2014-457 Health - Piedmont Health Services - Outside Agency Performance Agreement to properly and fully complete the work set forth in the Scope of Services $10,000

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PART I - INTRODUCTION BACKGROUND Piedmont Health Services, Inc. (the "Organization") , operates community medical and dental clinics. Also, the Organization started a comprehensive senior care program during 2008. The Organization provides comprehensive out-patient health services at seven locations in Orange, Caswell, Alamance, and Chatham Counties, North Carolina. The Organization is a not-for-profit corporation incorporated in March 1970 under the laws of the State of North Carolina. For federal funding purposes, November 30 has been designated the Organization' s fiscal year-end. For the year ended November 30, 2013, the Organization received Federal grant awards from the U. S. Department of Health and Human Services (DHHS) totaling $5,509,136; awards from the U. S. Department of Agriculture of $1,092,632, passed ' through the North Carolina Department of Health and Human Services; and $135,930 from the U. S. Department of Health and Human Services, passed through the North Carolina Department of Health and Human Services. SCOPE OF AUDIT Our audit of the Organization was performed in accordance with auditing standards generally accepted in the United States of America, the financial and compliance elements of the Government Auditing Standards issued by the Comptroller General of the United States and the provisions of Office of Management and Budget Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations. The audit covered the period December 1, 2012 through November 30, 2013, and field work was completed on February 7, 2014. -2-