FAC Explorer

Audit 29396

FY End
2022-12-31
Total Expended
$1.57M
Findings
2
Programs
3
Organization: Regional Health Reach, Inc. (NY)
Year: 2022 Accepted: 2023-09-29
Auditor: Freed Maxick CPAS PC

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
32907 2022-001 Material Weakness Yes N
609349 2022-001 Material Weakness 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) $1.47M Yes 1
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $98,873 - 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3,276 Yes 0

Contacts

Name Title Type
LNWMSVLJ33L7 Mike Hudson Auditee
8024484131 Michael Schoell Auditor
No contacts on file

Notes to SEFA

Accounting Policies: The accompanying schedule of expenditures of federal awards includes the federal award transactions of Regional Health Reach (the Company) reported on the accrual basis of accounting. 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). In accordance with these requirements, certain grants are not dependent on the Companys expenditure activity and, accordingly, are considered to be expended in the fiscal year of receipt. The amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the basic financial statements. Because the schedule of expenditures of federal awards presents only a selected portion of the operations of the Company, it is not intended to and does not present the financial position, change in net assets or cash flows of the Company. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate.

Finding Details

Finding 2022-001
Federal Program: 93.224 Health Center Program Cluster Federal Agency: U.S. Department of Health and Human Services Criteria: Under 42 CFR Sections 51c.303(e), (f) and (g), health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted based on the patient's ability to pay. To verify this criteria, the compliance supplement has the suggested audit procedures which require the auditor to review a sample of patients treated. The Company should maintain patient files to support the patient's eligibility and that the patient charges were appropriately adjusted based on income and family size by appropriately applying the Company's sliding fee discount schedule. Condition: The Company did not require patients to complete necessary paperwork to verify the patient?s income and family size. Cause: The Company was unable to provide documentation that supported patient?s income and family size. As such, we are unable to determine whether the Company appropriately adjusted charges in accordance with its sliding fee discount schedule. Effect: The Company is not in compliance with federal regulations. Prevalence: The Company was unable to provide supporting documentation for 6 out of 25 patients sampled. Repeat Finding: Yes
Finding 2022-001
Federal Program: 93.224 Health Center Program Cluster Federal Agency: U.S. Department of Health and Human Services Criteria: Under 42 CFR Sections 51c.303(e), (f) and (g), health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted based on the patient's ability to pay. To verify this criteria, the compliance supplement has the suggested audit procedures which require the auditor to review a sample of patients treated. The Company should maintain patient files to support the patient's eligibility and that the patient charges were appropriately adjusted based on income and family size by appropriately applying the Company's sliding fee discount schedule. Condition: The Company did not require patients to complete necessary paperwork to verify the patient?s income and family size. Cause: The Company was unable to provide documentation that supported patient?s income and family size. As such, we are unable to determine whether the Company appropriately adjusted charges in accordance with its sliding fee discount schedule. Effect: The Company is not in compliance with federal regulations. Prevalence: The Company was unable to provide supporting documentation for 6 out of 25 patients sampled. Repeat Finding: Yes