Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: As a result of the auditing procedures over the financial statements, significant adjusting journal entries were required that resulted in a material change to the financial statements. Specifically, 11 adjustments were needed to fairly state the financial statements in all material respects. In addition, we had the following comments relating to internal controls— Internal control over payroll and disbursements We noted instances where employees’ pay rate approval forms are not available to substantiate and document approved pay rates with employees. We noted instances where check and credit card disbursements did not have authorization approval forms to document approval or did not have receipts or invoices to substantiate the expenditure. Internal control over account balances We noted instances where subsidiary schedules and reconciliations did not agree to balances in the general ledger. Medical billings We are able to agree total medical billing revenue from the billing systems to the General Ledger; however, management was unable to provide us participant listing for the Intergy billing system. Cause: Key personnel of the Organization, including the Executive Director and Chief Finance Director, and several key accounting and operation employees are no longer employed in the Organization during fiscal year 2022. Although the Organization hired an interim Executive Director and outsourced accounting function to a third party professional, fiscal year 2022’s financials was not properly stated. Due to the personnel change in operation and accounting departments, there was a lack of oversight to ensure accurate accounting preparation for the fiscal year. Potential Effect: Lack of sufficient internal controls and monitoring processes increases the likelihood of misstatement and/or fraud. Questioned Costs: None. 2022-001 – Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendation: It is management’s responsibility to review financial statements for accuracy and ensure proper accounting is being performed. The accounting personnel and third party hired by the management to account for and prepare the financial statements should have adequate technical knowledge of Generally Accepted Accounting Standards and how to apply them to the internal procedures for preparing financial statements. Here are our recommendations relate to the comments above— Internal control over payroll and disbursements We recommend the Organization takes an extra effort to ensure required documentation and approvals were obtained on employee’s pay rate forms and timesheets. We recommend the Organization obtain proper approvals on disbursements based on the Organization’s internal control procedure. Internal control over account balances We recommend the Organization maintain accurate accounts payable, accounts receivable and bank reconciliation schedules to ensure all year end records were properly maintained. Medical billings For internal control purpose, we recommend the Organization have sufficient review procedure on billing to ensure sufficient documentation and proper determining on insurance scale payment determination. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-001 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements, as well as proper report of SEFA report. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: During our testing of Federal Expenditure for the Uniform Guidance on major program compliance, it was noted that client did not report all required Federal expenditures of Federal Awards Cause: As part of key personnel change and lack of documentation to support whether a federal expenditure should or should not be included in SEFA schedule, client was missing a few federal expenditures that should have been included in this fiscal year’s SEFA.E 2022-002 - Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Potential Effect: Lack of supporting documentation and missing entries leads to inaccurate SEFA for the fiscal year. Questioned Costs: None Recommendation: We recommend the Organization obtain all Federal grant documentation to support the determination to include or to exclude federal expenditures from the SEFA. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-002 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: 2 CFR § 200.512 Report submission (a) General. (1) The audit must be completed and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. In addition, HRSA, the major fund grantor, required timely submission of the grants’ annual and quarterly Federal Financial Report (FFR) and Native Hawaiian Data System reports. Government Auditing Standards require adequate internal controls over accounting functions. These internal controls should reduce to a relatively low level of risk that noncompliance with applicable requirements of laws, regulations, contracts, and grants would be material in relation to a federal program being audited may occur and not be detected in a timely manner by employees in the normal course of performing their assigned functions. Conditions: We noted a lack of internal control over Reporting and noncompliance with the timely on-line submission of the annual audit report to the Federal Audit Clearinghouse. Also, during the fiscal year the HRSA grant’s required quarterly financial reports (QFRs) and UDS reports were not available. Cause: Management had turnover and financial data was not prepared accurately and timely to properly report the audited financial statements to the Federal Audit Clearinghouse. Potential Effect: A lack of internal controls over required compliance requirements could affect the Organization receiving future federal funding. Questioned Costs: None 2022-003, Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendations: We recommend management complete all required reporting timely. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-003 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: As a result of the auditing procedures over the financial statements, significant adjusting journal entries were required that resulted in a material change to the financial statements. Specifically, 11 adjustments were needed to fairly state the financial statements in all material respects. In addition, we had the following comments relating to internal controls— Internal control over payroll and disbursements We noted instances where employees’ pay rate approval forms are not available to substantiate and document approved pay rates with employees. We noted instances where check and credit card disbursements did not have authorization approval forms to document approval or did not have receipts or invoices to substantiate the expenditure. Internal control over account balances We noted instances where subsidiary schedules and reconciliations did not agree to balances in the general ledger. Medical billings We are able to agree total medical billing revenue from the billing systems to the General Ledger; however, management was unable to provide us participant listing for the Intergy billing system. Cause: Key personnel of the Organization, including the Executive Director and Chief Finance Director, and several key accounting and operation employees are no longer employed in the Organization during fiscal year 2022. Although the Organization hired an interim Executive Director and outsourced accounting function to a third party professional, fiscal year 2022’s financials was not properly stated. Due to the personnel change in operation and accounting departments, there was a lack of oversight to ensure accurate accounting preparation for the fiscal year. Potential Effect: Lack of sufficient internal controls and monitoring processes increases the likelihood of misstatement and/or fraud. Questioned Costs: None. 2022-001 – Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendation: It is management’s responsibility to review financial statements for accuracy and ensure proper accounting is being performed. The accounting personnel and third party hired by the management to account for and prepare the financial statements should have adequate technical knowledge of Generally Accepted Accounting Standards and how to apply them to the internal procedures for preparing financial statements. Here are our recommendations relate to the comments above— Internal control over payroll and disbursements We recommend the Organization takes an extra effort to ensure required documentation and approvals were obtained on employee’s pay rate forms and timesheets. We recommend the Organization obtain proper approvals on disbursements based on the Organization’s internal control procedure. Internal control over account balances We recommend the Organization maintain accurate accounts payable, accounts receivable and bank reconciliation schedules to ensure all year end records were properly maintained. Medical billings For internal control purpose, we recommend the Organization have sufficient review procedure on billing to ensure sufficient documentation and proper determining on insurance scale payment determination. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-001 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements, as well as proper report of SEFA report. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: During our testing of Federal Expenditure for the Uniform Guidance on major program compliance, it was noted that client did not report all required Federal expenditures of Federal Awards Cause: As part of key personnel change and lack of documentation to support whether a federal expenditure should or should not be included in SEFA schedule, client was missing a few federal expenditures that should have been included in this fiscal year’s SEFA.E 2022-002 - Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Potential Effect: Lack of supporting documentation and missing entries leads to inaccurate SEFA for the fiscal year. Questioned Costs: None Recommendation: We recommend the Organization obtain all Federal grant documentation to support the determination to include or to exclude federal expenditures from the SEFA. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-002 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: 2 CFR § 200.512 Report submission (a) General. (1) The audit must be completed and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. In addition, HRSA, the major fund grantor, required timely submission of the grants’ annual and quarterly Federal Financial Report (FFR) and Native Hawaiian Data System reports. Government Auditing Standards require adequate internal controls over accounting functions. These internal controls should reduce to a relatively low level of risk that noncompliance with applicable requirements of laws, regulations, contracts, and grants would be material in relation to a federal program being audited may occur and not be detected in a timely manner by employees in the normal course of performing their assigned functions. Conditions: We noted a lack of internal control over Reporting and noncompliance with the timely on-line submission of the annual audit report to the Federal Audit Clearinghouse. Also, during the fiscal year the HRSA grant’s required quarterly financial reports (QFRs) and UDS reports were not available. Cause: Management had turnover and financial data was not prepared accurately and timely to properly report the audited financial statements to the Federal Audit Clearinghouse. Potential Effect: A lack of internal controls over required compliance requirements could affect the Organization receiving future federal funding. Questioned Costs: None 2022-003, Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendations: We recommend management complete all required reporting timely. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-003 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: As a result of the auditing procedures over the financial statements, significant adjusting journal entries were required that resulted in a material change to the financial statements. Specifically, 11 adjustments were needed to fairly state the financial statements in all material respects. In addition, we had the following comments relating to internal controls— Internal control over payroll and disbursements We noted instances where employees’ pay rate approval forms are not available to substantiate and document approved pay rates with employees. We noted instances where check and credit card disbursements did not have authorization approval forms to document approval or did not have receipts or invoices to substantiate the expenditure. Internal control over account balances We noted instances where subsidiary schedules and reconciliations did not agree to balances in the general ledger. Medical billings We are able to agree total medical billing revenue from the billing systems to the General Ledger; however, management was unable to provide us participant listing for the Intergy billing system. Cause: Key personnel of the Organization, including the Executive Director and Chief Finance Director, and several key accounting and operation employees are no longer employed in the Organization during fiscal year 2022. Although the Organization hired an interim Executive Director and outsourced accounting function to a third party professional, fiscal year 2022’s financials was not properly stated. Due to the personnel change in operation and accounting departments, there was a lack of oversight to ensure accurate accounting preparation for the fiscal year. Potential Effect: Lack of sufficient internal controls and monitoring processes increases the likelihood of misstatement and/or fraud. Questioned Costs: None. 2022-001 – Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendation: It is management’s responsibility to review financial statements for accuracy and ensure proper accounting is being performed. The accounting personnel and third party hired by the management to account for and prepare the financial statements should have adequate technical knowledge of Generally Accepted Accounting Standards and how to apply them to the internal procedures for preparing financial statements. Here are our recommendations relate to the comments above— Internal control over payroll and disbursements We recommend the Organization takes an extra effort to ensure required documentation and approvals were obtained on employee’s pay rate forms and timesheets. We recommend the Organization obtain proper approvals on disbursements based on the Organization’s internal control procedure. Internal control over account balances We recommend the Organization maintain accurate accounts payable, accounts receivable and bank reconciliation schedules to ensure all year end records were properly maintained. Medical billings For internal control purpose, we recommend the Organization have sufficient review procedure on billing to ensure sufficient documentation and proper determining on insurance scale payment determination. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-001 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements, as well as proper report of SEFA report. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: During our testing of Federal Expenditure for the Uniform Guidance on major program compliance, it was noted that client did not report all required Federal expenditures of Federal Awards Cause: As part of key personnel change and lack of documentation to support whether a federal expenditure should or should not be included in SEFA schedule, client was missing a few federal expenditures that should have been included in this fiscal year’s SEFA.E 2022-002 - Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Potential Effect: Lack of supporting documentation and missing entries leads to inaccurate SEFA for the fiscal year. Questioned Costs: None Recommendation: We recommend the Organization obtain all Federal grant documentation to support the determination to include or to exclude federal expenditures from the SEFA. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-002 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: 2 CFR § 200.512 Report submission (a) General. (1) The audit must be completed and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. In addition, HRSA, the major fund grantor, required timely submission of the grants’ annual and quarterly Federal Financial Report (FFR) and Native Hawaiian Data System reports. Government Auditing Standards require adequate internal controls over accounting functions. These internal controls should reduce to a relatively low level of risk that noncompliance with applicable requirements of laws, regulations, contracts, and grants would be material in relation to a federal program being audited may occur and not be detected in a timely manner by employees in the normal course of performing their assigned functions. Conditions: We noted a lack of internal control over Reporting and noncompliance with the timely on-line submission of the annual audit report to the Federal Audit Clearinghouse. Also, during the fiscal year the HRSA grant’s required quarterly financial reports (QFRs) and UDS reports were not available. Cause: Management had turnover and financial data was not prepared accurately and timely to properly report the audited financial statements to the Federal Audit Clearinghouse. Potential Effect: A lack of internal controls over required compliance requirements could affect the Organization receiving future federal funding. Questioned Costs: None 2022-003, Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendations: We recommend management complete all required reporting timely. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-003 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: As a result of the auditing procedures over the financial statements, significant adjusting journal entries were required that resulted in a material change to the financial statements. Specifically, 11 adjustments were needed to fairly state the financial statements in all material respects. In addition, we had the following comments relating to internal controls— Internal control over payroll and disbursements We noted instances where employees’ pay rate approval forms are not available to substantiate and document approved pay rates with employees. We noted instances where check and credit card disbursements did not have authorization approval forms to document approval or did not have receipts or invoices to substantiate the expenditure. Internal control over account balances We noted instances where subsidiary schedules and reconciliations did not agree to balances in the general ledger. Medical billings We are able to agree total medical billing revenue from the billing systems to the General Ledger; however, management was unable to provide us participant listing for the Intergy billing system. Cause: Key personnel of the Organization, including the Executive Director and Chief Finance Director, and several key accounting and operation employees are no longer employed in the Organization during fiscal year 2022. Although the Organization hired an interim Executive Director and outsourced accounting function to a third party professional, fiscal year 2022’s financials was not properly stated. Due to the personnel change in operation and accounting departments, there was a lack of oversight to ensure accurate accounting preparation for the fiscal year. Potential Effect: Lack of sufficient internal controls and monitoring processes increases the likelihood of misstatement and/or fraud. Questioned Costs: None. 2022-001 – Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendation: It is management’s responsibility to review financial statements for accuracy and ensure proper accounting is being performed. The accounting personnel and third party hired by the management to account for and prepare the financial statements should have adequate technical knowledge of Generally Accepted Accounting Standards and how to apply them to the internal procedures for preparing financial statements. Here are our recommendations relate to the comments above— Internal control over payroll and disbursements We recommend the Organization takes an extra effort to ensure required documentation and approvals were obtained on employee’s pay rate forms and timesheets. We recommend the Organization obtain proper approvals on disbursements based on the Organization’s internal control procedure. Internal control over account balances We recommend the Organization maintain accurate accounts payable, accounts receivable and bank reconciliation schedules to ensure all year end records were properly maintained. Medical billings For internal control purpose, we recommend the Organization have sufficient review procedure on billing to ensure sufficient documentation and proper determining on insurance scale payment determination. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-001 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements, as well as proper report of SEFA report. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: During our testing of Federal Expenditure for the Uniform Guidance on major program compliance, it was noted that client did not report all required Federal expenditures of Federal Awards Cause: As part of key personnel change and lack of documentation to support whether a federal expenditure should or should not be included in SEFA schedule, client was missing a few federal expenditures that should have been included in this fiscal year’s SEFA.E 2022-002 - Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Potential Effect: Lack of supporting documentation and missing entries leads to inaccurate SEFA for the fiscal year. Questioned Costs: None Recommendation: We recommend the Organization obtain all Federal grant documentation to support the determination to include or to exclude federal expenditures from the SEFA. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-002 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: 2 CFR § 200.512 Report submission (a) General. (1) The audit must be completed and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. In addition, HRSA, the major fund grantor, required timely submission of the grants’ annual and quarterly Federal Financial Report (FFR) and Native Hawaiian Data System reports. Government Auditing Standards require adequate internal controls over accounting functions. These internal controls should reduce to a relatively low level of risk that noncompliance with applicable requirements of laws, regulations, contracts, and grants would be material in relation to a federal program being audited may occur and not be detected in a timely manner by employees in the normal course of performing their assigned functions. Conditions: We noted a lack of internal control over Reporting and noncompliance with the timely on-line submission of the annual audit report to the Federal Audit Clearinghouse. Also, during the fiscal year the HRSA grant’s required quarterly financial reports (QFRs) and UDS reports were not available. Cause: Management had turnover and financial data was not prepared accurately and timely to properly report the audited financial statements to the Federal Audit Clearinghouse. Potential Effect: A lack of internal controls over required compliance requirements could affect the Organization receiving future federal funding. Questioned Costs: None 2022-003, Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendations: We recommend management complete all required reporting timely. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-003 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: As a result of the auditing procedures over the financial statements, significant adjusting journal entries were required that resulted in a material change to the financial statements. Specifically, 11 adjustments were needed to fairly state the financial statements in all material respects. In addition, we had the following comments relating to internal controls— Internal control over payroll and disbursements We noted instances where employees’ pay rate approval forms are not available to substantiate and document approved pay rates with employees. We noted instances where check and credit card disbursements did not have authorization approval forms to document approval or did not have receipts or invoices to substantiate the expenditure. Internal control over account balances We noted instances where subsidiary schedules and reconciliations did not agree to balances in the general ledger. Medical billings We are able to agree total medical billing revenue from the billing systems to the General Ledger; however, management was unable to provide us participant listing for the Intergy billing system. Cause: Key personnel of the Organization, including the Executive Director and Chief Finance Director, and several key accounting and operation employees are no longer employed in the Organization during fiscal year 2022. Although the Organization hired an interim Executive Director and outsourced accounting function to a third party professional, fiscal year 2022’s financials was not properly stated. Due to the personnel change in operation and accounting departments, there was a lack of oversight to ensure accurate accounting preparation for the fiscal year. Potential Effect: Lack of sufficient internal controls and monitoring processes increases the likelihood of misstatement and/or fraud. Questioned Costs: None. 2022-001 – Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendation: It is management’s responsibility to review financial statements for accuracy and ensure proper accounting is being performed. The accounting personnel and third party hired by the management to account for and prepare the financial statements should have adequate technical knowledge of Generally Accepted Accounting Standards and how to apply them to the internal procedures for preparing financial statements. Here are our recommendations relate to the comments above— Internal control over payroll and disbursements We recommend the Organization takes an extra effort to ensure required documentation and approvals were obtained on employee’s pay rate forms and timesheets. We recommend the Organization obtain proper approvals on disbursements based on the Organization’s internal control procedure. Internal control over account balances We recommend the Organization maintain accurate accounts payable, accounts receivable and bank reconciliation schedules to ensure all year end records were properly maintained. Medical billings For internal control purpose, we recommend the Organization have sufficient review procedure on billing to ensure sufficient documentation and proper determining on insurance scale payment determination. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-001 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements, as well as proper report of SEFA report. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: During our testing of Federal Expenditure for the Uniform Guidance on major program compliance, it was noted that client did not report all required Federal expenditures of Federal Awards Cause: As part of key personnel change and lack of documentation to support whether a federal expenditure should or should not be included in SEFA schedule, client was missing a few federal expenditures that should have been included in this fiscal year’s SEFA.E 2022-002 - Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Potential Effect: Lack of supporting documentation and missing entries leads to inaccurate SEFA for the fiscal year. Questioned Costs: None Recommendation: We recommend the Organization obtain all Federal grant documentation to support the determination to include or to exclude federal expenditures from the SEFA. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-002 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: 2 CFR § 200.512 Report submission (a) General. (1) The audit must be completed and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. In addition, HRSA, the major fund grantor, required timely submission of the grants’ annual and quarterly Federal Financial Report (FFR) and Native Hawaiian Data System reports. Government Auditing Standards require adequate internal controls over accounting functions. These internal controls should reduce to a relatively low level of risk that noncompliance with applicable requirements of laws, regulations, contracts, and grants would be material in relation to a federal program being audited may occur and not be detected in a timely manner by employees in the normal course of performing their assigned functions. Conditions: We noted a lack of internal control over Reporting and noncompliance with the timely on-line submission of the annual audit report to the Federal Audit Clearinghouse. Also, during the fiscal year the HRSA grant’s required quarterly financial reports (QFRs) and UDS reports were not available. Cause: Management had turnover and financial data was not prepared accurately and timely to properly report the audited financial statements to the Federal Audit Clearinghouse. Potential Effect: A lack of internal controls over required compliance requirements could affect the Organization receiving future federal funding. Questioned Costs: None 2022-003, Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendations: We recommend management complete all required reporting timely. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-003 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: As a result of the auditing procedures over the financial statements, significant adjusting journal entries were required that resulted in a material change to the financial statements. Specifically, 11 adjustments were needed to fairly state the financial statements in all material respects. In addition, we had the following comments relating to internal controls— Internal control over payroll and disbursements We noted instances where employees’ pay rate approval forms are not available to substantiate and document approved pay rates with employees. We noted instances where check and credit card disbursements did not have authorization approval forms to document approval or did not have receipts or invoices to substantiate the expenditure. Internal control over account balances We noted instances where subsidiary schedules and reconciliations did not agree to balances in the general ledger. Medical billings We are able to agree total medical billing revenue from the billing systems to the General Ledger; however, management was unable to provide us participant listing for the Intergy billing system. Cause: Key personnel of the Organization, including the Executive Director and Chief Finance Director, and several key accounting and operation employees are no longer employed in the Organization during fiscal year 2022. Although the Organization hired an interim Executive Director and outsourced accounting function to a third party professional, fiscal year 2022’s financials was not properly stated. Due to the personnel change in operation and accounting departments, there was a lack of oversight to ensure accurate accounting preparation for the fiscal year. Potential Effect: Lack of sufficient internal controls and monitoring processes increases the likelihood of misstatement and/or fraud. Questioned Costs: None. 2022-001 – Internal Control over Financial Reporting, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendation: It is management’s responsibility to review financial statements for accuracy and ensure proper accounting is being performed. The accounting personnel and third party hired by the management to account for and prepare the financial statements should have adequate technical knowledge of Generally Accepted Accounting Standards and how to apply them to the internal procedures for preparing financial statements. Here are our recommendations relate to the comments above— Internal control over payroll and disbursements We recommend the Organization takes an extra effort to ensure required documentation and approvals were obtained on employee’s pay rate forms and timesheets. We recommend the Organization obtain proper approvals on disbursements based on the Organization’s internal control procedure. Internal control over account balances We recommend the Organization maintain accurate accounts payable, accounts receivable and bank reconciliation schedules to ensure all year end records were properly maintained. Medical billings For internal control purpose, we recommend the Organization have sufficient review procedure on billing to ensure sufficient documentation and proper determining on insurance scale payment determination. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-001 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: Auditees are responsible for accurate recording and reporting on financial statements. Auditees are also responsible for major program compliance to Uniform Guidance Part 200 requirements, as well as proper report of SEFA report. To ensure accuracy and compliance of financials and major program compliance, management is responsible to design sufficient internal control over financials recording and reporting. Condition: During our testing of Federal Expenditure for the Uniform Guidance on major program compliance, it was noted that client did not report all required Federal expenditures of Federal Awards Cause: As part of key personnel change and lack of documentation to support whether a federal expenditure should or should not be included in SEFA schedule, client was missing a few federal expenditures that should have been included in this fiscal year’s SEFA.E 2022-002 - Inaccurate Schedule of Expenditures of Federal Awards (SEFA), United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Potential Effect: Lack of supporting documentation and missing entries leads to inaccurate SEFA for the fiscal year. Questioned Costs: None Recommendation: We recommend the Organization obtain all Federal grant documentation to support the determination to include or to exclude federal expenditures from the SEFA. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-002 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.
Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 Criteria: 2 CFR § 200.512 Report submission (a) General. (1) The audit must be completed and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditor's report(s), or nine months after the end of the audit period. In addition, HRSA, the major fund grantor, required timely submission of the grants’ annual and quarterly Federal Financial Report (FFR) and Native Hawaiian Data System reports. Government Auditing Standards require adequate internal controls over accounting functions. These internal controls should reduce to a relatively low level of risk that noncompliance with applicable requirements of laws, regulations, contracts, and grants would be material in relation to a federal program being audited may occur and not be detected in a timely manner by employees in the normal course of performing their assigned functions. Conditions: We noted a lack of internal control over Reporting and noncompliance with the timely on-line submission of the annual audit report to the Federal Audit Clearinghouse. Also, during the fiscal year the HRSA grant’s required quarterly financial reports (QFRs) and UDS reports were not available. Cause: Management had turnover and financial data was not prepared accurately and timely to properly report the audited financial statements to the Federal Audit Clearinghouse. Potential Effect: A lack of internal controls over required compliance requirements could affect the Organization receiving future federal funding. Questioned Costs: None 2022-003, Lack of Internal Control over Reporting, Health Resources and Services Administration, United States Department of Health and Human Services, Native Hawaiian Health Care 93.932 (Continued) Recommendations: We recommend management complete all required reporting timely. Repeat Finding: Yes. See Summary Schedule of Prior Audit Finding, Finding 2021-003 Views of Responsible Officials of the Auditee: The Organization concurs with the finding and recommendation. See Management Responses and Corrective Action Plans.