EIN: 953842506
UEI: GSA_MIGRATION
Audit also covers 2 related EINs: 471065461, 841661910 · unlinked EINs have no separate FAC filing
Audited by: BKD, LLP
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 November 28, 2021. 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 May 28, 2022 (1554 days ago).
What is a management decision? →FAC accepted this audit on April 1, 2021 — management decision was due October 1, 2021.
Health Center Program Cluster CFDA Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS26614-07-06 Program Year 2020 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 section 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. Questioned cost ? None Context ? A sample of 40 patient encounters were tested out of the population of 27,090 adjustments. The sample is not, and is not intended to be, statistically valid. Eight patients received discounts that were not in accordance with the Organization?s policy. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee policy. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding ? Not a repeat finding. Recommendation ? We recommend management continue to ensure all personal understand the sliding fee policy and adhere to the requirements and guidelines set forth in the policy. Views of Responsible Officials and Planned Corrective Action ? We will review our procedures and provide additional training for individuals completing sliding fee applications and processing sliding fee discounts. Staff members will be designated at each clinic location to complete a review of discounts given to patients. Robyn Goldman (COO) trained the relevant clinic staff between September 15, 2020 and October 9, 2020 and trained the revenue cycle staff on October 21, 2020. Audits of a selection of sliding fee discounts given will be completed quarterly with the results of these audits to be reported by the CFO to the CEO. The first audit selection of sliding fee discounts was conducted on October 23, 2020 by Aaron Chawla (CFO) and he will continue to perform these audits quarterly during fiscal year 2021.
Show full finding ▾Hide full finding ▴Health Center Program Cluster CFDA Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS26614-07-06 Program Year 2020 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 section 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. Questioned cost ? None Context ? A sample of 40 patient encounters were tested out of the population of 27,090 adjustments. The sample is not, and is not intended to be, statistically valid. Eight patients received discounts that were not in accordance with the Organization?s policy. Effect ? Sliding fee discounts were given to patients that were inconsistent with the Organization?s sliding fee policy. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding ? Not a repeat finding. Recommendation ? We recommend management continue to ensure all personal understand the sliding fee policy and adhere to the requirements and guidelines set forth in the policy. Views of Responsible Officials and Planned Corrective Action ? We will review our procedures and provide additional training for individuals completing sliding fee applications and processing sliding fee discounts. Staff members will be designated at each clinic location to complete a review of discounts given to patients. Robyn Goldman (COO) trained the relevant clinic staff between September 15, 2020 and October 9, 2020 and trained the revenue cycle staff on October 21, 2020. Audits of a selection of sliding fee discounts given will be completed quarterly with the results of these audits to be reported by the CFO to the CEO. The first audit selection of sliding fee discounts was conducted on October 23, 2020 by Aaron Chawla (CFO) and he will continue to perform these audits quarterly during fiscal year 2021.
APLA Health & Wellness (APLA Health) agrees with finding 2020-001 citing inconsistent application of the sliding fee discount in the Organization's sliding fee discount policy. Corrective action taken to date has included a review of APLA Health procedures and provision of additional training to individuals completing sliding fee applications and processing sliding fee discounts. Trainings were provided by the Chief Operating Officer of APLA Health for the clinic and revenue cycle staff in September and October of 2020. Specific staff have been designated at each clinic location to complete a review of sliding fee applications and discounts given to patients on an ongoing basis. Internal audits sampling the sliding fee applications and discounts will be completed quarterly and the results of these internal audits will be reported to senior management for monitoring and evaluation.
FAC accepted this audit on November 19, 2019 — management decision was due May 19, 2020.
FAC accepted this audit on November 15, 2018 — management decision was due May 15, 2019.
FAC accepted this audit on November 8, 2017 — management decision was due May 8, 2018.
FAC accepted this audit on January 18, 2017 — management decision was due July 18, 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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