Audit 41921

FY End
2022-09-30
Total Expended
$18.33M
Findings
2
Programs
23
Organization: Seattle Indian Health Board (WA)
Year: 2022 Accepted: 2023-06-29

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
47976 2022-002 Material Weakness - E
624418 2022-002 Material Weakness - E

Programs

ALN Program Spent Major Findings
93.193 Covid-19 Urban Indian Health Services $6.13M Yes 0
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.04M Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.53M Yes 1
93.479 Good Health and Wellness in Indian Country (a) $1.52M - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $1.43M Yes 0
93.224 Covid-19 American Rescue Plan Act Funding for Health Centers $1.19M Yes 0
93.762 A Comprehensive Approach to Good Health and Wellness in Indian County ? Financed Solely by Prevention and Public Health $959,847 Yes 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $718,799 Yes 0
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $595,038 - 0
93.231 Epidemiology Cooperative Agreements $558,760 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $352,750 - 0
93.237 Special Diabetes Program for Indians_diabetes Prevention and Treatment Projects $327,425 - 0
93.193 Urban Indian Health Services $317,646 Yes 0
93.231 Covid-19 - Epidemiology Cooperative Agreements $276,370 - 0
93.498 Provider Relief Fund $257,745 - 0
93.788 Opioid Str $41,077 - 0
16.023 Sexual Assault Services Cuturally Specific Program $38,915 - 0
21.019 Coronavirus Relief Fund $21,190 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $13,530 - 0
47.076 Education and Human Resources $12,309 - 0
93.380 The Cdc Public Health Cancer Genomics Program: Translating Research Into Public Health Practice (b) $1,833 - 0
93.958 Block Grants for Community Mental Health Services $520 - 0
21.023 Emergency Rental Assistance Program $151 - 0

Contacts

Name Title Type
T4PQLK8JNHL1 Linda Zhang Auditee
2063249360 Kyla Delgado 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, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Seattle Indian Health Board has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Seattle Indian Health Board under programs of the federal government for the year ended September 30, 2022. The information in the Schedule is presented in accordance with the requirements of 2 CFR 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 Seattle Indian Health Board, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Seattle Indian Health Board.
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, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Seattle Indian Health Board has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The financial statements reflect revenue recognized from the Provider Relief Fund (PRF) of $257,745 and $1,065,103 for the years ended September 30, 2022 and 2021, respectively. The schedule includes $257,745 of period 4 expenditures in accordance with the requirements of the compliance supplement for assistance listing 93.498.

Finding Details

Finding 2022-002 Eligibility Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds Program Assistance Listing Number: 21.027 Award Period: 9/1/2021 ? 6/30/2023 Type of Finding: Material Weakness in Internal Control over Compliance and Compliance Criteria or specific requirement: Eligibility requirements under contract 21-4619C-201 Eviction Rent Assistance Program 2.0 with the Washington State Department of Commerce require households to meet the criteria of income at or below 80% of Area Median Income and have missed or past due rent payment not paid or partially unpaid since March 1, 2020 and still be occupying the residence. Condition: Documentation that a household met the eligibility requirements of the program was unable to be located for 9 of the 28 payments selected for testing. Questioned Costs: Of the 10 households that were found to be unsupported by sufficient documentation of eligibility benefit payments totaling approximately $90,000 were processed. Extrapolation of the error rate calculated based upon the testing performed resulted in an estimated error of approximately $582,000 of potentially unsupported benefit payments in the remaining untested benefit payments. Context: The terms of the contract required documentation of household eligibility for benefits. Due to turnover of grant staff a number of records are unable to be located. Cause: Insufficient internal control processes and procedures to retain documentation that support determinations for eligibility of grant recipients to receive benefit under a federal award program. Effect: The Health Board awarded benefits to recipients that may not have been eligible under the contract requirements. Recommendation: The Health Board should ensure that program managers are aware of the significant compliance requirements of an award and implement a system of internal control that supports compliance and documentation of compliance.
Finding 2022-002 Eligibility Federal Agency: U.S. Department of the Treasury Federal Program Title: Coronavirus State and Local Fiscal Recovery Funds Program Assistance Listing Number: 21.027 Award Period: 9/1/2021 ? 6/30/2023 Type of Finding: Material Weakness in Internal Control over Compliance and Compliance Criteria or specific requirement: Eligibility requirements under contract 21-4619C-201 Eviction Rent Assistance Program 2.0 with the Washington State Department of Commerce require households to meet the criteria of income at or below 80% of Area Median Income and have missed or past due rent payment not paid or partially unpaid since March 1, 2020 and still be occupying the residence. Condition: Documentation that a household met the eligibility requirements of the program was unable to be located for 9 of the 28 payments selected for testing. Questioned Costs: Of the 10 households that were found to be unsupported by sufficient documentation of eligibility benefit payments totaling approximately $90,000 were processed. Extrapolation of the error rate calculated based upon the testing performed resulted in an estimated error of approximately $582,000 of potentially unsupported benefit payments in the remaining untested benefit payments. Context: The terms of the contract required documentation of household eligibility for benefits. Due to turnover of grant staff a number of records are unable to be located. Cause: Insufficient internal control processes and procedures to retain documentation that support determinations for eligibility of grant recipients to receive benefit under a federal award program. Effect: The Health Board awarded benefits to recipients that may not have been eligible under the contract requirements. Recommendation: The Health Board should ensure that program managers are aware of the significant compliance requirements of an award and implement a system of internal control that supports compliance and documentation of compliance.