Program Integrity: FY20 Audit Results

Updated 9/22/21. The results chart includes audits where the findings have been finalized. Remaining audits are still under review. Information on Corrective Action Plans and Sanctions will be updated once approved by HRSA. HRSA recommends manufacturers do not contact audited entities regarding sanctions until a corrective action plan has been approved by HRSA and posted on this website.

Results posted for 200 audits.

Entity	340B ID	State	OPA Findings	Sanction	Corrective Action Status	Entity Contact Information
AdventHealth Orlando	DSH100007	FL	No adverse findings	None	N/A Audit closure date: February 5, 2021
Adventist Medical Center – Reedley	DSH050192	CA	Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS; Incorrect entry in 340B OPAIS for address for offsite facility; Failed to remove a duplicate registration a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers	CAP approved	Director of Pharmacy Adventist Medical Center Reedley 372 W. Cypress Ave Reedley, CA 93654 559-537-2190 AbukhaAF@ah.org
Alegent Health – Community Memorial Hospital DBA CHI Health Missouri Valley	CAH161309-00	IA	No adverse findings	None	N/A Audit closure date: June 19, 2020
Alice Hyde Medical Center	DSH330084	NY	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: April 13, 2021	Director of Pharmacy The University of Vermont Health Network Alice Hyde Medical Center 133 Park Street Malone, NY 12953-0729 mdufort@alicehyde.com (518) 481-2404
Anthony L Jordan Health Corp	CH022070	NY	Incorrect 340B OPAIS record – Failed to terminate contract pharmacy carve-in arrangement from 340B OPAIS. Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record.	Repayment to manufacturers	CAP implemented Audit closure date: July 29, 2021	340B Analyst 82 Holland St Rochester NY, 14605-2131 585-423-5886 nadirahs@jordanhealth.org
Arnot Ogden Medical Center	DSH330090	NY	Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities from 340B OPAIS; Failed to remove a duplicate registration for a contract pharmacy from 340B OPAIS; Incorrect entry in 340B OPAIS for Authorizing Official phone number; Incorrect Primary Contact listed in 340B OPAIS.	None	CAP implemented Audit closure date: October 29, 2020
Ascension Seton DBA Ascension Seton Medical Center Austin	DSH450056	TX	No adverse findings	None	N/A Audit closure date: April 29, 2020
Atrium Health Lincoln	DSH340145	NC	No adverse findings	None	N/A Audit closure date: March 10, 2020
Atrium Health Union	DSH340130	NC	No adverse findings	None	N/A Audit closure date: June 23, 2020
Banner Fort Collins Medical Center	DSH060126	CO	No adverse findings	None	N/A Audit closure date: June 5, 2020
Baptist Memorial Hospital Memphis	DSH440048	TN	No adverse findings	None	N/A Audit closure date: August 26, 2020
Barrio Comprehensive Family Health Care Center, Inc.	CH062360	TX	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: June 22, 2021	President and CEO 3066 East Commerce Street San Antonio, 78220 210-233-7070 pnguyen@communicaresa.org
Beverly Hospital	DSH220033	MA	Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: March 10, 2021
Big Bend Cares	STD323011	FL	No adverse findings	None	N/A Audit closure date: June 4, 2020
Birmingham AIDS Outreach, Inc.	STD35233	AL	Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for address.	None	CAP implemented Audit closure date: June 18, 2020
Bliss Cares	STD328062	FL	Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS.	Termination of ineligible offsite outpatient facilities from the 340B Program	CAP implemented Audit closure date: April 9, 2021	Executive Director 2901 Curry Ford Road Suite 106 Orlando, FL 32806 407-670-9557 jrodriguez@blisscares.org
Bon Secours Maryview Medical Center	DSH490017	VA	No adverse findings	None	N/A Audit closure date: May 28, 2020
Botsford General Hospital d/b/a Beaumont Hospital – Farmington Hills	DSH230151	MI	No adverse findings	None	N/A Audit closure date: March 25, 2020
Boys Town National Research Hospital	PED283300-00	NE	No adverse findings	None	N/A Audit closure date: June 24, 2020
Braxton County Memorial Hospital	CAH511308-00	WV	No adverse findings	None	N/A Audit closure date: June 19, 2020
Broaddus Hospital	CAH511300-00	WV	Incorrect 340B OPAIS record - Hospital classification on OPAIS was inconsistent with eligibility documents.	None	CAP implemented Audit closure date: December 14, 2020
Brockton Neighborhood Health Center, Inc.	CH010700	MA	No adverse findings	None	N/A Audit closure date: April 17, 2020
Brookdale Hospital Medical Center	DSH330233	NY	No adverse findings	None	N/A Audit closure date: May 15, 2020
Cabun Rural Health Services, Inc.	CHC00342-00	AR	Incorrect entries in 340B OPAIS for address, site ID, and name for offsite outpatient facilities. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: December 15, 2020	Chief Executive Officer melanies@cabun.org 402 South Lee Street Hampton, AR 71744 870-798-4064
Cahaba Medical Care Foundation	CHC24177-00	AL	Diversion – 340B drugs dispensed at contract pharmacies, not supported by a medical record. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: May 5, 2021	CCO 405 Belcher St. Centreville, AL 35042 kay.cox@cahabamedicalcare.com 205-277-2384
Calais Regional Hospital - Amended	CAH201305-00	ME	Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented May 27, 2021	VP HR/Quality, Compliance Officer 24 Hospital Lane Calais, ME 04619 207-454-9228 mary.barnett@calaishospital.org
CAN Community Health, Inc. – Daytona	STD32114	FL	No adverse findings	None	N/A Audit closure date: May 19, 2020
Capital Health Med Center – Hopewell	DSH310044	NJ	No adverse findings	None	N/A Audit closure date: July 16, 2020
Carle Hoopeston Regional Health Center	CAH141316-00	IL	No adverse findings	None	N/A Audit closure date: March 24, 2020
Central Maine Medical Center	RRC200024-00	ME	Incorrect 340B OPAIS record – Ineligible site registered on 340B OPAIS; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place.	Termination of ineligible offsite outpatient facility from the 340B Program* Termination of contract pharmacies from 340B Program*	CAP implemented Audit closure date: December 14, 2020
Central Mississippi Health Services, Inc.	CH046080	MS	No adverse findings	None	N/A Audit closure date: June 3, 2020
Children’s Medical Center Plano	PED453316-00	TX	No adverse findings	None	N/A Audit closure date: June 5, 2020
Choctaw Regional Medical Center	CAH251334-00	MS	No adverse findings	None	N/A Audit closure date: April 30, 2020
Christ Community Health Services Augusta Inc.	CHC24172-00	GA	No adverse findings	None	N/A Audit closure date: July 16, 2020
Clackamas, County of	CH101310	OR	No adverse findings	None	N/A Audit closure date: August 7, 2020
Community Health Service Agency, Inc. of Hunt County, The	CH060820	TX	Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP approved	Chief Executive Officer 4500 Wesley Street Greenville, TX 75401 903-455-5986 mcarter@carevide.org
Community Hospital Anderson	DSH150113	IN	No adverse findings	None	N/A Audit closure date: August 6, 2020
Community Hospital of Indiana, Inc.	DSH150169	IN	No adverse findings	None	N/A Audit closure date: July 14, 2020
Community Howard Regional Health	DSH150007	IN	No adverse findings	None	N/A Audit closure date: July 8, 2020
County of Lane	CH107920	OR	Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record.	Repayment to manufacturers	CAP implemented Audit closure date: October 28, 2020	Program Services Coordinator 151 West 7th Ave #520 Eugene, OR 97401 Juan.Rivera@lanecountyor.gov 541-731-4439
Deer Valley Medical Center	RRC030092-00	AZ	No adverse findings	None	N/A Audit closure date: April 29, 2020
Dickinson County Healthcare System	SCH230055-00	MI	Incorrect 340B OPAIS record – Offsite outpatient facilities and a shipping address were not listed on the 340B OPAIS.	None	CAP implemented Audit closure date: June 23, 2020
Driscoll Children’s Hospital	PED453301-00	TX	Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: April 1, 2021	Pharmacy Department 3533 S. Alameda Street Corpus Christi, TX 78411 Jessy.thomas@dchstx.org
Eastern Iowa Health Center	CH0718570	IA	Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: December 14, 2020
Effingham Health System	CAH111306-00	GA	No adverse findings	None	N/A Audit closure date: June 9, 2020
Einstein Medical Center Montgomery	DSH390329	PA	No adverse findings	None	N/A Audit closure date: April 7, 2020
Episcopal Health Services, Inc.	DSH330395	NY	Diversion – 340B drugs dispensed at contract pharmacies, not supported by medical records. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: April 1, 2021	Director of Pharmacy 327 Beach 19th Street Far Rockaway NY 11691 718-869-7180 kmuir@ehs.org
Espanola Hospital	DSH320011	NM	No adverse findings	None	N/A Audit closure date: August 4, 2020
Faith Community Hospital	SCH450241-00	TX	No adverse findings	None	N/A Audit closure date: June 1, 2020
Finger Lakes Migrant Health Care Project, Inc.	CH028210	NY	Incorrect 340B OPAIS record - Failed to remove a closed contract pharmacy from 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: August 12, 2021	Chief Financial Officer Finger Lakes Migrant Health Care Project, Inc 14 Maiden Lane PO Box 423 Penn Yan, NY 14527 315-531-9102 annes@flchealth.org
Firelands Regional Medical Center	DSH360025	OH	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: May 6, 2021	Pharmacy Services Director 1111 Hayes Avenue Sandusky, Ohio 44870 WallerD@Firelands.com
Florida Department of Health	FP323993	FL	Incorrect 340B OPAIS record – Incorrect entry for address; Shipping addresses were not listed on the 340B OPAIS; Incorrect entries for grant number for grant associated sites. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File at grant associated sites; Grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP approved
Gibson General Hospital	CAH151319-00	IN	No adverse findings	None	N/A Audit closure date: July 24, 2020
Glendale Adventist Medical Center	DSH050239	CA	No adverse findings	None	N/A Audit closure date: March 19, 2020
GraceMed Health Clinic, Inc.	CHC08772-00	KS	Incorrect 340B OPAIS record – Incorrect entry for address for offsite outpatient facility; Incorrect entries for authorizing official and primary contact; Failed to remove closed contract pharmacies from 340B OPAIS.	None	Pending
Grande Ronde Hospital, Inc.	CAH381321-00	OR	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility.	None	CAP implemented Audit closure date: July 9, 2020
Greene County General Hospital	CAH151317-00	IN	Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 27, 2020
Hardin Memorial Hospital	DSH180012	KY	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage. Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding	None	CAP implemented Audit closure date: February 17, 2021
Harrisburg Medical Center, Inc.	SCH140210-00	IL	Duplicate Discounts – Offsite outpatient facilities billed Medicaid while not listed on the HRSA Medicaid Exclusion File; Inaccurate or incomplete information on the Medicaid Exclusion File at offsite outpatient facilities.	Repayment to manufacturers	CAP implemented Audit closure date: July 21, 2021	Cody Sandusky, PharmD, Primary Contact 100 Dr. Warren Tuttle Dr. Harrisburg, IL 62946 618-253-0263 csandusky@harrisburgmc.com
HealthAlliance Hospital Marys Avenue Campus	DSH330224	NY	No adverse findings	None	N/A Audit closure date: February 19, 2020
Health Access Network	CH015110	ME	No adverse findings	None	N/A Audit closure date: June 24, 2020
Heart of America Medical Center	CAH351332-00	ND	No adverse findings	None	N/A Audit closure date: July 2, 2020
Henry District Hospital	CAH141319-00	IL	No adverse findings	None	N/A Audit closure date: February 19, 2020
Highland Hospital of Rochester	RRC330164-00	NY	Inacurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: January 11, 2021
Horizon Health Care, Inc.	CH081030	SD	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. Duplicate Discounts – Entity and grant associated sites were billing Medicaid contrary to information included on the Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: June 10, 2021	Chief Financial Officer P.O. Box 99 Howard, SD 57349 605-772-4525 werickson@horizonhealthcare.org www.horizonhealthcare.org
Hospital & Medical Foundation of Paris, Inc.	CAH141320-00	IL	No adverse findings	None	N/A Audit closure date: July 2, 2020
Hospital Authority of Miller County DBA Miller County Hospital	CAH111305-00	GA	No adverse findings	None	N/A Audit closure date: June 16, 2020
Hospital of Central Connecticut, The	DSH070035	CT	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: October 14, 2020
Hospital of the University of Pennsylvania, The	DSH390111	PA	Incorrect 340B OPAIS record - Ineligible sites registered on 340B OPAIS; Failed to remove registrations for closed offsite outpatient facilities from 340B OPAIS; Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS; Offsite outpatient facilities were not listed on 340B OPAIS; Incorrect address listed for offsite outpatient facility. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Termination of ineligible offsite outpatient facilities from the 340B Program* Repayment to manufacturers	CAP approved
IU Health Bloomington Hospital	DSH150051	IN	No adverse findings	None	N/A Audit closure date: July 24, 2020
Iowa Methodist Medical Center	DSH160082	IA	No adverse findings	None	N/A Audit closure date: July 30, 2020
Indiana University Health Ball Memorial Hospital, Inc.	DSH150089	IN	Diversion – 340B drug dispensed to inpatient.	Repayment to manufacturers	CAP implemented Audit closure date: June 10, 2021	Director - 340B Program 950 N. Meridian St., Ste 1200 Indianapolis, IN 46204 Lstewar1@iuhealth.org 317-962-3540
Inova Health Care Services dba Inova Juniper Program	HV220311	VA	Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: August 18, 2020
Jackson County Memorial Hospital	SCH370022-00	OK	No adverse findings	None	N/A Audit closure date: May 29, 2020
Jackson Hospital and Clinic Inc.	RRC010024-00	AL	No adverse findings	None	N/A Audit closure date: April 7, 2020
Jefferson Community Health Care Centers, Inc.	CH0623760	LA	Duplicate Discounts – Entity and grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: June 17, 2021	Chief Operating Officer, 4028 US Hwy. 90 Avondale, LA 70072 wrose@inclusivcare.com 504-206-7738
Jefferson County Department of Health	FP352129	AL	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: July 20, 2021	Pharmacy Manager Jefferson County Department of Health 1400 6th Ave. S Birmingham, AL 35233 205-930-1987 Pharmacy.jcdh@jcdh.org
Jerold Phelps Community Hospital	CAH051309-00	CA	No adverse findings	None	N/A Audit closure date: February 28, 2020
Jersey City Medical Center	DSH310074	NJ	No adverse findings	None	N/A Audit closure date: April 9, 2020
Kemper CAH, Inc. d/b/a John C. Stennis Memorial Hospital	CAH251335-00	MS	No adverse findings	None	N/A Audit closure date: May 29, 2020
Kiamichi Family Medical Center	CH0611930	OK	Duplicate Discounts – Entity and grant associated sites billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: October 15, 2020
Klickitat County Public Hospital District #2 dba Skyline Hospital	CAH501315-00	WA	No adverse findings	None	N/A Audit closure date: July 16, 2020
Lallie Kemp Regional Medical Center	CAH191321-00	LA	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: December 15, 2020	Chief Financial Officer 52579 Highway 51 South Independence, LA 70443 985-878-1350 Cthom5@lsuhsc.edu
Langlade Hospital Hotel Dieu of St. Joseph, of Antigo, WI	CAH521350-00	WI	No adverse findings	None	N/A Audit closure date: August 10, 2020
Lee Memorial Health System dba Lee Memorial Hospital	DSH100012	FL	Incorrect 340B OPAIS record – Failed to remove duplicate registrations for offsite outpatient facilities from 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File	Repayment to manufacturers	CAP implemented Audit closure date: April 19, 2021	Pharmacy & 340B Compliance Officer 4211 Metro Parkway, 1st Floor Fort Myers, FL 33916 Joseph.bitner@leememorial.org 239-343-8602
Lexington Regional Health Center	CAH281361-00	NE	No adverse findings	None	N/A Audit closure date: August 21, 2020
Lincoln Medical Center	DSH440102	TN	No adverse findings	None	N/A Audit closure date: March 9, 2020
Loma Linda University Children's Hospital	DSH050778	CA	No adverse findings	None	N/A Audit closure date: March 18, 2020
Mahaska County Hospital	CAH161379-00	IA	No adverse findings	None	N/A Audit closure date: June 30, 2020
Marin Community Clinic	CH095380	CA	Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: March 22, 2021
Marin General Hospital	DSH050360	CA	No adverse findings	None	N/A Audit closure date: May 15, 2020
Mary Imogene Bassett Hospital	SCH330136-00	NY	Incorrect 340B OPAIS record – Incorrect entry for disproportionate share percentage.	None	CAP implemented Audit closure date: October 15, 2020
Massachusetts General Hospital	DSH220071	MA	No adverse findings	None	N/A Audit closure date: April 22, 2020
Massena Hospital	SCH330223-00	NY	Diversion – 340B drug dispensed at contract pharmacy, not supported by a medical record.	Repayment to manufacturers	CAP implemented Audit closure date: January 20, 2021	Director of Pharmacy (315) 769-4216 1 Hospital Drive Massena, NY 13662 emiller@massenahospital.org
McKee Medical Center	DSH060030	CO	No adverse findings	None	N/A Audit closure date: June 4, 2020
McLaren Greater Lansing	DSH230167	MI	No adverse findings	None	N/A Audit closure date: July 10, 200
Meadville Medical Center	DSH390113	PA	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: January 15, 2021
Memorial Hospital of South Bend, Inc.	DSH150058	IN	No adverse findings	None	N/A Audit closure date: July 23, 2020
Memorial Medical Center	CAH521323-00	WI	Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy from 340B OPAIS.	None	CAP implemented Audit closure date: October 30, 2020
Mercy General Hospital	DSH050017	CA	No adverse findings	None	N/A Audit closure date: July 16, 2020
Mercy Health Hackley Campus	DSH230066	MI	Incorrect 340B OPAIS record – Ineligible sites registered in 340B OPAIS; Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS.	Termination of ineligible offsite outpatient facility from the 340B Program*	CAP implemented Audit closure date: April 8, 2021
Mercy Hospital Lebanon	DSH260059	MO	No adverse findings	None	N/A Audit closure date: June 26, 2020
Mercy Hospital – St. Louis	DSH260020	MO	Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: August 18, 2020
Middlesboro ARH Hospital	DSH180020	KY	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: July 21, 2021	System Director of Pharmacy 100 Airport Gardens Road, Hazard, KY 41701 606-437-1320 jakers@arh.org
MidMichigan Medical Center	SCH230222-00	MI	No adverse findings	None	N/A Audit closure date: February 19, 2020
Midwest Medical Center	CAH141302-00	IL	No adverse findings	None	N/A Audit closure date: April 3, 2020
Monmouth Medical Center Southern Campus	DSH310084	NJ	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	None	CAP implemented Audit closure date: July 13, 2020
Morton Plant North Bay Hospital	DSH100063	FL	No adverse findings	None	N/A Audit closure date: May 20, 2020
Mount Carmel Health	DSH360035	OH	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: January 21, 2021
Mountainlands Community Health Center, Inc	CH083950	UT	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closeout date: November 5, 2020	340B Coordinator 801-429-2000 mleavitt1@mchc.org
MRH Corp. DBA Northern Light Mayo Hospital	CAH201309-00	ME	No adverse findings	None	N/A Audit closure date: August 6, 2020
Munson Healthcare Cadillac Hospital	SCH230081-00	MI	Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS.	None	CAP implemented Audit closure date: July 29, 2020
Munson Healthcare Manistee Hospital	SCH230303-00	MI	No adverse findings	None	N/A Audit closure date: June 5, 2020
Munson Medical Center	SCH230097-00	MI	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for offsite outpatient facility address.	None	CAP implemented January 21, 2021
MyCareHealth Center	CHC26572-00	MI	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for offsite outpatient facility address.	None	CAP implemented Audit closure date: August 20, 2020
Neighborhood Improvement Project, Inc.	CH0438590	GA	No adverse findings	None	N/A Audit closure date: September 8, 2020
Nemaha County Hospital	CAH281324-00	NE	No adverse findings	None	N/A Audit closure date: June 18, 2020
Niagara Falls Memorial Medical Center	DSH330065	NY	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Primary Contact. Diversion – 340B drug dispensed to inpatients	Repayment to manufacturers	Pending
Nicholas H. Noyes Memorial Hospital	DSH330238	NY	No adverse findings	None	N/A Audit closure date: April 3, 2020
North Caddo Medical Center	CAH191304-00	LA	No adverse findings	None	N/A Audit closure date: June 12, 2020
North Country Family Health Center, Inc.	CHC24165-00	NY	No adverse findings	None	N/A Audit closure date: February 25, 2020
North Country Health System	CAH471304-00	VT	Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: May 27, 2021
North Oaks Medical Center LLC	DSH190015	LA	Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS. Incorrect or incomplete information in the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: December 1, 2020
Northern Montana Hospital	DSH270032	MT	Incorrect 340B OPAIS record - entity improperly registered a distribution site as a contract pharmacy in 340B OPAIS. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP approved	Vice President Regulatory & Community Services Northern Montana Hospital Compliance Office 30 W 13th St, Havre, MT 59501 406-262-1420 obrechrm@nmhcare.org
Northside Hospital Gwinnett	DSH110087	GA	Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for authorizing official.	None	CAP implemented Audit closure date: September 10, 2020
Oakbend Medical Center	DSH450330	TX	Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS.	None	CAP implemented Audit closure date: February 8, 2021
Oakwood Healthcare, Inc. dba Beaumont Hospital - Dearborn	DSH230020	MI	No adverse findings	None	N/A Audit closure date: October 5, 2020
Ochsner Bayou LLC	CAH191324-00	LA	No adverse findings	None	N/A Audit closure date: April 2, 2020
Onslow Memorial Hospital	SCH340042-00	NC	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type.	None	CAP implemented Audit closure date: July 29, 2020
Opelousas General Hospital	DSH190017	LA	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type; Offsite outpatient facilities were not listed on the 340B OPAIS.	None	CAP implemented Audit closure date: April 2, 2021
Our Lady of Lourdes Memorial Hosp	RRC330011-00	NY	Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS.	None	CAP implemented Audit closure date: October 30, 2020
Osborne County Memorial Hospital	CAH171364-00	KS	No adverse findings	None	N/A Audit closure date: April 15, 2020
Pana Community Hospital	CAH141341-00	IL	No adverse findings	None	N/A Audit closure date: July 16, 2020
PeaceHealth dba Peace Harbor Medical Center	CAH381316-00	OR	Incorrect 340B OPAIS record – Ineligible sites registered on 340B OPAIS.	Termination of ineligible offsite outpatient facility from the 340B Program*	CAP implemented Audit closure date: August 12, 2020
Peoples Community Health Clinic, Inc.	CH071410	IA	No adverse findings	None	N/A Audit closure date: September 15, 2020
Perkins County Health Services	CAH281356-00	NE	No adverse findings	None	N/A Audit closure date: July 23, 2020
Philadelphia Fight	CHC26634-00	PA	Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS.	None	CAP implemented Audit closure date: September 10, 2020
Piedmont Newton Hospital, Inc.	DSH110018	GA	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	None	CAP implemented State Medicaid has since determined that duplicate discounts did not occur. Audit closure date: September 30, 2020
Plains Regional Medical Center – Clovis	DSH320022	NM	Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS.	None	CAP implemented Audit closure date: February 2, 2021
Planned Parenthood Association of Utah	STD841021	UT	Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: March 17, 2021	Chief Financial Officer 654 South 900 East, Salt Lake City, UT 84102 801-532-1586 Lesley.bailey@ppau.org
Power County Hospital District	CAH131304-00	ID	No adverse findings	None	N/A Audit closure date: March 5, 2020
Project Vida Health Center	CH067960	TX	Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS.	None	CAP implemented Audit closure date: October 30, 2020
Premier Community Healthcare Group, Inc.	CH045500	FL	Incorrect 340B OPAIS record – Failed to remove a duplicate registration for an offsite outpatient facility from 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: December 1, 2020	Chief Executive Officer PO Box 232 Dade City, FL 33526 352-518-2000 jresnick@hcnetwork.org
Preston Memorial Hospital	CAH511312-00	WV	No adverse findings	None	N/A Audit closure date: June 15, 2020
Providence Health DBA Providence Seaside Hospital	CAH381303-00	OR	No adverse findings	None	N/A Audit closure date: May 13, 2020
Providence Medford Medical Center	DSH380075	OR	Incorrect 340B OPAIS record – Offsite outpatient facility was not listed on the 340B OPAIS; Incorrect entry in 340B OPAIS for an offsite outpatient facility address.	None	CAP implemented Audit closure date: October 21, 2020
Regional Health Rapid City Hospital	DSH430077	SD	No adverse findings	None	N/A Audit closure date: May 15, 2020
Regional Health Services of Howard County	CAH161328-00	IA	No adverse findings	None	N/A Audit closure date: June 23, 2020
Richmond University Medical Center	DSH330028	NY	Diversion – 340B drug dispensed at covered entity, not supported by a medical record.	Repayment to manufacturer	CAP implemented Audit closure date: April 8, 2021	340B Manager 355 Bard Avenue Inpatient Pharmacy Department Staten Island, NY 10310 718-818-3272 zparnas@rumcsi.org
Riverside Shore Memorial Hospital	DSH490037	VA	No adverse findings	None	N/A Audit closure date: April 21, 2020
Rowan Regional Hospital	RRC340015-00	NC	No adverse findings	None	N/A Audit closure date: March 3, 2020
Saint Alphonsus Medical Center Nampa	DSH130013	ID	No adverse findings	None	N/A Audit closure date: September 8, 2020
Saint Alphonsus Regional Medical Center	DSH130007	ID	No adverse findings	None	N/A Audit closure date: June 12, 2020
San Francisco AIDS Foundation	STD94114	CA	No adverse findings	None	N/A Audit closure date: April 17, 2020
Sanford Thief River Falls	CAH241381-00	MN	No adverse findings	None	N/A Audit closure date: March 3, 2020
Santa Monica UCLAMC and Orthopaedic Hospital	DSH050112	CA	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: February 17, 2021	Director of Pharmacy 757 Westwood Plaza B531 Los Angeles, CA 90095 310-267-8500 kmenmuir@mednet.ucla.edu
Scotland Memorial Hospital	DSH340008	NC	Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: July 13, 2020
Seton Medical Center	DSH050289	CA	Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for disproportionate share percentage. Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: June 26, 2020
Sharp Chula Vista Medical Center	DSH050222	CA	No adverse findings	None	N/A Audit closure date: April 28, 2020
Sheridan County Hospital	CAH171347-00	KS	No adverse findings	None	N/A Audit closure date: March 17, 2020
Sioux Valley Memorial Hospital Association dba Cherokee Regional Medical Center	CAH161362-00	IA	No adverse findings	None	N/A Audit closure date: June 24, 2020
Sisters of Charity Hospital	DSH330078	NY	Diversion – 340B drugs dispensed to inpatients. Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	Repayment to manufacturers	CAP approved	340B Program Business Manager 144 Genesee St ARTC - 6th Floor West Buffalo NY 14203 716-923-2920 tgreer@chsbuffalo.org
Sonora Community Hospital dba Adventist Health Sonora	DSH050335	CA	Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: July 28, 2020
Southeast Missouri Health Network	CH071370	MO	Incorrect 340B OPAIS record - Failed to remove a contract pharmacy from 340B OPAIS that did not have a written contract in place; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS; Incorrect entry in 340B OPAIS for address for grant associated site.	Termination of ineligible contract pharmacy from the 340B Program*	CAP implemented Audit closure date: January 8, 2021
Southeast Mississippi Rural Health Initiative, Inc.	CH045770	MS	Duplicate Discounts – Grant associated sites were billing Medicaid contrary to information included on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: May 14, 2021	340B Coordinator Phone 601-544-4163 Ext 3908 64 Old Airport Road Hattiesburg, MS 39401 lellis@semrhi.com
Southwestern Vermont Medical Center	RRC470012-00	VT	No adverse findings	None	N/A Audit closure date: August 6, 2020
Southwest Mississippi Regional Medical Center	DSH250097	MS	No adverse findings	None	N/A Audit closure date: June 11, 2020
Sparrow Clinton Hospital	CAH231326-00	MI	No adverse findings	None	N/A Audit closure date: July 14, 2020
St. Anthony Regional Hospital	SCH160005-00	IA	No adverse findings	None	N/A Audit closure date: June 17, 2020
St. Catherine Hospital	SCH170023-00	KS	No adverse findings	None	N/A Audit closure date: July 23, 2020
St. Cloud Hospital	DSH240036	MN	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: August 4, 2020
St. Jude Medical Center Fullerton	DSH050168	CA	No adverse findings	None	N/A Audit closure date: March 5, 2020
St. Louis Children’s	PED263301-00	MO	Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed on the 340B OPAIS. Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: September 8, 2021	Director of Pharmacy St. Louis Children’s Hospital – 11E36 One Children’s Place St. Louis, MO 63110 (314) 497-9450 melissa.heigham@bjc.org
St. Luke’s Methodist Hospital	DSH160045	IA	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: May 6, 2021	Director Pharmacy St. Luke's Methodist Hospital 1026 A Avenue NE, Cedar Rapids, IA 52402 319-368-5861 Patrick.Thies@UnityPoint.org
St. Mary’s Hospital, Centralia, Illinois	RRC140034-00	IL	No adverse findings	None	N/A Audit closure date: June 11, 2020
Stacy McKay Health and Education Center	CH0518280	IN	Diversion – 340B drug dispensed at covered entity, not supported by a medical record. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: July 27, 2021	Pharmacy Director 6050 Sterling Creek Rd., Portage, IN 46368 219-763-8112; mwichlinski@northshorehealth.org
Stamford Hospital, The	DSH070006	CT	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: February 18, 2021	Pharmacy Business Manager One Hospital Plaza Stamford, CT 06902 PManirakiza@stamhealth.org 203-276-4232
Stokes Family Health Center	FP270168	NC	No adverse findings	None	N/A Audit closure date: July 9, 2020
Tallahatchie General Hospital	CAH251304-00	MS	No adverse findings	None	N/A Audit closure date: May 29, 2020
Trigg County Hospital Inc.	CAH181304-00	KY	No adverse findings	None	N/A Audit closure date: April 14, 2020
Trinitas Regional Medical Center	DSH310027	NJ	Duplicate Discounts – Inaccurate or incomplete information on the Medicaid Exclusion File.	Repayment to manufacturers	Pending
Trinity Regional Medical Center	SCH160016-00	IA	No adverse findings	None	N/A Audit closure date: June 11, 2020
University of Cincinnati Medical Center LLC	DSH360003	OH	No adverse findings	None	N/A Audit closure date: July 23, 2020
UPMC Horizon Hospital	DSH390178	PA	Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: November 10, 2020
UPMC McKeesport	DSH390002	PA	Inaccurate or incomplete information on the Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding.	None	CAP implemented Audit closure date: January 27, 2021
Upson County Hospital, Inc.	SCH110002-00	GA	No adverse findings	None	N/A Audit closure date: May 12, 2020
Val Verde Regional Medical Center	DSH450154	TX	Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS.	None	CAP implemented Audit closure date: April 2, 2021
Ventura County Medical Center	DSH050159	CA	Incorrect 340 OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS.	None	CAP implemented Audit closure date: November 19, 2020
Verde Valley Medical Center	SCH030007-00	AZ	Incorrect 340B OPAIS record – Failed to remove a closed contract pharmacy from 340B OPAIS.	None	CAP implemented Audit closure date: December 11, 2020
Walter Knox Memorial Hospital	CAH131318-00	ID	No adverse findings	None	N/A Audit closure date: July 23, 2020
Weatherford Hospital Authority	CAH371323-00	OK	No adverse findings	None	N/A Audit closure date: July 23, 2020
Weiser Valley Hospital District, dba Weiser Memorial Hospital	CAH131307-00	ID	No adverse findings	None	N/A Audit closure date: August 4, 2020
Welia Health	CAH241367-00	MN	Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.	Repayment to manufacturers	CAP implemented Audit closure date: January 15, 2021	340B Coordinator ckordiak@welia.org 320-225-3999
WellStar Atlanta Medical Center	DSH110115	GA	No adverse findings	None	N/A Audit closure date: August 4, 2020
Western Sierra Medical Clinic	CH0921760	CA	Incorrect 340B OPAIS record – Incorrect Authorizing Official listed; Incorrect Primary Contact listed; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Diversion – 340B drug dispensed at a contract pharmacy, not supported by a medical record.	Repayment to manufacturers	CAP implemented Audit closure date: July 20, 2021	Senior Director of Operations 844 Old Tunnel Road Grass Valley, CA 95945 530-273-4984 X102 francine@wsmcmed.org
Wickenburg Community Hospital Association Inc.	CAH031300-00	AZ	Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed on the 340B OPAIS; Incorrect entry in 340B OPAIS for address for an offsite outpatient facility. Diversion – 340B drugs dispensed to inpatients	Repayment to manufacturers	CAP implemented Audit closure date: April 13, 2021	Director of Pharmacy Services and 340B Program 520 Rose Lane Wickenburg, AZ 85390 928-684-4380
William Beaumont Hospital DBA Beaumont Hospital - Grosse Pointe	DSH230089	MI	No adverse findings	None	N/A Audit closure date: August 21, 2020
Willis Knighton Medical Center, Inc.	DSH190111	LA	No adverse findings	None	N/A Audit closure date: June 11, 2020
Windsor Hospital Corporation dba Mt. Ascutney Hospital and Health Center	CAH471302-00	VT	Incorrect 340B OPAIS record – Incorrect Primary Contact listed. Diversion – 340B drugs dispensed at contract pharmacy, not supported by medical records.	Repayment to manufacturers	CAP approved	Chief Financial Officer Windsor Hospital Corporation d/b/a Mt. Ascutney Hospital and Health Center 289 County Road Windsor, VT 05089 802-674-7240 david.sanville@mahhc.org
Wyckoff Heights Medical Center	DSH330221	NY	Covered outpatient drugs obtained through a Group Purchasing Organization prior to October 2019. Diversion – 340B drugs dispensed at contract pharmacy, not supported by medical records.	Repayment to manufacturers	CAP implemented Audit closure date: March 17, 2021	Director of Pharmacy, Wyckoff Heights Medical Center 374 Stockholm Street Brooklyn, NY 11237 718-963-7141 jrumore@wyckoffhospital.org