Audit 370139

FY End
2024-12-31
Total Expended
$3.04M
Findings
3
Programs
6
Year: 2024 Accepted: 2025-09-30

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1159412 2024-002 Material Weakness Yes L
1159413 2024-002 Material Weakness Yes L
1159414 2024-002 Material Weakness Yes L

Contacts

Name Title Type
ENVJVLEP5KM9 Angelita Thomas Auditee
6142355555 Rachael Theiler Auditor
No contacts on file

Notes to SEFA

The Organization administered no federal loan programs for the year ended December 31, 2024.

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 H80CS07897 for project period February 1, 2020 through January 31, 2024 Criteria or specific requirement – Health Centers must comply with federal reporting requirements Condition – The Organization did not have data to support certain line items reported on the Uniform Data System (UDS) report filed. Within Table 5 of the UDS report, the amounts reported within line 10a columns b and b2 were not supportable by underlying data. Cause – The Organization changed Electronic Medical Record systems resulting in a conversion of data mid-year. This added complexity in consolidating the correct reportable amounts. Effect or potential effect – Inaccurate filing of reports may result in the federal program not being properly monitored, thus resulting in potential noncompliance with program requirements. Questioned costs – Not applicable Context – Out of a population of 1 special report required to be submitted during the year under audit, 1 special report was tested. 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. Additionally, the Organization will implement policies and procedures surrounding file retention of the underlying data that supports federal reports submitted.