Audit 322885

FY End
2023-12-31
Total Expended
$5.69M
Findings
16
Programs
5
Year: 2023 Accepted: 2024-09-30

Organization Exclusion Status:

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Contacts

Name Title Type
WKDXG11GBR66 Barbara Sullinger Auditee
4195226191 Wes Ernst Auditor
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Notes to SEFA

Title: 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. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: The Organization has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award activity of the Organization under programs of the federal government 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). Because the Schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the financial position, changes in net assets or cash flows of the Organization.
Title: Federal Loan Programs 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. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: The Organization has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The Organization administered no federal loan programs for the year ended December 31, 2023.

Finding Details

Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.
Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-22-01 for project period March 1, 2023 through February 29, 2024 Criteria or specific requirement – Health Centers must comply with federal procurement standards. Condition – The Organization did not comply with its procurement policy which was designed to conform with federal procurement standards. Questioned costs – Not applicable Context – Out of a population of 15 procurement transactions which exceeded the federal micro-purchase threshold, a sample of 2 procurement transactions were tested, and 1 was not in compliance with the Organization’s policy. A non-statistical sampling methodology was used to select the sample. Effect – Federal procurement standards were not appropriately followed. Cause – A lack of sufficient supervisory review of procurement procedures was followed for purchases using federal funding. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend that the Organization implement additional internal controls surrounding purchase procedures when utilizing federal funding. Views of responsible officials and planned corrective actions – To ensure compliance with the Organization’s procurement policy going forward, the Organization will require that all invoices and purchase orders relating to federal procurements be approved and signed by the CFO. The CFO will ensure that all necessary procurement actions have been performed and the history of procurement is documented prior to approval of the invoice or purchase order.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.
Information on the federal program - Assistance Listing Number 93.224/93.527, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS00581-21-01 for project period March 1, 2022 through February 28, 2023 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not accurately complete its Federal Financial Report. Questioned costs – Not applicable Context – Out of a population of 1 financial report required to be submitted during the year under audit, 1 financial report was tested. Effect – The Federal Financial Report was submitted reported with incorrect data for lines 10a., 10b, 10l., and 10n. Cause – There was a lack of detailed review of the submitted report by someone with knowledge of the reporting requirements. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – To ensure compliance with federal reporting standards, the Organization will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements.