Audit 10762

FY End
2023-06-30
Total Expended
$23.30M
Findings
4
Programs
21
Year: 2023 Accepted: 2024-01-10
Auditor: Cohnreznick LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
8196 2023-001 Significant Deficiency - L
8197 2023-001 Significant Deficiency - L
584638 2023-001 Significant Deficiency - L
584639 2023-001 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.02M - 0
93.914 Hiv Emergency Relief Project Grants $1.95M Yes 0
32.006 Covid-19 Telehealth Program $958,500 Yes 0
93.939 Hiv Prevention Activities_non-Governmental Organization Based $895,382 - 0
93.940 Hiv Prevention Activities_health Department Based $412,829 - 0
14.241 Housing Opportunities for Persons with Aids $358,079 - 0
93.917 Hiv Care Formula Grants $290,927 - 0
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $277,010 - 0
97.024 Emergency Food and Shelter National Board Program $220,959 - 0
93.958 Block Grants for Community Mental Health Services $210,149 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $126,097 - 0
93.924 Ryan White Hiv/aids Dental Reimbursement and Community Based Dental Partnership Grants $119,499 - 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $104,985 - 0
93.686 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B (b) $99,458 - 0
93.788 Opioid Str $86,940 Yes 1
93.307 Minority Health and Health Disparities Research $45,911 - 0
93.279 Drug Abuse and Addiction Research Programs $45,383 - 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $43,709 - 0
84.126 Rehabilitation Services_vocational Rehabilitation Grants to States $36,400 - 0
93.498 Provider Relief Fund $8,881 - 0
97.032 Crisis Counseling $6,958 - 0

Contacts

Name Title Type
YMDTWM21RUB6 Keenan Karwan Auditee
3055761234 Gil Bernhard Auditor
No contacts on file

Notes to SEFA

Title: Note 1 - Basis of presentation Accounting Policies: 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 entity has elected to not use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The entity has elected to not use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the "Schedule") includes the federal award activity of Care Resource Community Health Centers, Incorporated, and Food for Life Network, Inc. (the "entity") under programs of the federal government for the year ended June 30, 2023. The information in this 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 (the "Uniform Guidance"). Because the Schedule presents only a selected portion of the operations of the entity, it is not intended to and does not present the financial position, changes in net assets or cash flows of the entity.
Title: Note 3 - COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution - Assistance Listing Number 93.498 Accounting Policies: 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 entity has elected to not use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The entity has elected to not use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. For the HHS awards related to the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ("PRF") program, HHS has indicated the amounts on the Schedule should be reported corresponding to reporting requirements of the HRSA PRF Reporting Portal. Payments from HHS for PRF are assigned to 'Payment Received Periods' (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Period's deadline to use the funds (i.e., after the end of the Period of Availability). The Schedule includes $8,881 received from HHS between July 1, 2021, through December 31, 2021. In accordance with guidance from HHS, this amount represents $8,881 for Period 4. Amounts received in Period 4 were recognized as DHHS grant revenue in the consolidated financial statements for the year ended June 30, 2023.

Finding Details

Section III - Federal Award Findings and Questioned Costs U.S. Department of Health and Human Services, Opioid STR (Assistance Listing Number 93.788) Item 2023-001 - Reporting Criteria In accordance with the contract agreement with the Broward Behavioral Health Coalition, monthly service data, inclusive of performance measures, is to be submitted to the Carisk portal, the data reporting system designated by the Broward Behavioral Health Coalition, and is due on the seventh calendar day of the following month for which services were rendered. In addition, invoices and supporting documentation are to be submitted and are due on the tenth calendar day of the following month for which services were provided. Statement of Condition The Center did not submit performance measure outcomes to the Carisk portal. In addition, for one out of three months tested, the invoice and supporting documentation was not submitted on a timely basis. Cause The Center had data upload issues that resulted in performance outcome measures being rejected as errors. The monthly invoice was submitted late due to data invoice processing issues. Effect The Center did not comply with the rules and regulations per the award. Questioned Costs None Context The Center did not submit the monthly performance measure outcomes to the Carisk portal for majority of the fiscal year. During the audit, we were only able to evidence the submission for the month of June 2023. In addition, the monthly invoice and supporting documentation for the month of May 2023 was submitted one day late. Identification as a Repeat Finding Condition is not a repeat finding. Recommendation We recommend that the Center strengthen their system of internal controls to ensure that all reporting requirements are monitored and met on a timely basis. Views of Responsible Official Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Section III - Federal Award Findings and Questioned Costs U.S. Department of Health and Human Services, Opioid STR (Assistance Listing Number 93.788) Item 2023-001 - Reporting Criteria In accordance with the contract agreement with the Broward Behavioral Health Coalition, monthly service data, inclusive of performance measures, is to be submitted to the Carisk portal, the data reporting system designated by the Broward Behavioral Health Coalition, and is due on the seventh calendar day of the following month for which services were rendered. In addition, invoices and supporting documentation are to be submitted and are due on the tenth calendar day of the following month for which services were provided. Statement of Condition The Center did not submit performance measure outcomes to the Carisk portal. In addition, for one out of three months tested, the invoice and supporting documentation was not submitted on a timely basis. Cause The Center had data upload issues that resulted in performance outcome measures being rejected as errors. The monthly invoice was submitted late due to data invoice processing issues. Effect The Center did not comply with the rules and regulations per the award. Questioned Costs None Context The Center did not submit the monthly performance measure outcomes to the Carisk portal for majority of the fiscal year. During the audit, we were only able to evidence the submission for the month of June 2023. In addition, the monthly invoice and supporting documentation for the month of May 2023 was submitted one day late. Identification as a Repeat Finding Condition is not a repeat finding. Recommendation We recommend that the Center strengthen their system of internal controls to ensure that all reporting requirements are monitored and met on a timely basis. Views of Responsible Official Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Section III - Federal Award Findings and Questioned Costs U.S. Department of Health and Human Services, Opioid STR (Assistance Listing Number 93.788) Item 2023-001 - Reporting Criteria In accordance with the contract agreement with the Broward Behavioral Health Coalition, monthly service data, inclusive of performance measures, is to be submitted to the Carisk portal, the data reporting system designated by the Broward Behavioral Health Coalition, and is due on the seventh calendar day of the following month for which services were rendered. In addition, invoices and supporting documentation are to be submitted and are due on the tenth calendar day of the following month for which services were provided. Statement of Condition The Center did not submit performance measure outcomes to the Carisk portal. In addition, for one out of three months tested, the invoice and supporting documentation was not submitted on a timely basis. Cause The Center had data upload issues that resulted in performance outcome measures being rejected as errors. The monthly invoice was submitted late due to data invoice processing issues. Effect The Center did not comply with the rules and regulations per the award. Questioned Costs None Context The Center did not submit the monthly performance measure outcomes to the Carisk portal for majority of the fiscal year. During the audit, we were only able to evidence the submission for the month of June 2023. In addition, the monthly invoice and supporting documentation for the month of May 2023 was submitted one day late. Identification as a Repeat Finding Condition is not a repeat finding. Recommendation We recommend that the Center strengthen their system of internal controls to ensure that all reporting requirements are monitored and met on a timely basis. Views of Responsible Official Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.
Section III - Federal Award Findings and Questioned Costs U.S. Department of Health and Human Services, Opioid STR (Assistance Listing Number 93.788) Item 2023-001 - Reporting Criteria In accordance with the contract agreement with the Broward Behavioral Health Coalition, monthly service data, inclusive of performance measures, is to be submitted to the Carisk portal, the data reporting system designated by the Broward Behavioral Health Coalition, and is due on the seventh calendar day of the following month for which services were rendered. In addition, invoices and supporting documentation are to be submitted and are due on the tenth calendar day of the following month for which services were provided. Statement of Condition The Center did not submit performance measure outcomes to the Carisk portal. In addition, for one out of three months tested, the invoice and supporting documentation was not submitted on a timely basis. Cause The Center had data upload issues that resulted in performance outcome measures being rejected as errors. The monthly invoice was submitted late due to data invoice processing issues. Effect The Center did not comply with the rules and regulations per the award. Questioned Costs None Context The Center did not submit the monthly performance measure outcomes to the Carisk portal for majority of the fiscal year. During the audit, we were only able to evidence the submission for the month of June 2023. In addition, the monthly invoice and supporting documentation for the month of May 2023 was submitted one day late. Identification as a Repeat Finding Condition is not a repeat finding. Recommendation We recommend that the Center strengthen their system of internal controls to ensure that all reporting requirements are monitored and met on a timely basis. Views of Responsible Official Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.