Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health Centers receiving funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by patients are discounted based on the patient?s ability to pay. During compliance testing, it was determined that the Organization either did not properly apply the sliding fee discount or did not properly document the sliding fee discount applied for eight sliding fee patients tested. Cause: There were deficiencies in the internal controls that ensure proper documentation is obtained and that proper sliding fee discounts are applied to patient accounts in accordance with the Organization?s sliding fee policy and sliding fee scale. Effect: Discounts were not properly applied to certain patient accounts and proper documentation was not obtained to support the sliding fee discount applied to certain patient accounts. Questioned Costs: None reported Context/Sampling: For 8 of 40 sliding fee patients selected for testing, the account either had an incorrect discount applied, or the documentation to support the discount applied was incomplete. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that proper training be given to employees and that the sliding fee discounts be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-004 Reporting Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Organizations that receive federal awards in excess of $750,000 are required to submit an annual Federal Data Collection Form, including audited financial statements, no later than nine months after the fiscal year end to the Federal Audit Clearinghouse. Condition: The Federal Data Collection Form and audit report for the year ended March 31, 2021 were not submitted until July 20, 2022, which was beyond the extended filing period of June 30, 2022. Cause: The Organization encountered significant delays in providing information necessary to prepare the 2021 audit. Effect: The Organization is not in compliance with federal filing requirements, which could impact availability of federal funds. Questioned Costs: None reported Context/Sampling: None Repeat Finding from Prior Year: Yes Recommendation: It is recommended that management develop a timeline that allows for preparation of necessary information needed to complete the annual audit and Federal Data Collection Form in a timely manner. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023
Finding: 2022-005 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not properly document verification that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Cause: The Organization did not have proper policies and procedures in place to ensure and document that debarment searches and bids, purchase orders, and receiving reports were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. In addition, the Organization did not obtain bids, purchase orders, and receiving reports for certain purchases in accordance with established policies. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed as required. Views of Responsible Officials: Management concurs. The Organization will establish procedures to ensure that debarment searches are completed to verify that all vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. The Organization will also establish procedures to ensure that bids, purchase orders, and receiving reports are obtained in accordance with the Organization?s procurement policy. Contact Person: Michael Savino, CFO Anticipated Date of Completion: January 31, 2023