EIN: 931070304
UEI: W9GHPK4T7JX6
Audited by: CliftonLarsonAllen LLP
Oversight agency: 10 [Department of Agriculture]
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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 27, 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 27, 2026 (27 days from today).
What is a management decision? →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.
CLA identified one instance of the key control not being met while performing testing over the special tests and provisions compliance requirements. Context: CLA identified one instance out of 25 total tested of which the key control was not being met while performing testing over the special tests and provisions compliance requirement. Cause: The sliding fee application effective for the transaction tested indicated the patient qualified for a Level B sliding fee discount. However, upon recalculation the patient should have been noted as Level A sliding fee discount. Effect: Incorrect sliding fee discount was applied to the transaction tested resulting in the patient being overcharged for services. Recommendation: We recommend that Aviva Health implement a process to internally audit the new applications on a monthly or quarterly basis. Views of the Responsible Officials: There is no disagreement with the audit finding. Corrective Action Plan: Aviva health has scheduled a mandatory training to refresh all staff that evaluate and approve sliding fee. the organization has and continues to follow their policy and procedure for review of sliding fee determination prior to adjustment.
Show full finding ▾Hide full finding ▴Program Name/ALN Title: Health Center Cluster Federal Assistance Listing Number: 93.224/93.527 Federal Agency: U.S Department of Health and Human Services Award Period: 7/1/2022 – 06/31/2023 Federal Award Number: N/A Type of Finding: Significant Deficiency Criteria: Under the compliance requirement for Special Tests and Provisions for ALN 93.224/93.527, “health centers must prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay”. In one identified instance, an incorrect sliding fee discount was applied, resulting in the patient being overcharged for services provided. Condition: CLA identified one instance of the key control not being met while performing testing over the special tests and provisions compliance requirements. Context: CLA identified one instance out of 25 total tested of which the key control was not being met while performing testing over the special tests and provisions compliance requirement. Cause: The sliding fee application effective for the transaction tested indicated the patient qualified for a Level B sliding fee discount. However, upon recalculation the patient should have been noted as Level A sliding fee discount. Effect: Incorrect sliding fee discount was applied to the transaction tested resulting in the patient being overcharged for services. Recommendation: We recommend that Aviva Health implement a process to internally audit the new applications on a monthly or quarterly basis. Views of the Responsible Officials: There is no disagreement with the audit finding. Corrective Action Plan: Aviva health has scheduled a mandatory training to refresh all staff that evaluate and approve sliding fee. the organization has and continues to follow their policy and procedure for review of sliding fee determination prior to adjustment.
U.S. Department of Health and Human Services Umpqua Community Health Cetner, Inc. dba: Aviva Health (Aviva Health) respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 through June 30, 2023 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT No matters required to be reported in accordance with Government Auditing Standards. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS 2023-001 Significant Deficiency – Special Tests and Provisions Recommendation: We recommend that Aviva Health implement a process to internally audit the new sliding fee applications on a monthly or quarterly basis. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Aviva Health has scheduled a mandatory training to refresh all staff that evaluate and approve sliding fee. The organization has and continues to follow their policy and procedure for review of sliding fee determination prior to adjustment. Name(s) of the contact person(s) responsible for corrective action: Leah Woods, Chief Financial Officer Planned completion date for corrective action plan: December 31, 2023 If the U.S. Department of Health and Human Services has questions regarding this plan, please call Leah Woods, Chief Financial Officer (541) 672-9596
FAC accepted this audit on March 30, 2023 — management decision was due September 30, 2023.
FAC accepted this audit on September 29, 2022 — management decision was due March 29, 2023.
FAC accepted this audit on January 26, 2021 — management decision was due July 26, 2021.
FAC accepted this audit on February 6, 2020 — management decision was due August 6, 2020.
FAC accepted this audit on November 28, 2018 — management decision was due May 28, 2019.
FAC accepted this audit on November 12, 2017 — management decision was due May 12, 2018.
FAC accepted this audit on January 2, 2017 — management decision was due July 2, 2017.
GSA_MIGRATION
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