EIN: 860814898
UEI: HWLSHU8KPAU8
Audited by: Forvis Mazars, LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on December 11, 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 11, 2026 (84 days ago).
What is a management decision? →FAC accepted this audit on May 5, 2025 — management decision was due November 5, 2025.
Health Center Program Cluster – ALNs. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 5 H80CS00696-22-12 Program Year 22 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 Organization’s policy. Cause – The Organization did not comply with their sliding fee policy. Effect or potential effect – Sliding fee discounts were given to patients that were inconsistent with the Organization’s sliding fee discount policy. Questioned cost – None Context – A sample of 25 patients were tested out of the total population of 144,985 encounters. The sampling methodology used is not and is not intended to be statistically valid. Four patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustments based on their income documentation. Identification as a repeat finding, if applicable – Is not a repeat finding. Recommendation – We recommend 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 – ALNs. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 5 H80CS00696-22-12 Program Year 22 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 Organization’s policy. Cause – The Organization did not comply with their sliding fee policy. Effect or potential effect – Sliding fee discounts were given to patients that were inconsistent with the Organization’s sliding fee discount policy. Questioned cost – None Context – A sample of 25 patients were tested out of the total population of 144,985 encounters. The sampling methodology used is not and is not intended to be statistically valid. Four patients received a sliding fee adjustment that was inconsistent with the approved policy for the proper sliding fee adjustments based on their income documentation. Identification as a repeat finding, if applicable – Is not a repeat finding. Recommendation – We recommend 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.
We have prepared the following corrective action plan as required by the standards applicable to financial audits contained in Government Auditing Standards and by the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Specifically, for each finding we are providing you with the names of the contact people responsible for corrective action, the corrective action planned, and the anticipated completion date. 2024-002 Patients received a sliding fee discount that was inconsistent with the stated sliding fee discount categories under the Organization's policy. Recommendation: We recommend 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. Action Taken: Management will continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures will be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual. Management will ensure that not only will application and enrollment personnel adhere to the guidelines but also front desk and revenue cycle personnel. Contract person: Alejandro Cuellar/Tamra Springer Completion date: May 1, 2025
FAC accepted this audit on January 31, 2024 — management decision was due July 31, 2024.
FAC accepted this audit on January 22, 2023 — management decision was due July 22, 2023.
The Actuals for the quarter ended March 2019 and June 2020 in the PRF Report were different from the CCHCI?s accounting system. In addition, CCHCI did not maintain proper supporting documentation to prove how the Actuals were calculated. Cause: CCHCI lacked proper internal control over preparing and reviewing the required reports. Effect: The lost of revenue was reported $178,340 less than what was calculated from the CCHCI?s accounting system. Recommendation: We recommend that reports are reviewed and approved by management team member who is not involved in the preparation.
Show full finding ▾Hide full finding ▴Section III - Federal Award Findings and Questioned Costs 2022-101 Reporting (Noncompliance, Significant deficiency) Federal Assisting Number and name: 93.498 COVID-19 Provider Relief Fund (PRF) Award numbers and years: N/A and 2020 Federal agency: U.S. Department of Health and Human Services Compliance requirements: Reporting Questioned Costs: Unknown Criteria: Provider Relief Fund requires the submission of the PRF Report. The calculation of Lost Revenue is one of the key line Items required to be tested from the PRF Report. CCHCI adopted to use actual revenue/net charges from patient care (the Actuals) for the calculation. Condition: The Actuals for the quarter ended March 2019 and June 2020 in the PRF Report were different from the CCHCI?s accounting system. In addition, CCHCI did not maintain proper supporting documentation to prove how the Actuals were calculated. Cause: CCHCI lacked proper internal control over preparing and reviewing the required reports. Effect: The lost of revenue was reported $178,340 less than what was calculated from the CCHCI?s accounting system. Recommendation: We recommend that reports are reviewed and approved by management team member who is not involved in the preparation.
CORRECTIVE ACTION PLAN December 2, 2022 We have prepared the following corrective action plan as required by the standards applicable to financial audits contained in Government Auditing Standards and by the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Specifically, for each finding we are providing you with the names of the contact people responsible for corrective action, the corrective action planned, and the anticipated completion date. 2022-101 Reporting (Noncompliance, Significant deficiency) Recommendation: We recommend that reports are reviewed and approved by management team member who is not involved in the preparation. Action Taken: CCHCI will have a member of the management team who is not involved in the preparation of federal reports review and approve prior to submission. Contract person: Gary McPherran Completion date: December 31, 2022
FAC accepted this audit on December 5, 2021 — management decision was due June 5, 2022.
FAC accepted this audit on March 22, 2021 — management decision was due September 22, 2021.
Of sixty sliding fee patient encounters tested, CCHCI did not maintain proper application documentation for four encounters. Cause: Unknown. Effect: For two of sixty sliding fee patient encounters tested, CCHCI do not have documentation to show how the sliding fees are calculated. In addition, four did not have a proper signature as required by an intake person. Recommendation: To help ensure that sliding fee patient records are properly calculated and documented, CCHCI should strictly adhere to its formal written policies and procedures, and conduct random reviews of sliding fee scale applications in order to detect and correct errors or incomplete applications on a timely manner.
Show full finding ▾Hide full finding ▴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 42CFR Section 51c.303(f). Condition: Of sixty sliding fee patient encounters tested, CCHCI did not maintain proper application documentation for four encounters. Cause: Unknown. Effect: For two of sixty sliding fee patient encounters tested, CCHCI do not have documentation to show how the sliding fees are calculated. In addition, four did not have a proper signature as required by an intake person. Recommendation: To help ensure that sliding fee patient records are properly calculated and documented, CCHCI should strictly adhere to its formal written policies and procedures, and conduct random reviews of sliding fee scale applications in order to detect and correct errors or incomplete applications on a timely manner.
Recommendation: To help ensure that sliding fee patient records are properly calculated and documented, CCHCI should strictly adhere to its formal written policies and procedures and conduct random reviews of sliding fee scale applications in order to detect and correct errors or incomplete applications on a timely manner. Action Taken: CCHCI will adhere to its formal written policies and procedures, and conduct a full review of all sliding fee scale applications in order to detect and correct errors or incomplete applications on a timely manner Contract person: Alejandro Cuellar Completion date: March 31, 2021
FAC accepted this audit on November 19, 2019 — management decision was due May 19, 2020.
CCHCI drew down grant funds in advance of expenditures being incurred Cause: Unknown Effect: There is a risk CCHCI could fail to minimize the time elapsing between drawdown and disbursement Recommendation: We recommend that CCHCI monitor the timing of grant drawdowns to ensure cash advances are as close as is administratively feasible to the actual disbursement of grant funds.
Show full finding ▾Hide full finding ▴Federal Agency: Department of Health and Human Services CFDA No. and Name: 93.526 Grants for Capital Development in Health Centers Award number: 6 C8DCS29754-01-07 Criteria: CCHCI should have adequate internal controls to minimize the time elapsing between drawdown and disbursement in accordance with 2 CFR 215.22. Condition: CCHCI drew down grant funds in advance of expenditures being incurred Cause: Unknown Effect: There is a risk CCHCI could fail to minimize the time elapsing between drawdown and disbursement Recommendation: We recommend that CCHCI monitor the timing of grant drawdowns to ensure cash advances are as close as is administratively feasible to the actual disbursement of grant funds.
2019-101: Cash Management (noncompliance and significant deficiency in internal controls) Recommendation: We recommend that CCHCI monitor the timing of grant drawdowns to ensure cash advances are as close as is administratively feasible to the actual disbursement of grant funds. Action Taken: CCHCI will monitor the timing of grant drawdowns to ensure cash advances are as close as is administratively feasible to the actual disbursement of grant funds. Contact person: Gary M. McPherran Completion date: January 6, 2020
FAC accepted this audit on September 9, 2018 — management decision was due March 9, 2019.
FAC accepted this audit on September 10, 2017 — management decision was due March 10, 2018.
FAC accepted this audit on September 9, 2016 — management decision was due March 9, 2017.
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