Audit 412136

FY End
2024-06-30
Total Expended
$4.66M
Findings
3
Programs
10
Year: 2024 Accepted: 2026-09-25

Organization Exclusion Status:

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Contacts

Name Title Type
JKK2JK6RC3N3 Alexis Nkusi Auditee
7704460929 Aleisa Howell Auditor
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Notes to SEFA

The 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.
The 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.
Expenditures consist of direct and indirect costs. The Center has predetermined facilities administrative and fringe benefits rates for federal awards which are effective from July 1, 2023 through June 30, 2024. The facilities administrative and fringe benefits rates are 15%, of modified total direct costs for all federal programs.
These federal and state programs are subject to financial and compliance audits by grantor agencies which, if instances of material noncompliance are found, may result in disallowed expenditures and affect the Center’s continued participation in specific programs. The amount, if any, of expenditures which may be disallowed by the grantor agencies cannot be determined at this time, although the Center expects such amounts, if any, to be immaterial.
There were no awards passed through to subrecipients for the year ended June 30, 2024.

Finding Details

During our review of siding fee discounts, we noted the Center is not properly documenting eligibility for participation in the sliding fee program. We noted the majority of samples we selected for testing; the sliding fee discounts applied were not properly calculated. Due to the errors in the calculation for the discounts, the discounts are either over or under applied to the patient’s bill and management was not able to prevent or detect and correct the discounts on a timely basis. The amount of likely questioned costs is $212,179.
During our review of activities allowed and allowable costs, we noted the Center did not retain certain documentation related to disbursements made. In addition, the Center was also not able to provide documentation related to supporting the approvals on the disbursement prior to the disbursement being made.
During our review of applicable reports, we noted the Center did not submit applicable reports in a timely manner. In addition, the supporting documentation provided by the Center did not match all numbers on report.