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WAYNE COUNTY HEALTHY COMMUNITIESNon-Profit

EIN: 300672911

UEI: KZMDRDLPTD44

Audited by: GLEN OLIVACHE CPA PC

Oversight agency: 93 [Department of Health and Human Services]

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Data as of August 28, 2026

WAYNE COUNTY HEALTHY COMMUNITIES10 audit years7 findings5 repeat
10
Audit Years
7
Total Findings
5
Repeat Findings
$2.5M
Federal Awards Expended (FY 2025)

FY 2025-09-30

LOW-RISK AUDITEE$2,494,830 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on June 25, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by December 25, 2026 (116 days from today).

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FY 2024-09-30

LOW-RISK AUDITEE$2,535,117 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 27, 2025 — management decision was due December 27, 2025.

FY 2023-09-30

$2,321,019 federal awards expended

FAC accepted this audit on June 28, 2024 — management decision was due December 28, 2024.

2023-001
Other
SIGNIFICANT DEFICIENCYREPEAT OF 2022-001

Finding Type - Significant Deficiency. CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Cluster. Repeat Finding - No. Questioned Costs - None. Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 6 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 6 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

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Full finding narrative

Finding Type - Significant Deficiency. CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Cluster. Repeat Finding - No. Questioned Costs - None. Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 6 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 6 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Corrective Action Plan

In response to the audit finding for fiscal year 2023, Wayne County Healthy Communities has implemented processes and procedures to address the finding. • Finding Number 2023-01 WCHC Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record [EHR] system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors. Anticipated Completion Date: December 15, 2024 Individuals Responsible: Amaal Haimout, Chief Operating Officer Jawan Simpson, Chief Financial Officer

Prior Finding References

2022-001

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FY 2022-09-30

$3,208,349 federal awards expended

FAC accepted this audit on June 27, 2023 — management decision was due December 27, 2023.

2022-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCY

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

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Full finding narrative

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Corrective Action Plan

June 21, 2023 Glen Olivache, CPA, PC P.O. Box 32605 Detroit, Ml 48232 Re: Corrective Action Plan for Wayne County Healthy Communities In response to the audit finding for fiscal year 2022, Wayne County Healthy Communities has implemented processes and procedures to address the finding. ? Finding Number 2022-01 WCHC Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record [EHR] system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors. Anticipated Completion Date: December 15, 2023 Individuals Responsible: Amaal Haimout, Chief Operating Officer Brian Middaugh, Chief Financial Officer Sincerely, Ka'leef Stanton Morse, MHS, MBA Chief Executive Officer Wayne County Healthy Communities KMorse@waynecounty.com 313-702-2710 Cc: Amaal Haimout Brian Middaugh

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FY 2021-09-30

$2,848,920 federal awards expended

FAC accepted this audit on February 20, 2023 — management decision was due August 20, 2023.

2021-001
Reporting
SIGNIFICANT DEFICIENCYREPEAT OF 2020-001

Reference Number Findings 2021-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - Yes Questioned Costs - None Criteria - The audit must be completed and the data collection form must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit Condition - The audit report and data collection form were not submitted within nine months of the year end; specifically, no later than June 30, 2022. Cause - The audit was not completed before the due date. Effect - Untimely issuance of financial statements and noncompliance with Federal requirements. Recommendation - We recommend that management implement procedures to ensure timely completion and submission of all financial reports. View of Responsible Officials and Corrective Action Planned - We concur with the deficiency of timeliness of submitting audits. We continue to implement processes and procedures to ensure timely completion and submission of all financial reports.

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Full finding narrative

Reference Number Findings 2021-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - Yes Questioned Costs - None Criteria - The audit must be completed and the data collection form must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit Condition - The audit report and data collection form were not submitted within nine months of the year end; specifically, no later than June 30, 2022. Cause - The audit was not completed before the due date. Effect - Untimely issuance of financial statements and noncompliance with Federal requirements. Recommendation - We recommend that management implement procedures to ensure timely completion and submission of all financial reports. View of Responsible Officials and Corrective Action Planned - We concur with the deficiency of timeliness of submitting audits. We continue to implement processes and procedures to ensure timely completion and submission of all financial reports.

Corrective Action Plan

February 15, 2023 Corrective Action Plan for Wayne County Healthy Communities In response to the audit finding for fiscal year 2021, Wayne County Healthy Communities has implemented processes and procedures to address the finding. ? Finding Number 2021-001: Monthly meetings between Wayne County Healthy Communities and Wayne County?s finance teams focus on areas in which transparency of information, and how it is presented to each party, is more clear and concise. These areas include differentiating the main grant budget period to the county and clinics fiscal year and how the expenses and drawdown schedules relate accordingly. It is anticipated the collaborative efforts of both parties will ensure timely completion and submission of all financial reports. Wayne County and Wayne County Healthy Communities concur with the deficiency of timeliness of submitting audits. Both parties will continue to make efforts to meet the predetermined timelines for completion and submission of financial reports. Anticipated Completion Date: February 15, 2023 Individual Responsible: Brian Middaugh, Chief Financial Officer

Prior Finding References

2020-001

About Reporting →

FY 2020-09-30

$2,539,960 federal awards expended

FAC accepted this audit on July 7, 2022 — management decision was due January 7, 2023.

2020-001
Reporting
SIGNIFICANT DEFICIENCYREPEAT OF 2019-001QUESTIONED COSTS

Reference Number Findings 2020-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - Yes Questioned Costs - None Criteria - The audit must be completed and the data collection form must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. Condition - The audit report and data collection form were not submitted within nine months of the year end; specifically, no later than June 30, 2021. Cause - The audit was not completed before the due date. Effect - Untimely issuance of financial statements and noncompliance with Federal requirements. Recommendation - We recommend that management implement procedures to ensure timely completion and submission of all financial reports. View of Responsible Officials and Corrective Action Planned - We concur with the deficiency of timeliness of submitting audits. We continue to implement processes and procedures to ensure timely completion and submission of all financial reports.

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Full finding narrative

Reference Number Findings 2020-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - Yes Questioned Costs - None Criteria - The audit must be completed and the data collection form must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. Condition - The audit report and data collection form were not submitted within nine months of the year end; specifically, no later than June 30, 2021. Cause - The audit was not completed before the due date. Effect - Untimely issuance of financial statements and noncompliance with Federal requirements. Recommendation - We recommend that management implement procedures to ensure timely completion and submission of all financial reports. View of Responsible Officials and Corrective Action Planned - We concur with the deficiency of timeliness of submitting audits. We continue to implement processes and procedures to ensure timely completion and submission of all financial reports.

Corrective Action Plan

June 27, 2022 Corrective Action Plan for Wayne County Healthy Communities In response to the audit finding for fiscal year 2020, Wayne County Healthy Communities has implemented processes and procedures to address the finding. ? Finding Number 2020-001: Monthly meetings between Wayne County Healthy Communities and Wayne County?s finance teams focus on areas in which transparency of information, and how it is presented to each party, is more clear and concise. These areas include differentiating the main grant budget period to the county and clinics fiscal year and how the expenses and drawdown schedules relate accordingly. It is anticipated the collaborative efforts of both parties will ensure timely completion and submission of all financial reports. Wayne County and Wayne County Healthy Communities concur with the deficiency of timeliness of submitting audits. Both parties will continue to make efforts to meet the predetermined timelines for completion and submission of financial reports. Anticipated Completion Date: June 27, 2022 Individual Responsible: Brian Middaugh, Chief Financial Officer

Prior Finding References

2019-001

About Reporting →

FY 2019-09-30

$2,363,301 federal awards expended

FAC accepted this audit on July 5, 2022 — management decision was due January 5, 2023.

2019-001
Reporting
SIGNIFICANT DEFICIENCYREPEAT OF 2018-002

SECTION 3 ? FEDERAL PROGRAM AUDIT FINDINGS Reference Number Findings 2019-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - Yes Questioned Costs - None Criteria - The audit must be completed and the data collection form must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. Condition - The audit report and data collection form were not submitted within nine months of the year end; specifically, no later than June 30, 2020. Cause - The audit was not completed before the due date. Effect - Untimely issuance of financial statements and noncompliance with Federal requirements. Recommendation - We recommend that management implement procedures to ensure timely completion and submission of all financial reports. View of Responsible Officials and Corrective Action Planned - We concur with the deficiency of timeliness of submitting audits. We continue to implement processes and procedures to ensure timely completion and submission of all financial reports.

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Full finding narrative

SECTION 3 ? FEDERAL PROGRAM AUDIT FINDINGS Reference Number Findings 2019-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - Yes Questioned Costs - None Criteria - The audit must be completed and the data collection form must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. Condition - The audit report and data collection form were not submitted within nine months of the year end; specifically, no later than June 30, 2020. Cause - The audit was not completed before the due date. Effect - Untimely issuance of financial statements and noncompliance with Federal requirements. Recommendation - We recommend that management implement procedures to ensure timely completion and submission of all financial reports. View of Responsible Officials and Corrective Action Planned - We concur with the deficiency of timeliness of submitting audits. We continue to implement processes and procedures to ensure timely completion and submission of all financial reports.

Corrective Action Plan

June 27, 2022 Corrective Action Plan for Wayne County Healthy Communities In response to the audit finding for fiscal year 2019, Wayne County Healthy Communities has implemented processes and procedures to address the finding. ? Finding Number 2019-001: Monthly meetings between Wayne County Healthy Communities and Wayne County?s finance teams focus on areas in which transparency of information, and how it is presented to each party, is more clear and concise. These areas include differentiating the main grant budget period to the county and clinics fiscal year and how the expenses and drawdown schedules relate accordingly. It is anticipated the collaborative efforts of both parties will ensure timely completion and submission of all financial reports. Wayne County and Wayne County Healthy Communities concur with the deficiency of timeliness of submitting audits. Both parties will continue to make efforts to meet the predetermined timelines for completion and submission of financial reports. Anticipated Completion Date: June 27, 2022 Individual Responsible: Brian Middaugh, Chief Financial Officer

Prior Finding References

2018-002

About Reporting →

FY 2018-09-30

$2,425,098 federal awards expended

FAC accepted this audit on March 3, 2020 — management decision was due September 3, 2020.

2018-002
Reporting
SIGNIFICANT DEFICIENCYREPEAT OF 2017-002

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-002

About Reporting →

FY 2017-09-30

$1,943,404 federal awards expended

FAC accepted this audit on November 19, 2019 — management decision was due May 19, 2020.

2017-002
Reporting
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2016-09-30

$1,867,212 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 29, 2017 — management decision was due December 29, 2017.

Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.

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