Audit 360573

FY End
2024-09-30
Total Expended
$6.45M
Findings
16
Programs
13
Year: 2024 Accepted: 2025-06-30
Auditor: Yeo & Yeo PC

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
568837 2024-001 Material Weakness Yes N
568838 2024-001 Material Weakness Yes N
568839 2024-001 Material Weakness Yes N
568840 2024-001 Material Weakness Yes N
568841 2024-003 Material Weakness - C
568842 2024-003 Material Weakness - C
568843 2024-003 Material Weakness - C
568844 2024-003 Material Weakness - C
1145279 2024-001 Material Weakness Yes N
1145280 2024-001 Material Weakness Yes N
1145281 2024-001 Material Weakness Yes N
1145282 2024-001 Material Weakness Yes N
1145283 2024-003 Material Weakness - C
1145284 2024-003 Material Weakness - C
1145285 2024-003 Material Weakness - C
1145286 2024-003 Material Weakness - C

Contacts

Name Title Type
WSRHNWKLAM97 Angela Salgado Auditee
3138493920 Brian Dixon Auditor
No contacts on file

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 where certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: Community Health and Social Services Center, Inc. has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance for certain grants. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Community Health and Social Services Center, Inc. under programs of the federal government for the year ended September 30, 2024. 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 Community Health and Social Services Center, Inc., it is not intended to and does not present the financial position, changes in net assets, or cash flows of Community Health and Social Services Center, Inc.
Title: Subrecipients 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 where certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: Community Health and Social Services Center, Inc. has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance for certain grants. No amounts were provided to subrecipients.
Title: Reconciliation to the Financial Statements 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 where certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: Community Health and Social Services Center, Inc. has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance for certain grants. Federal revenues are recorded as federal grants on the Statement of Operations as follows:

Finding Details

Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 60 sliding fee encounters and noted that 40 out of 60 sliding fee encounters tested were discounted the incorrect amount. We further noted that the EMR system was not updated for the 2024 sliding fee schedule. Cause and Effect: The Center failed to verify sliding fee discounts were applied correctly to charges and agreed to sliding fee rate schedules. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts per policy should be agreed in the billing system to ensure the proper discounts are entered and updated. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: According to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance, 2 CFR Part 200), federal funds must be requested only for costs that have been incurred and are allowable under the grant agreement. Condition: During the fiscal year, the organization submitted requests for reimbursement of federal grant funds prior to incurring any allowable expenses under the terms of the grant agreement. Questioned Costs: None Cause and Effect: The organization lacked adequate internal controls and oversight procedures to ensure that federal fund requests were based on actual, allowable expenditures. Requesting federal funds in advance of incurring expenses may result in noncompliance with federal regulations, potential repayment of funds, and reputational risk. It also exposes the organization to the risk of mismanagement or misuse of federal funds. Recommendation: We recommend that the organization implement and enforce policies and procedures to ensure that all federal fund requests are supported by documented, allowable expenditures. Staff responsible for grant management should receive training on federal compliance requirements, and all reimbursement requests should be reviewed and approved by a qualified financial officer prior to submission. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.