Audit 403760

FY End
2025-06-30
Total Expended
$7.72M
Findings
3
Programs
6
Year: 2025 Accepted: 2026-06-15
Auditor: WINDES INC

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1217607 2025-002 Material Weakness Yes N
1217608 2025-002 Material Weakness Yes N
1217609 2025-002 Material Weakness Yes N

Contacts

Name Title Type
M7WWSTCJHXP5 Alicia Mardini Auditee
6269194333 Kelly Buck Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of East Valley Community Health Center, Inc. (the Health Center), under programs of the federal government for the year ended June 30, 2025. The information in the Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the Health Center, it is not intended to and does not present the financial position, statement of activities, or cash flows of the Health Center.
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. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. The Health Center has elected not to use the de minimis indirect cost rate allowed under the Uniform Guidance. There were no funds passed through to subrecipients.

Finding Details

Health Center Program Cluster Assistance Listing Numbers 93.224 and 93.527 U.S. Department of Health and Human Services Criteria or Specific Requirement: Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g); and 42 CFR sections 56.303(f)) Condition: Sliding fee discounts applied to patient charges were inconsistent with the Health Center’s sliding fee discount policy. Cause: The Health Center did not comply with its sliding fee policy. Effect or potential effect: Sliding fee discounts were given to patients that were inconsistent with the Health Center’s sliding fee discount policy. Questioned costs: None Context: A sample of 40 encounters were tested. The sampling methodology used is not and is not intended to be statistically valid. Five patients received a sliding fee adjustment that was inconsistent with the approved policy based on their income documentation. Identification as a repeat finding: Repeat finding of 2024-002. Recommendation: It is recommended that management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale and the Health Center Program Compliance Manual.