Audit 45527

FY End
2022-12-31
Total Expended
$39.31M
Findings
6
Programs
22
Organization: Access Community Health Network (IL)
Year: 2022 Accepted: 2023-07-05

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
40101 2022-001 Significant Deficiency - B
40102 2022-001 Significant Deficiency - B
40103 2022-001 Significant Deficiency - B
616543 2022-001 Significant Deficiency - B
616544 2022-001 Significant Deficiency - B
616545 2022-001 Significant Deficiency - B

Programs

ALN Program Spent Major Findings
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $17.86M Yes 1
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $10.75M Yes 1
93.926 Healthy Start Initiative $1.21M - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $484,274 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $427,295 - 0
93.914 Hiv Emergency Relief Project Grants $371,640 - 0
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $363,206 - 0
14.218 Community Development Block Grants/entitlement Grants $282,978 - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $217,780 - 0
93.307 Minority Health and Health Disparities Research $175,873 - 0
93.226 Research on Healthcare Costs, Quality and Outcomes $172,626 - 0
93.461 Covid-19 Testing for the Uninsured $169,960 - 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $119,655 - 0
93.667 Social Services Block Grant $100,494 - 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $42,040 - 0
93.837 Cardiovascular Diseases Research $28,659 - 0
93.940 Hiv Prevention Activities_health Department Based $27,605 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $25,750 - 0
93.247 Advanced Nursing Education Grant Program $18,421 - 0
93.493 Congresssional Directes $16,794 - 0
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $15,465 - 0
93.866 Aging Research $5,010 - 0

Contacts

Name Title Type
XM7MMFME1TM5 Mahomed Ouedraogo Auditee
3125262100 Chris Manderfield Auditor
No contacts on file

Notes to SEFA

Title: BASIS OF PRESENTATION Accounting Policies: Expenditures reported on the SEFA 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. ACCESS has not elected to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activity of ACCESS under programs of the federal government for the year ended December 31, 2022. The information in this SEFA 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). As the SEFA presents only a selected portion of the operations of ACCESS, it is not intended to and does not present the financial position, changes in net assets, or cash flows of ACCESS.
Title: OTHER MATTERS Accounting Policies: Expenditures reported on the SEFA 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. ACCESS has not elected to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. Amount of Noncash Assistance - NONE Amount of Insurance - NONEAmount of Loans - NONEAmount of Loan Guarantees - NONE

Finding Details

Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.
Finding 2022-001 ? Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Center Program Cluster Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H80CS00834-20; H80CS00834-21; H8FCS40554-01 Award Periods: March 1, 2021 ? February 28, 2022; March 1, 2022 ? February 28, 2023; April 1, 2021 - March 31, 2023, respectively Type of Finding: Significant deficiency in internal control over compliance Criteria: Appendix IV to Part 200?Indirect (F&A) Costs Identification and Assignment, and Rate Determination for Nonprofit Organizations - Section C. Negotiation and Approval of Indirect Cost Rates - Subsection 2. Negotiation and approval of Rates - Clause "c:" Unless approved by the cognizant agency for indirect costs in accordance with ? 200.414(g), organizations that have previously established indirect cost rates must submit a new indirect cost proposal to the cognizant agency for indirect costs within six months after the close of each fiscal year; and Clause "g:" The results of each negotiation must be formalized in a written agreement between the cognizant agency for indirect costs and the nonprofit organization. The cognizant agency for indirect costs must make available copies of the agreement to all concerned Federal agencies. Condition: ACCESS requested reimbursement of indirect costs during a six-month period in which its indirect cost rate had expired. Questioned Costs: None. Context: ACCESS? indirect cost rate expired on June 30, 2022, however, the Organization did not request an extension until October 2022. In January 2023, ACCESS received a response to its extension request in which it was denied with the cited reason being that the indirect cost rate was no longer current. The Organization subsequently submitted an indirect cost rate proposal in January 2023 and in May 2023 the Cognizant agency for indirect costs (the Agency) did provide written notice to ACCESS that it could continue using its previous indirect cost rate until the Agency completed its review of the proposal and a new rate was established. Cause: Oversight. Effect: Unallowable indirect costs could be charged to a grant if the organization does not submit an updated indirect cost rate agreement application within a timely manner. Repeat Finding: No. Recommendation: Management should refine its processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. This may include identifying the expiration date of the current indirect cost rate during the grant budget preparation process and requesting an extension before the rate expires, or preparing and submitting a new indirect cost rate proposal at the earliest opportunity. Views of responsible officials: There is no disagreement with the audit finding.