EIN: 954536824
UEI: WJ5MBWJWBJ47
Audited by: WINDES, INC.
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 March 31, 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 October 1, 2025 (334 days ago).
What is a management decision? →FAC accepted this audit on May 13, 2024 — management decision was due November 13, 2024.
FAC accepted this audit on June 19, 2023 — management decision was due December 19, 2023.
FAC accepted this audit on December 7, 2021 — management decision was due June 7, 2022.
FAC accepted this audit on November 8, 2020 — management decision was due May 8, 2021.
FAC accepted this audit on March 30, 2020 — management decision was due September 30, 2020.
The Organization used the wrong federal poverty level schedule to apply discounts to patients for half of the fiscal year. Cause: Inadequate oversight of the schedule obtained and used by the Organization. Effect: As a result of the wrong federal poverty level schedule being used for half of the fiscal year, patients were charged less than they would have been if the correct schedule was used. Questioned Costs: There were no questioned costs. Recommendation: We recommend additional oversight is placed on ensuring the sliding scale program uses appropriate federal guidelines in applying the discounts. Views of Responsible Official: The result of using the incorrect federal poverty level did not affect the ability for providing services to patients. Nor did it put any additional constraints to the patients? ability to pay for the services since the poverty level used yielded a lesser charge than should have been applied. Management acknowledges the finding and recognizes that additional oversight is necessary to improve the sliding fee program controls. The appropriate federal poverty level schedule was used beginning January 1, 2019 with the added steps to ensure that the correct poverty guidelines are used for future years.
Show full finding ▾Hide full finding ▴Finding Number: 2019-01: Special Tests and Provisions ? Sliding Scale Discounts Federal Program: Health Centers Cluster CFDA Number: 93.224 and 93.527 Federal Agency: US Department of Health and Human Services Award Number (Year): H80CS04220 (2019) Criteria: Health centers must prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay according to family size and income level. Condition: The Organization used the wrong federal poverty level schedule to apply discounts to patients for half of the fiscal year. Cause: Inadequate oversight of the schedule obtained and used by the Organization. Effect: As a result of the wrong federal poverty level schedule being used for half of the fiscal year, patients were charged less than they would have been if the correct schedule was used. Questioned Costs: There were no questioned costs. Recommendation: We recommend additional oversight is placed on ensuring the sliding scale program uses appropriate federal guidelines in applying the discounts. Views of Responsible Official: The result of using the incorrect federal poverty level did not affect the ability for providing services to patients. Nor did it put any additional constraints to the patients? ability to pay for the services since the poverty level used yielded a lesser charge than should have been applied. Management acknowledges the finding and recognizes that additional oversight is necessary to improve the sliding fee program controls. The appropriate federal poverty level schedule was used beginning January 1, 2019 with the added steps to ensure that the correct poverty guidelines are used for future years.
SECTION II. FINANCIAL STATEMENT FINDINGS None reported. SECTION III. FEDERAL AWARD FINDINGS AND QUESTIONED COSTS 2019-01: Special Tests and Provisions - Sliding Fee Discounts Name of contact person: Francisco Benavides, Chief Financial Officer Corrective Action : ChapCare has a Sliding Fee Discount Program that meets the requirements of the updated Health Center Compliance Manual that allows ChapCare to operate in a manner such that no patient shall be denied service due to an individual's inability to pay. Procedures are also written into the program that enable staff to evaluate the program periodically to make changes accordingly. Management will ensure to add additional oversight to the procedures where the Billing Manager will review the Sliding Fee Schedule in order to ensure that the appropriate federal guidelines are being used before being implemented.Proposed Completion Date: January 1, 2019
2018-002
FAC accepted this audit on March 28, 2019 — management decision was due September 28, 2019.
GSA_MIGRATION
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GSA_MIGRATION
GSA_MIGRATION
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GSA_MIGRATION
GSA_MIGRATION
Show full finding ▾Hide full finding ▴FAC accepted this audit on March 25, 2018 — management decision was due September 25, 2018.
FAC accepted this audit on December 1, 2016 — management decision was due June 1, 2017.
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