Audit 49891

FY End
2022-03-31
Total Expended
$4.69M
Findings
4
Programs
3
Year: 2022 Accepted: 2022-12-27

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
43990 2022-001 Significant Deficiency - I
43991 2022-001 Significant Deficiency - I
620432 2022-001 Significant Deficiency - I
620433 2022-001 Significant Deficiency - I

Contacts

Name Title Type
DAHKXWEXEAP1 Paul McCloud Auditee
7329630159 Heather L Weer Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported on the schedule of expenditures of federal and state awards are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance and NJOMB 15-08, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Pass-through entity identifying numbers are presented where available. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The accompanying schedule of expenditures of federal and state awards include the federal and state of New Jersey grant award activity of Monmouth Family Health Center, Inc. (the Center) for the year ended March 31, 2022. The information in the schedule of expenditures and federal awards is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (Uniform Guidance). The information included in the schedule of expenditures of state awards is presented in accordance with the requirements of the State of New Jersey Department of Treasury, OMB Circular 15-08, Single Audit Policy for Recipients of Federal Grants, State Grants and State Aid(NJOMB 15-08). Because the schedule presents only a selected portion of the operations of the Center, it is not intended to and do not present the financial position, changes in net assets or cash flows of the Center.
Title: Provider Relief Fund and American Rescue Plan Accounting Policies: Expenditures reported on the schedule of expenditures of federal and state awards are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance and NJOMB 15-08, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Pass-through entity identifying numbers are presented where available. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. For the United States Department of Health and Human Services (HHS) award related to the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) program, HHS has indicated the amounts on the Schedule be reported corresponding to reporting requirements of the Health Resources and Services Administration (HRSA) PRF Reporting Portal. Payments from HHS for PRF are assigned to "Payment Received Periods" (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Period's deadline to use the funds (i.e., after the end of the Period of Availability). The Schedule includes $189,758 received from HHS between July 1, 2020 through December 31, 2020. In accordance with guidance from HHS, $126,716 is being reported as Period 1 and $63,042 is being reported as Period 2. For the year ended March 31, 2021, approximately $20,000 of Period 1 funds and $63,000 of Period 2 funds were recognized as grant revenue in the Center's financial statements.

Finding Details

Federal Assistance Listing Number: 93.224 - Health Center Program Cluster [including COVID-19 funds] Federal Agency: U.S. Department of Health and Human Services Federal Award Numbers in Cluster: 5 H80CS12855-12-00, 5 H80CS12855-12-02, 5 H80CS12855-13-00, 6-H80CS12855-11-03,1 H8ECS37915-01-00, 6 H80CS12855-10-02, 1 H8DCS36386-01-00, 1 H8FCS40527-01-00 Federal Award Year in Cluster: April 1, 2021 - March 31, 2022 Pass-Through Entity: None Criteria: Under Uniform Guidance purchases must be in compliance with procurement methods using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. The Center must perform a cost or price analysis in connection with all procurement actions exceeding the simplified acquisition threshold, including contract modifications, and that this analysis supported the procurement action (2 CFR Section 200.323 and 48 CFR Section 15.404-3) Condition: During 2022, there was turnover in the Chief Financial Officer position, who was responsible for the bidding process at the Center, and in the transition the bidding and price analysis documentation could not be located and provided for 6 out of the 17 items sampled. Context: During our testing of procurement of expenditures, it was noted that 6 out of a sample of 17 proper documentation of the bids received and the price analysis in connection with the purchases could not be located by the Center. This is not a statistically valid sample. Effect: There is no supporting documentation to ensure that the vendors selected were incompliance with guidance of the Uniform Guidance and Center's policies. Questioned Cost: None Recommendation: The Center should maintain all support and documentation in regards to grant purchases using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. This should include a cost or price analysis to document and support decisions made around vendor selection.
Federal Assistance Listing Number: 93.224 - Health Center Program Cluster [including COVID-19 funds] Federal Agency: U.S. Department of Health and Human Services Federal Award Numbers in Cluster: 5 H80CS12855-12-00, 5 H80CS12855-12-02, 5 H80CS12855-13-00, 6-H80CS12855-11-03,1 H8ECS37915-01-00, 6 H80CS12855-10-02, 1 H8DCS36386-01-00, 1 H8FCS40527-01-00 Federal Award Year in Cluster: April 1, 2021 - March 31, 2022 Pass-Through Entity: None Criteria: Under Uniform Guidance purchases must be in compliance with procurement methods using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. The Center must perform a cost or price analysis in connection with all procurement actions exceeding the simplified acquisition threshold, including contract modifications, and that this analysis supported the procurement action (2 CFR Section 200.323 and 48 CFR Section 15.404-3) Condition: During 2022, there was turnover in the Chief Financial Officer position, who was responsible for the bidding process at the Center, and in the transition the bidding and price analysis documentation could not be located and provided for 6 out of the 17 items sampled. Context: During our testing of procurement of expenditures, it was noted that 6 out of a sample of 17 proper documentation of the bids received and the price analysis in connection with the purchases could not be located by the Center. This is not a statistically valid sample. Effect: There is no supporting documentation to ensure that the vendors selected were incompliance with guidance of the Uniform Guidance and Center's policies. Questioned Cost: None Recommendation: The Center should maintain all support and documentation in regards to grant purchases using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. This should include a cost or price analysis to document and support decisions made around vendor selection.
Federal Assistance Listing Number: 93.224 - Health Center Program Cluster [including COVID-19 funds] Federal Agency: U.S. Department of Health and Human Services Federal Award Numbers in Cluster: 5 H80CS12855-12-00, 5 H80CS12855-12-02, 5 H80CS12855-13-00, 6-H80CS12855-11-03,1 H8ECS37915-01-00, 6 H80CS12855-10-02, 1 H8DCS36386-01-00, 1 H8FCS40527-01-00 Federal Award Year in Cluster: April 1, 2021 - March 31, 2022 Pass-Through Entity: None Criteria: Under Uniform Guidance purchases must be in compliance with procurement methods using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. The Center must perform a cost or price analysis in connection with all procurement actions exceeding the simplified acquisition threshold, including contract modifications, and that this analysis supported the procurement action (2 CFR Section 200.323 and 48 CFR Section 15.404-3) Condition: During 2022, there was turnover in the Chief Financial Officer position, who was responsible for the bidding process at the Center, and in the transition the bidding and price analysis documentation could not be located and provided for 6 out of the 17 items sampled. Context: During our testing of procurement of expenditures, it was noted that 6 out of a sample of 17 proper documentation of the bids received and the price analysis in connection with the purchases could not be located by the Center. This is not a statistically valid sample. Effect: There is no supporting documentation to ensure that the vendors selected were incompliance with guidance of the Uniform Guidance and Center's policies. Questioned Cost: None Recommendation: The Center should maintain all support and documentation in regards to grant purchases using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. This should include a cost or price analysis to document and support decisions made around vendor selection.
Federal Assistance Listing Number: 93.224 - Health Center Program Cluster [including COVID-19 funds] Federal Agency: U.S. Department of Health and Human Services Federal Award Numbers in Cluster: 5 H80CS12855-12-00, 5 H80CS12855-12-02, 5 H80CS12855-13-00, 6-H80CS12855-11-03,1 H8ECS37915-01-00, 6 H80CS12855-10-02, 1 H8DCS36386-01-00, 1 H8FCS40527-01-00 Federal Award Year in Cluster: April 1, 2021 - March 31, 2022 Pass-Through Entity: None Criteria: Under Uniform Guidance purchases must be in compliance with procurement methods using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. The Center must perform a cost or price analysis in connection with all procurement actions exceeding the simplified acquisition threshold, including contract modifications, and that this analysis supported the procurement action (2 CFR Section 200.323 and 48 CFR Section 15.404-3) Condition: During 2022, there was turnover in the Chief Financial Officer position, who was responsible for the bidding process at the Center, and in the transition the bidding and price analysis documentation could not be located and provided for 6 out of the 17 items sampled. Context: During our testing of procurement of expenditures, it was noted that 6 out of a sample of 17 proper documentation of the bids received and the price analysis in connection with the purchases could not be located by the Center. This is not a statistically valid sample. Effect: There is no supporting documentation to ensure that the vendors selected were incompliance with guidance of the Uniform Guidance and Center's policies. Questioned Cost: None Recommendation: The Center should maintain all support and documentation in regards to grant purchases using appropriate dollar amounts and conditions specified in 2 CFR Section 200.320 and in compliance with the Center's policy. This should include a cost or price analysis to document and support decisions made around vendor selection.