FAC Explorer

Audit 2412

FY End
2023-06-30
Total Expended
$10.82M
Findings
10
Programs
13
Organization: Staywell Healthcare, Inc. (CT)
Year: 2023 Accepted: 2023-11-06
Auditor: Cohnreznick LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
1278 2023-001 Significant Deficiency Yes N
1279 2023-001 Significant Deficiency Yes N
1280 2023-001 Significant Deficiency Yes N
1281 2023-001 Significant Deficiency Yes N
1282 2023-001 Significant Deficiency Yes N
577720 2023-001 Significant Deficiency Yes N
577721 2023-001 Significant Deficiency Yes N
577722 2023-001 Significant Deficiency Yes N
577723 2023-001 Significant Deficiency Yes N
577724 2023-001 Significant Deficiency Yes N

Programs

ALN Program Spent Major Findings
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.50M Yes 1
93.268 Immunization Cooperative Agreements $990,299 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $763,021 Yes 0
93.137 Community Programs to Improve Minority Health Grant Program $632,012 - 0
93.914 Hiv Emergency Relief Project Grants $585,844 - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $417,272 - 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $354,240 - 1
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $242,529 Yes 1
14.231 Emergency Solutions Grant Program $109,857 - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $63,617 - 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $21,100 - 0
93.940 Hiv Prevention Activities_health Department Based $15,933 - 0
93.590 Community-Based Child Abuse Prevention Grants $15,881 - 0

Contacts

Name Title Type
LUKHN98M5WV8 Donald Thompson Auditee
2037568021 James Lacroix Auditor
No contacts on file

Notes to SEFA

Accounting Policies: The accompanying schedule of expenditures of federal awards (the "Schedule") includes the federal grant activity of Staywell Health Care, Inc. (the "Center") under programs of the federal government for the year ended June 30, 2023. The information in this Schedule is presented in accordance with the 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"). Because the Schedule presents only a selected portion of the operations of the Center, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Center. De Minimis Rate Used: N Rate Explanation: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Center has elected to not use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Pass-through entity identifying numbers are presented where available.

Finding Details

Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Finding 2023-001
Finding 2023.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program, COVID-19 Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Compliance Requirement: Special Tests and Provisions Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined on the basis of the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the proper slide fee documentation readily available to ensure the proper slide fee discount was applied based on approved policies. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discounts were properly supported by approved documentation. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Context A test of 40 sliding fee discount transactions was performed and resulted in three instances where documentation was not readily available to ensure the proper slide fee discount was applied. Our sample was a statistically valid sample. Questioned Costs None. Identification of Repeat Finding Yes - 2022.001. Recommendation The Center should establish a system of controls to ensure that all sliding fee discounts are properly supported. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.