NORTHSHORE HEALTH CENTERS, INC

2024-003 Information on the Federal Program: Assistance Listing Number 93.224/93.527; Health Center Program Cluster; Department of Health and Human Services Criteria Or Specific Requirement: Reporting: Health centers must comply with federal reporting requirements. Condition: The Center’s data did not support certain line items reported on the Uniform Data System (UDS) and Federal Financial reports filed. Within Table 5 of the UDS report, the visits reported within column B included both in-person and virtual visits where it should not include virtual visits as those are filed in column b2. Within Table 8A of the UDS report, the amounts reported within line 17 column C, line 1, column C, and line 3, column C, were supported by underlying data, but this information significantly understated expenses compared to audited numbers. Within Table 9E of the UDS report, the amounts repor…

Corrective action: Findings Reported by Uniform Guidance – The following steps have been taken or will be taken to address Finding 2024-003: • NorthShore Health Centers, Inc. acknowledged inaccuracies in the FFR and UDS tables that support the report which was filed. In future periods, management will have processes and procedures in place to require reconciliation and tie-out of supporting documentation to each of the final filings prior to submission. The Chief Financial Officer will also perform a formal review of both the FFR and UDS tables and document accordingly. • Management expects implementation for the December 31, 2025 filings for both the 2025 UDS and FFR

2024-004 Information on the Federal Program: Assistance Listing Number 93.224/93.527; Health Center Program Cluster; Department of Health and Human Services Criteria Or Specific Requirement: Special Tests and Provisions – Sliding Fee Discounts: Health centers must prepare and apply a sliding fee discount schedule, so the amounts owed for health center services by eligible patients are discounted based on patient’s ability to pay. Condition: The Center had incorrect slide discounts applied to patient encounters based on family size and income on initial intake of information. Also, there were multiple billing codes that received discounts based on commercial insurance allowed costs rather than the center’s fee schedule, which is not allowed. Cause: The intake personnel filed the incorrect slides based on family size and income that eventually got applied to the electronic hea…

Corrective action: Findings Reported by Uniform Guidance – The following steps have been taken or will be taken to address Finding 2024-004: • NorthShore Health Centers, Inc. acknowledged the sliding fee adjustment errors resulted from incorrect calculation of sliding fee discount. Management will add an additional layer of review over the application of the sliding fee scale. Further, the Center will implement a process to periodically review sliding fee adjustments throughout the year for accuracy. • Management expects full implementation as of December 31, 2025