Finding 2024-001: Health Center Program Uniform Data System (UDS) Report
This finding impacts the reporting compliance requirement for the major program, Assistance Listing Number 93.224/93.527 Health Center Program Cluster.
Criteria: Health Center Program grant recipients are required to file a UDS report that provides standardized information about the performance and operation of health centers delivering health care services to underserved communities and vulnerable populations. The UDS report is due 45 days after the calendar year end for the initial submission, and 90 days after calendar year end for the final submission to the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services
Condition: The UDS report final submission was due on March 31, 2024; however, it was not submitted until April 18, 2024.
Cause: There was oversight in tracking the submission due dates.
Effect: The Agency was not in compliance with the reporting requirements of the Health Center Program grant.
Recommendation: We recommend that the Agency enhance controls and monitoring procedures over Federal grant requirements to ensure future reports are submitted on time.
Management Response: In 2024, the UDS submission was led by our Chief Information Officer with support from a Financial Analyst. In prior years, the submission was headed by the Director of Finance who had been with the organization for 10+ years. She left in November of 2023 and as a result the organization lost some institutional knowledge and UDS experience. In 2025, the 2024 UDS submission was managed by the Chief Financial Officer and submitted by February 15th, 2025. All follow-up requests from the reviewer were resolved prior to March 31, 2025. We don’t foresee any further issues with future submissions.
Finding 2024-001: Health Center Program Uniform Data System (UDS) Report
This finding impacts the reporting compliance requirement for the major program, Assistance Listing Number 93.224/93.527 Health Center Program Cluster.
Criteria: Health Center Program grant recipients are required to file a UDS report that provides standardized information about the performance and operation of health centers delivering health care services to underserved communities and vulnerable populations. The UDS report is due 45 days after the calendar year end for the initial submission, and 90 days after calendar year end for the final submission to the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services
Condition: The UDS report final submission was due on March 31, 2024; however, it was not submitted until April 18, 2024.
Cause: There was oversight in tracking the submission due dates.
Effect: The Agency was not in compliance with the reporting requirements of the Health Center Program grant.
Recommendation: We recommend that the Agency enhance controls and monitoring procedures over Federal grant requirements to ensure future reports are submitted on time.
Management Response: In 2024, the UDS submission was led by our Chief Information Officer with support from a Financial Analyst. In prior years, the submission was headed by the Director of Finance who had been with the organization for 10+ years. She left in November of 2023 and as a result the organization lost some institutional knowledge and UDS experience. In 2025, the 2024 UDS submission was managed by the Chief Financial Officer and submitted by February 15th, 2025. All follow-up requests from the reviewer were resolved prior to March 31, 2025. We don’t foresee any further issues with future submissions.
Finding 2024-001: Health Center Program Uniform Data System (UDS) Report
This finding impacts the reporting compliance requirement for the major program, Assistance Listing Number 93.224/93.527 Health Center Program Cluster.
Criteria: Health Center Program grant recipients are required to file a UDS report that provides standardized information about the performance and operation of health centers delivering health care services to underserved communities and vulnerable populations. The UDS report is due 45 days after the calendar year end for the initial submission, and 90 days after calendar year end for the final submission to the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services
Condition: The UDS report final submission was due on March 31, 2024; however, it was not submitted until April 18, 2024.
Cause: There was oversight in tracking the submission due dates.
Effect: The Agency was not in compliance with the reporting requirements of the Health Center Program grant.
Recommendation: We recommend that the Agency enhance controls and monitoring procedures over Federal grant requirements to ensure future reports are submitted on time.
Management Response: In 2024, the UDS submission was led by our Chief Information Officer with support from a Financial Analyst. In prior years, the submission was headed by the Director of Finance who had been with the organization for 10+ years. She left in November of 2023 and as a result the organization lost some institutional knowledge and UDS experience. In 2025, the 2024 UDS submission was managed by the Chief Financial Officer and submitted by February 15th, 2025. All follow-up requests from the reviewer were resolved prior to March 31, 2025. We don’t foresee any further issues with future submissions.
Finding 2024-001: Health Center Program Uniform Data System (UDS) Report
This finding impacts the reporting compliance requirement for the major program, Assistance Listing Number 93.224/93.527 Health Center Program Cluster.
Criteria: Health Center Program grant recipients are required to file a UDS report that provides standardized information about the performance and operation of health centers delivering health care services to underserved communities and vulnerable populations. The UDS report is due 45 days after the calendar year end for the initial submission, and 90 days after calendar year end for the final submission to the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services
Condition: The UDS report final submission was due on March 31, 2024; however, it was not submitted until April 18, 2024.
Cause: There was oversight in tracking the submission due dates.
Effect: The Agency was not in compliance with the reporting requirements of the Health Center Program grant.
Recommendation: We recommend that the Agency enhance controls and monitoring procedures over Federal grant requirements to ensure future reports are submitted on time.
Management Response: In 2024, the UDS submission was led by our Chief Information Officer with support from a Financial Analyst. In prior years, the submission was headed by the Director of Finance who had been with the organization for 10+ years. She left in November of 2023 and as a result the organization lost some institutional knowledge and UDS experience. In 2025, the 2024 UDS submission was managed by the Chief Financial Officer and submitted by February 15th, 2025. All follow-up requests from the reviewer were resolved prior to March 31, 2025. We don’t foresee any further issues with future submissions.