Controls have been strengthened to ensure that the front desk accurately enters applicants’ income and family size into the ECW system when determining eligibility for the sliding fee schedule. A member of the Finance Department is reviewing all sliding fee applications. These policies and procedures have been implemented to improve accuracy and compliance. Policy 01-03-029 – Sliding Fee Audit Policy was implemented on June 1, 2025. This policy includes the following: The Compliance Officer conducts a monthly audit, with audit results submitted to the Risk Manager on a quarterly basis. The Front Desk Trainer provides additional training to any employee who receives a failing score on an audit. This training is documented and signed off by the employee, the Front Desk Trainer, and the employee’s supervisor. Disciplinary actions are as follows: 1. First occurrence – One-on-one training 2. Second occurrence – Verbal warning and additional training 3. Third occurrence – Written warning 4. Fourth occurrence – Up to and including termination Mandatory training was conducted on January 14th and 15th and included all site managers, operations managers, the CFO, and the COO. Additional Controls Implemented: Effective July 1, 2025, all sliding fee applications are reviewed by a member of the Finance Department. The front desk is required to make any corrections or changes identified during the finance review. In addition, a task force has been formed to ensure appropriate follow-up is completed and to identify new opportunities to improve accuracy and compliance for all sliding fee patients. The front desk has also been provided with an Excel-based tool to assist with accurately entering patient income.