FAC Explorer

Audit 11537

FY End
2022-12-31
Total Expended
$3.56M
Findings
4
Programs
11
Organization: Hamakua Health Center, Inc. (HI)
Year: 2022 Accepted: 2024-01-15
Auditor: Carbonaro CPAS & Management Group

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
8543 2022-003 Material Weakness - I
8544 2022-003 Material Weakness - I
584985 2022-003 Material Weakness - I
584986 2022-003 Material Weakness - I

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) $259,248 Yes 0
93.310 Covid-19 Trans-Nih Research Support $247,813 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $243,133 - 1
93.137 Covid-19 Community Programs to Improve Minority Health Grant Program $115,000 - 0
93.224 Covid-19 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $61,915 Yes 0
93.391 Covid-19 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $57,653 - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $48,931 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $45,000 - 0
32.006 Covid-19 Telehealth Program $16,652 - 0
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $11,000 - 0
93.498 Covid-19 Provider Relief Fund $10,547 - 0

Contacts

Name Title Type
CW28BEMJXCK7 Cathy Marquette Auditee
8089302737 Rozanne Connell Auditor
No contacts on file

Notes to SEFA

Title: Note A. BASIS OF PRESENTATION Accounting Policies: Basis of Accounting: Expenditures reported on this Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance as applicable, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Functional expenses are allocated to program related and administrative functions. Expense allocations are generally computed based on the number of employees or contractors performing program or administrative functions. The accompanying Schedule of Expenditures of Federal Awards includes the Federal grant activities of Hamakua Health Center, Inc. under programs of the Federal government for the year ended December 31, 2022. 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 (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of Hamakua Health Center, Inc., it is not intended to and does not present the financial position, change in net assets, or cash flows of Hamakua Health Center, Inc.
Title: Note B. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Accounting Policies: Basis of Accounting: Expenditures reported on this Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance as applicable, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Functional expenses are allocated to program related and administrative functions. Expense allocations are generally computed based on the number of employees or contractors performing program or administrative functions. Basis of Accounting: Expenditures reported on this Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance as applicable, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Indirect Cost Rate: The Center has not negotiated an indirect cost rate and therefore, uses the 10% de minimis rate allowed when applicable.
Title: Note C. SUBRECIPIENT PASS THROUGH AWARDS Accounting Policies: Basis of Accounting: Expenditures reported on this Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance as applicable, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Functional expenses are allocated to program related and administrative functions. Expense allocations are generally computed based on the number of employees or contractors performing program or administrative functions. No Federal awards were passed through to subrecipients.
Title: Note D. NONCASH ASSISTANCE Accounting Policies: Basis of Accounting: Expenditures reported on this Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance as applicable, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Functional expenses are allocated to program related and administrative functions. Expense allocations are generally computed based on the number of employees or contractors performing program or administrative functions. As mentioned in Note 2, the value of the federal awards expended in the form of noncash internet utility services from the Universal Service Administrative Company (USAC), is valued at the time the credit is received and totaled $16,652 for the year ending December 31, 2022.

Finding Details

Finding 2022-003
Finding 2022-003 – Inadequate Design of Monitoring Controls over Procurement Policies, Assistance Listing 93.224 Health Center Program, Affordable Care Act Grants for New and Expanded Services Under the Health Center Program and Assistance Listing 93.526 Grants for Capital Development in Health Centers. Criteria: 2 CFR 200.320 requires the non-Federal entity to have and use documented procurement procedures that are consistent with the standards of that section. Additionally, Management is responsible for the design, implementation, and maintenance of effective internal controls over compliance with requirements of laws, statutes, regulations, rules and provisions of contracts or grant agreements to prevent, or detect and correct non-compliance on a timely basis. When small purchase procedures are used, 2 CFR 200.320(a)(2) requires price or rate quotations to be obtained from an adequate number of qualified sources. For acquisitions exceeding the simplified acquisition threshold, the non-federal entity must use one of the methods prescribed by 2 CFR 200.320(b) or (c): the sealed bid method; the competitive proposals method; or the noncompetitive proposals method (i.e., solicit a proposal from only one source) but only when one or more of four circumstances are met, in accordance with 2 CFR 200.320(c)). Condition: Procurement documentation for three vendors tested was not prepared and/or retained to support compliance with the regulations above and the Center’s procurement policy. All three vendors received funding under Federal awards. One vendor, Ark Marketing Group, received HRSA American Rescue Plan Act funding which is part of major program and is a related party to the former Business Development Director. The other two vendors, Whitespace Architects and Project Management Inc. received funding under the HRSA ARPA Capital award which is not part of the major program. Context and Cause of Condition: Although the Center has established policies and procedures in place over the procurement process, there was a lack of documentation to support that the procurement process had been completed as required. Potential Effect: Failure to perform and/or retain documentation of the procurement process resulted in noncompliance with the procurement requirement. Questioned Costs: None Recommendation: Recommend to consistently follow the existing procurement policy and to maintain documentation through the recommended terms outlined in the award. See Management’s Response and Corrective Action Plans on page 32.
Finding 2022-003
Finding 2022-003 – Inadequate Design of Monitoring Controls over Procurement Policies, Assistance Listing 93.224 Health Center Program, Affordable Care Act Grants for New and Expanded Services Under the Health Center Program and Assistance Listing 93.526 Grants for Capital Development in Health Centers. Criteria: 2 CFR 200.320 requires the non-Federal entity to have and use documented procurement procedures that are consistent with the standards of that section. Additionally, Management is responsible for the design, implementation, and maintenance of effective internal controls over compliance with requirements of laws, statutes, regulations, rules and provisions of contracts or grant agreements to prevent, or detect and correct non-compliance on a timely basis. When small purchase procedures are used, 2 CFR 200.320(a)(2) requires price or rate quotations to be obtained from an adequate number of qualified sources. For acquisitions exceeding the simplified acquisition threshold, the non-federal entity must use one of the methods prescribed by 2 CFR 200.320(b) or (c): the sealed bid method; the competitive proposals method; or the noncompetitive proposals method (i.e., solicit a proposal from only one source) but only when one or more of four circumstances are met, in accordance with 2 CFR 200.320(c)). Condition: Procurement documentation for three vendors tested was not prepared and/or retained to support compliance with the regulations above and the Center’s procurement policy. All three vendors received funding under Federal awards. One vendor, Ark Marketing Group, received HRSA American Rescue Plan Act funding which is part of major program and is a related party to the former Business Development Director. The other two vendors, Whitespace Architects and Project Management Inc. received funding under the HRSA ARPA Capital award which is not part of the major program. Context and Cause of Condition: Although the Center has established policies and procedures in place over the procurement process, there was a lack of documentation to support that the procurement process had been completed as required. Potential Effect: Failure to perform and/or retain documentation of the procurement process resulted in noncompliance with the procurement requirement. Questioned Costs: None Recommendation: Recommend to consistently follow the existing procurement policy and to maintain documentation through the recommended terms outlined in the award. See Management’s Response and Corrective Action Plans on page 32.
Finding 2022-003
Finding 2022-003 – Inadequate Design of Monitoring Controls over Procurement Policies, Assistance Listing 93.224 Health Center Program, Affordable Care Act Grants for New and Expanded Services Under the Health Center Program and Assistance Listing 93.526 Grants for Capital Development in Health Centers. Criteria: 2 CFR 200.320 requires the non-Federal entity to have and use documented procurement procedures that are consistent with the standards of that section. Additionally, Management is responsible for the design, implementation, and maintenance of effective internal controls over compliance with requirements of laws, statutes, regulations, rules and provisions of contracts or grant agreements to prevent, or detect and correct non-compliance on a timely basis. When small purchase procedures are used, 2 CFR 200.320(a)(2) requires price or rate quotations to be obtained from an adequate number of qualified sources. For acquisitions exceeding the simplified acquisition threshold, the non-federal entity must use one of the methods prescribed by 2 CFR 200.320(b) or (c): the sealed bid method; the competitive proposals method; or the noncompetitive proposals method (i.e., solicit a proposal from only one source) but only when one or more of four circumstances are met, in accordance with 2 CFR 200.320(c)). Condition: Procurement documentation for three vendors tested was not prepared and/or retained to support compliance with the regulations above and the Center’s procurement policy. All three vendors received funding under Federal awards. One vendor, Ark Marketing Group, received HRSA American Rescue Plan Act funding which is part of major program and is a related party to the former Business Development Director. The other two vendors, Whitespace Architects and Project Management Inc. received funding under the HRSA ARPA Capital award which is not part of the major program. Context and Cause of Condition: Although the Center has established policies and procedures in place over the procurement process, there was a lack of documentation to support that the procurement process had been completed as required. Potential Effect: Failure to perform and/or retain documentation of the procurement process resulted in noncompliance with the procurement requirement. Questioned Costs: None Recommendation: Recommend to consistently follow the existing procurement policy and to maintain documentation through the recommended terms outlined in the award. See Management’s Response and Corrective Action Plans on page 32.
Finding 2022-003
Finding 2022-003 – Inadequate Design of Monitoring Controls over Procurement Policies, Assistance Listing 93.224 Health Center Program, Affordable Care Act Grants for New and Expanded Services Under the Health Center Program and Assistance Listing 93.526 Grants for Capital Development in Health Centers. Criteria: 2 CFR 200.320 requires the non-Federal entity to have and use documented procurement procedures that are consistent with the standards of that section. Additionally, Management is responsible for the design, implementation, and maintenance of effective internal controls over compliance with requirements of laws, statutes, regulations, rules and provisions of contracts or grant agreements to prevent, or detect and correct non-compliance on a timely basis. When small purchase procedures are used, 2 CFR 200.320(a)(2) requires price or rate quotations to be obtained from an adequate number of qualified sources. For acquisitions exceeding the simplified acquisition threshold, the non-federal entity must use one of the methods prescribed by 2 CFR 200.320(b) or (c): the sealed bid method; the competitive proposals method; or the noncompetitive proposals method (i.e., solicit a proposal from only one source) but only when one or more of four circumstances are met, in accordance with 2 CFR 200.320(c)). Condition: Procurement documentation for three vendors tested was not prepared and/or retained to support compliance with the regulations above and the Center’s procurement policy. All three vendors received funding under Federal awards. One vendor, Ark Marketing Group, received HRSA American Rescue Plan Act funding which is part of major program and is a related party to the former Business Development Director. The other two vendors, Whitespace Architects and Project Management Inc. received funding under the HRSA ARPA Capital award which is not part of the major program. Context and Cause of Condition: Although the Center has established policies and procedures in place over the procurement process, there was a lack of documentation to support that the procurement process had been completed as required. Potential Effect: Failure to perform and/or retain documentation of the procurement process resulted in noncompliance with the procurement requirement. Questioned Costs: None Recommendation: Recommend to consistently follow the existing procurement policy and to maintain documentation through the recommended terms outlined in the award. See Management’s Response and Corrective Action Plans on page 32.