Audit 370266

FY End
2024-12-31
Total Expended
$5.69M
Findings
4
Programs
18
Year: 2024 Accepted: 2025-10-01

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1159676 2024-001 Material Weakness Yes N
1159677 2024-001 Material Weakness Yes N
1159678 2024-001 Material Weakness Yes N
1159679 2024-001 Material Weakness Yes N

Programs

ALN Program Spent Major Findings
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $476,891 Yes 0
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $196,670 Yes 1
93.558 Temporary Assistance for Needy Families $195,422 Yes 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $158,940 Yes 0
14.218 Community Development Block Grants/entitlement Grants $105,881 Yes 0
93.667 Social Services Block Grant $71,364 Yes 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $55,438 Yes 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $42,052 Yes 0
93.527 Grants for New and Expanded Services Under the Health Center Program $23,332 Yes 1
93.069 Public Health Emergency Preparedness $20,041 Yes 0
93.556 Marylee Allen Promoting Safe and Stable Families Program $19,521 Yes 0
93.991 Preventive Health and Health Services Block Grant $10,453 Yes 0
93.268 Immunization Cooperative Agreements $7,363 Yes 0
93.493 Congressional Directives $5,988 Yes 0
93.994 Maternal and Child Health Services Block Grant to the States $4,153 Yes 0
93.889 National Bioterrorism Hospital Preparedness Program $4,144 Yes 0
93.645 Stephanie Tubbs Jones Child Welfare Services Program $3,582 Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $2,063 Yes 0

Contacts

Name Title Type
ZM91C8J2NY93 Dean Correnti Auditee
6037492346 Mary Dowes Auditor
No contacts on file

Notes to SEFA

Expenditures reported on the schedule of expenditures of federal awards (the Schedule) are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), wherein certain types of expenditures are not allowable or are limited as to reimbursement.
Greater Seacoast Community Health (the Organization) has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The Schedule includes the federal grant activity of the Organization. The information in this Schedule is presented in accordance with the requirements of the 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.

Finding Details

Significant Deficiency in Internal Controls Over Compliance related to Special Tests and Provisions Program Name: Health Center Program Cluster (AL numbers 93.224 and 93.527) Grant Awards: 2 H80CS04210-19-00 from May 1, 2023 through April 30, 2024 and 5 H80CS04210-29-00 from May 1, 2024 through April 30, 2025 Agency: U.S. Department of Health and Human Services, Health Resources and Services Administration Pass-Through Entity: N/AIn accordance with Section 330(k)(3)(G) of the Public Health Services Act (42 U.S. Code § 254b), as an FQHC, the Organization must have a sliding fee discount program in which the Organization’s fee schedule is discounted based on a patient’s ability to pay. In accordance with their policy, the Organization will monitor the accuracy of the discounts provided to patients by a monthly random audit of 15 visits where a sliding fee discount adjustment was received. The Organization did not perform monitoring activities as outlined above from July 2024 through December 2024 as required by the Organization's sliding fee discount policy The Organization was unable to complete the task as expected due to an exceptionally high workload during this period. They were managing multiple priorities, which required their immediate attention, and as a result, were not able to allocate the necessary time to this particular responsibility. It is possible the Organization may not apply sliding fee discounts to patient charges consistent with its sliding fee discount program and these errors may not be detected and corrected in a timely manner.