Finding 1226940 (2026-002)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2026
Accepted
2026-08-14
Audit: 409135
Auditor: TERRY HORNE CPA

AI Summary

  • Core Issue: Health Centers failed to apply sliding fee discounts correctly, impacting eligible patients' charges based on their ability to pay.
  • Impacted Requirements: Compliance with Uniform Guidance and 42 CFR, specifically regarding the application of sliding fee discounts.
  • Recommended Follow-Up: Train staff on discount accuracy and ensure supervisory reviews of applications to prevent future errors.

Finding Text

Material Weakness Finding: 2026-002 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster Assistance Listing No. 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 eligible patients are discounted based on the patient’s ability to pay. During compliance testing the following errors were noted: • One patient had an expired slide application on date of service • One patient's income was incorrectly translated from application resulting in an incorrect discount • One patient with income above 200% poverty level was incorrectly given a discount • Two patients received incorrect discounts per the Organization's policy Cause: There were deficiencies in internal controls designed to ensure that proper sliding fee discounts were applied to patient accounts in accordance with the Organization’s sliding fee scale. The sliding fee scale file was not properly utilized in the application of discounts provided to certain patients. Effect: Discounts were not properly applied to patient accounts. Questioned Costs: None reported. Context/Sampling: For 5 of 48 self-pay patients selected for testing, discounts were not appropriately applied. 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: No Recommendation: It is recommended that staff be trained to review sliding fee discounts applied to ensure they are accurate and that proper documentation is obtained. In addition, it is recommended that supervisory level personnel select and review a sample of sliding fee applications and discounts to ensure that discounts are properly applied by staff. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Phillip Tatum, CEO Anticipated Date of Completion: August 31, 2026

Corrective Action Plan

In Finding 2026-002, it was reported that the Organization did not properly apply the sliding fee discounts for certain patients with visits to the Organization during the year ended March 31, 2026. Management recognizes the importance of complying with sliding fee guidelines and the Organization’s sliding fee policy. In response to Finding 2026-002, proper training will be given to employees, and sliding fee discounts will be reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee policy.

Categories

Special Tests & Provisions Questioned Costs Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1226939 2026-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $2.26M
93.526 AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $359,424
93.527 AFFORDABLE CARE ACT (ACA) GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $32,731