Audit 310074

FY End
2023-12-31
Total Expended
$22.44M
Findings
2
Programs
29
Year: 2023 Accepted: 2024-06-26

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
402867 2023-101 Material Weakness - L
979309 2023-101 Material Weakness - L

Programs

ALN Program Spent Major Findings
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $7.31M Yes 0
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.64M Yes 0
93.498 Provider Relief Fund $2.04M Yes 1
93.917 Hiv Care Formula Grants $1.81M - 0
93.217 Family Planning_services $1.08M - 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $913,916 - 0
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $757,589 Yes 0
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $647,825 - 0
93.884 Grants for Primary Care Training and Enhancement $535,821 - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $524,691 - 0
93.247 Advanced Nursing Education Grant Program $441,081 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $422,629 - 0
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $247,444 - 0
93.822 Health Careers Opportunity Program $187,508 - 0
93.516 Affordable Care Act (aca) Public Health Training Centers Program $161,288 - 0
93.530 Affordable Care Act - Teaching Health Center Graduate Medical Education Payments Program $147,200 - 0
93.924 Ryan White Hiv/aids Dental Reimbursement and Community Based Dental Partnership Grants $128,670 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $72,273 - 0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $52,195 - 0
93.569 Community Services Block Grant $23,000 - 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $20,494 - 0
93.110 Maternal and Child Health Federal Consolidated Programs $20,000 - 0
93.273 Alcohol Research Programs $17,323 - 0
93.867 Vision Research $16,014 - 0
93.767 Children's Health Insurance Program $12,957 - 0
14.900 Lead-Based Paint Hazard Control in Privately-Owned Housing $10,490 - 0
93.113 Environmental Health $10,019 - 0
93.994 Maternal and Child Health Services Block Grant to the States $9,796 - 0
93.135 Centers for Research and Demonstration for Health Promotion and Disease Prevention $9,036 - 0

Contacts

Name Title Type
V9JTFH1682E9 Clinton Kuntz Auditee
5203092012 Ben Hur Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principle contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements. De Minimis Rate Used: N Rate Explanation: The Center did not elect to use the 10 percent de minimis indirect cost rate as covered in 2 CFR 200.414. The accompanying schedule of expenditures of federal awards includes the federal grant activity of El Rio Santa Cruz Neighborhood Health Center, Inc. (the Center), for the year ended December 31, 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 (Uniform Guidance).
Title: Federal Assistance Listings Number Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principle contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements. De Minimis Rate Used: N Rate Explanation: The Center did not elect to use the 10 percent de minimis indirect cost rate as covered in 2 CFR 200.414. The program titles and Federal Assistance Listings numbers were obtained from the federal or pass-through grantors, or the 2023 Federal Assistance Listings. When no Federal Assistance Listings numbers had been assigned to a program, the two digit federal agency identifier and the federal contract number were used. When there was no federal contract number, the two digit federal agency identifier and the word "unknown" were used.
Title: Subrecipients Accounting Policies: Expenditures reported in the schedule are reported on the modified accrual basis of accounting. Such expenditures are recognized following the cost principle contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements. De Minimis Rate Used: N Rate Explanation: The Center did not elect to use the 10 percent de minimis indirect cost rate as covered in 2 CFR 200.414. The Center did not pass any funds onto subrecipients during the year ended December 31, 2023.

Finding Details

Criteria: The Provider Relief Fund grant requires the submission of the PRF Report. One of the critical line items on the PRF Report is the calculation of Lost Revenue. The Center opted to utilize actual revenue/net patient charges (the Actuals) from patient care services for the computation of Lost Revenue. The Lost Revenue calculation serves as a pivotal component of the PRF Report, enabling the Center to demonstrate its eligibility for receiving grant funds and ensure compliance with the program's requirements. Condition: The Center intended to utilize the Provider Relief Fund (PRF) grant under the provision of Lost Revenue, and it met the eligibility criteria based on the 2020 budgeted method. However, the Center failed to accurately report its use of the Lost Revenue on the required PRF Report for the period ended March 31, 2023. Instead, the Center mistakenly reported that actual expenditures incurred would be charged to the grant. Cause: The Center lacked proper internal control over preparing and reviewing the required PRF Reports. Effect: The Center did not report the required Lost Revenue calculation on the PRF Report. Recommendation: We recommend that the PRF Reports are reviewed and approved by a management team member who is not involved in the preparation and has sufficient knowledge of the program's requirements.
Criteria: The Provider Relief Fund grant requires the submission of the PRF Report. One of the critical line items on the PRF Report is the calculation of Lost Revenue. The Center opted to utilize actual revenue/net patient charges (the Actuals) from patient care services for the computation of Lost Revenue. The Lost Revenue calculation serves as a pivotal component of the PRF Report, enabling the Center to demonstrate its eligibility for receiving grant funds and ensure compliance with the program's requirements. Condition: The Center intended to utilize the Provider Relief Fund (PRF) grant under the provision of Lost Revenue, and it met the eligibility criteria based on the 2020 budgeted method. However, the Center failed to accurately report its use of the Lost Revenue on the required PRF Report for the period ended March 31, 2023. Instead, the Center mistakenly reported that actual expenditures incurred would be charged to the grant. Cause: The Center lacked proper internal control over preparing and reviewing the required PRF Reports. Effect: The Center did not report the required Lost Revenue calculation on the PRF Report. Recommendation: We recommend that the PRF Reports are reviewed and approved by a management team member who is not involved in the preparation and has sufficient knowledge of the program's requirements.