: The Center requires patients that apply for the SFS discount to complete attestation forms that includes their household sizes and income levels, and these forms are then used to determine patients' SFS discounts. One SFS encounter that we tested had incorrectly calculated SFS discount applied in the patient management system. Cause: Unknown Effect: Due to incomplete attestation forms, we could not determine whether the Center consistently provided patients with the proper discount based upon their income levels, and internal controls over compliance requirements do not appear to have been operating effectively to detect calculation errors on attestation forms. Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications to detect and correct errors or incomplete applications on a timely basis.
Special Tests and Provisions - Sliding Fee Scale Discounts Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications to detect and correct errors or incomplete applications on a timely basis. Action Taken: The Center agrees with this recommendation and will ensure that the SFS programs will be properly applied. Contact Person: Humberto Duran Anticipated Completion Date: May 31, 2026
FAC accepted this audit on May 19, 2025 — management decision was due November 19, 2025.
FAC accepted this audit on February 29, 2024 — management decision was due August 29, 2024.
FAC accepted this audit on March 28, 2023 — management decision was due September 28, 2023.
The Center requires patients that apply for the SFS discount to complete attestation forms that includes their household sizes and income levels, and these forms are then used to determine patients' SFS discounts. Two SFS encounters that we tested had incorrectly calculated SFS discount applied in the patient management system. Cause: Staffing turnover Effect: Due to incomplete attestation forms, we could not determine whether the Center consistently provided patients with the proper discount based upon their income levels, and internal controls over compliance requirements do not appear to have been operating effectively to detect calculation errors on attestation forms. Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications to detect and correct errors or incomplete applications on a timely basis.
Show full finding ▾Hide full finding ▴2022-101 Special Tests and Provisions - Sliding Fee Scale Discounts Federal program: FAL# 93.224 COVID-19: Health Centers Cluster: Health Center Program U.S. Department of Health and Human Services Federal grant number: 20H80CS00752 Questioned Costs: None Criteria: Patients applying for sliding fee scale (SFS) discounts should have their income levels adequately documented and accurately calculated, and patients should be given the proper discount based upon their income level in accordance with 42 CFR Section 51c.303(f). Condition: The Center requires patients that apply for the SFS discount to complete attestation forms that includes their household sizes and income levels, and these forms are then used to determine patients' SFS discounts. Two SFS encounters that we tested had incorrectly calculated SFS discount applied in the patient management system. Cause: Staffing turnover Effect: Due to incomplete attestation forms, we could not determine whether the Center consistently provided patients with the proper discount based upon their income levels, and internal controls over compliance requirements do not appear to have been operating effectively to detect calculation errors on attestation forms. Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications to detect and correct errors or incomplete applications on a timely basis.
2022-101 Special Tests and Provisions - Sliding Fee Scale Discounts Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications to detect and correct errors or incomplete applications on a timely basis. Action Taken: The Center agrees with this recommendation and will ensure that the SFS programs will be properly applied. Contact Person: Humberto Duran Anticipated Completion Date: May 31, 2022
The Center did not complete the required reports. Cause: Staffing turnover. Effect: The Center was not in compliance with PRF reporting requirements. Recommendation: We recommend that the Center's management prepares a written document that includes financial reporting requirements for each grant the Center receives.
Show full finding ▾Hide full finding ▴2022-104 Reporting for Provider Relief Funds Federal program: FAL#: 93.498 COVID-19: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Questioned Costs: None Criteria: The was required to submit reports to DHHS for Provider Relief Funds (PRF) received during April 1, 2020 through June 30, 2020(Period 1) and July 1, 2020 through December 31 2020(Period 2), no later than September 30, 2021 and March 31, 2022, respectively. Condition: The Center did not complete the required reports. Cause: Staffing turnover. Effect: The Center was not in compliance with PRF reporting requirements. Recommendation: We recommend that the Center's management prepares a written document that includes financial reporting requirements for each grant the Center receives.
2022-104 Reporting Provider Relief Funds Recommendation: We recommend that the Center's management prepares a written document that includes financial reporting requirements for each grant the Center receives. Action Taken: The Center agrees with this recommendation and will prepare a document outlining all grants reporting requirements. Contact Person: Humberto Duran Anticipated Completion Date: May 31, 2023
FAC accepted this audit on January 23, 2022 — management decision was due July 23, 2022.
FAC accepted this audit on December 27, 2021 — management decision was due June 27, 2022.
FAC accepted this audit on January 14, 2020 — management decision was due July 14, 2020.
FAC accepted this audit on January 7, 2019 — management decision was due July 7, 2019.
FAC accepted this audit on November 20, 2017 — management decision was due May 20, 2018.
FAC accepted this audit on November 20, 2016 — management decision was due May 20, 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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