Audit 359273

FY End
2025-01-31
Total Expended
$2.84M
Findings
2
Programs
3
Year: 2025 Accepted: 2025-06-19

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
565393 2025-001 Significant Deficiency - N
1141835 2025-001 Significant Deficiency - N

Contacts

Name Title Type
LDELRDGKS4W9 Tamie Olson Auditee
5204075600 Olivia Howerton Auditor
No contacts on file

Notes to SEFA

Title: BASIS OF PRESENTATION Accounting Policies: Expenditures reported on the schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the financial statements. De Minimis Rate Used: N Rate Explanation: The Center has elected not to use the 10 percent de minimis indirect cost rate as covered in 2 CFR §200.414. The accompanying Schedule of Expenditures of Federal Awards includes the federal grant activity of United Community Health Center - Maria Auxiliadora, Inc. The information in this schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance).
Title: FEDERAL ASSISTANCE LISTING NUMBER Accounting Policies: Expenditures reported on the schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the financial statements. De Minimis Rate Used: N Rate Explanation: The Center has elected not to use the 10 percent de minimis indirect cost rate as covered in 2 CFR §200.414. The program titles and Federal Assistance Listings numbers were obtained from the federal or passthrough grantor or the 2024 Federal Assistance Listings. When no Federal Assistance Listings number has been assigned to a program, the two digit federal agency identifier and the federal contract number were used. When there was no federal contract number, the 2-digit federal agency identifier and the word "unknown” were used.
Title: LOANS Accounting Policies: Expenditures reported on the schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the financial statements. De Minimis Rate Used: N Rate Explanation: The Center has elected not to use the 10 percent de minimis indirect cost rate as covered in 2 CFR §200.414. The Department of Agriculture has guaranteed a loan for the Center. The original amount of the loan was $4,335,000, payable in fixed monthly installments of $22,530 for a period of 30 years at 3.99% interest. The outstanding balance on the loan was $3,015,763 at January 31, 2025. It has been determined that there are no special provisions or requirements other than to pay back the loan in a timely fashion, so the outstanding balance has not been included in the Schedule of Expenditures of Federal Awards for the year ended January 31, 2025.

Finding Details

2025-001 Special Tests and Provisions - Sliding Fee Scale Discounts Federal program: FAL 93.224 Health Center Program U.S. Department of Health and Human Services Federal grant number H80CS00416 Criteria: Patients applying for sliding fee scale (SFS) discounts should have their income levels adequately documented and accurately calculated, and patients should be given the proper discount based upon their income level in accordance with 42 CFR Section 51c.303(f). Condition: The Center requires patients that apply for the SFS discount to complete attestation forms that includes their household sizes and income levels, and these forms are then used to determine patients' SFS discounts. One patient attestation form out of 40 SFS patient encounters that we tested reflected an incorrect SFS discount. Cause: Unknown Effect: Due to incorrect attestation forms, we could not determine whether the Organization consistently provided patients with the proper discount based upon their income levels. Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications in order to detect and correct errors or incomplete applications on a timely basis.
2025-001 Special Tests and Provisions - Sliding Fee Scale Discounts Federal program: FAL 93.224 Health Center Program U.S. Department of Health and Human Services Federal grant number H80CS00416 Criteria: Patients applying for sliding fee scale (SFS) discounts should have their income levels adequately documented and accurately calculated, and patients should be given the proper discount based upon their income level in accordance with 42 CFR Section 51c.303(f). Condition: The Center requires patients that apply for the SFS discount to complete attestation forms that includes their household sizes and income levels, and these forms are then used to determine patients' SFS discounts. One patient attestation form out of 40 SFS patient encounters that we tested reflected an incorrect SFS discount. Cause: Unknown Effect: Due to incorrect attestation forms, we could not determine whether the Organization consistently provided patients with the proper discount based upon their income levels. Recommendation: To help ensure that SFS discounts are properly calculated and documented, the Center should perform random reviews of its SFS applications in order to detect and correct errors or incomplete applications on a timely basis.