EIN: 581999205
UEI: JLMTL481FY29
Audited by: Draffin & Tucker, LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 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 September 25, 2026 (27 days from today).
What is a management decision? →Federal Program Identification: U.S. Department of Health and Human Services Health Centers Cluster - Consolidated Health Center Program, AL 93.224, and Grant Number: H8000678 Condition/Criteria: Community Health Centers are required to offer sliding fee discounts to patients with annual incomes at or below 200% of the federal poverty guidelines. While the Organization has established policies to administer these discounts, opportunities exist to strengthen controls, particularly in documentation practices. Supporting documentation used to determine sliding fee discounts is not consistently maintained in every patient file. Cause: A system conversion has resulted in procedures related to the maintenance of required documentation for sliding fee determinations not being fully implemented or consistently followed in accordance with the Organization’s established policies. Effect: Without proper documentation, there is a risk that patients may receive incorrect sliding fee discounts, potentially resulting in overpayment or underpayment for services. Recommendation: We recommend the Organization enhance its procedures to ensure that all required documentation used in the determination of sliding fee discounts is consistently collected and retained in each patient's file. View of Responsible Officials and Planned Corrective Action: See corrective action plan.
Show full finding ▾Hide full finding ▴Federal Program Identification: U.S. Department of Health and Human Services Health Centers Cluster - Consolidated Health Center Program, AL 93.224, and Grant Number: H8000678 Condition/Criteria: Community Health Centers are required to offer sliding fee discounts to patients with annual incomes at or below 200% of the federal poverty guidelines. While the Organization has established policies to administer these discounts, opportunities exist to strengthen controls, particularly in documentation practices. Supporting documentation used to determine sliding fee discounts is not consistently maintained in every patient file. Cause: A system conversion has resulted in procedures related to the maintenance of required documentation for sliding fee determinations not being fully implemented or consistently followed in accordance with the Organization’s established policies. Effect: Without proper documentation, there is a risk that patients may receive incorrect sliding fee discounts, potentially resulting in overpayment or underpayment for services. Recommendation: We recommend the Organization enhance its procedures to ensure that all required documentation used in the determination of sliding fee discounts is consistently collected and retained in each patient's file. View of Responsible Officials and Planned Corrective Action: See corrective action plan.
Sliding Fee Discount Supporting Documentation - Significant Deficiency 2025-002 Valley Healthcare System, Inc. acknowledges that supporting documentation used to determine sliding fee discounts should be consistenly maintained. Valley Healthcare System, Inc. will implement procedures and controls to ensure that documentation is consistently maintained.
FAC accepted this audit on March 31, 2025 — management decision was due October 1, 2025.
FAC accepted this audit on April 1, 2024 — management decision was due October 1, 2024.
FAC accepted this audit on February 9, 2023 — management decision was due August 9, 2023.
FAC accepted this audit on February 10, 2022 — management decision was due August 10, 2022.
FAC accepted this audit on February 7, 2021 — management decision was due August 7, 2021.
FAC accepted this audit on February 16, 2020 — management decision was due August 16, 2020.
FAC accepted this audit on December 19, 2018 — management decision was due June 19, 2019.
FAC accepted this audit on March 29, 2018 — management decision was due September 29, 2018.
GSA_MIGRATION
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GSA_MIGRATION
2016-005
FAC accepted this audit on March 30, 2017 — management decision was due September 30, 2017.
GSA_MIGRATION
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GSA_MIGRATION
GSA_MIGRATION
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Show full finding ▾Hide full finding ▴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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