Audit 7288

FY End
2023-06-30
Total Expended
$7.38M
Findings
2
Programs
6
Year: 2023 Accepted: 2023-12-18
Auditor: Capincrouse LLP

Organization Exclusion Status:

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Contacts

Name Title Type
N1CYLGCC3XZ3 Stephen T Kennedy Auditee
2138931960 Robert J. Faulk, CPA Auditor
No contacts on file

Notes to SEFA

Title: RELATIONSHIP TO THE CONSOLIDATED FINANCIAL STATEMENTS Accounting Policies: The accompanying schedule of expenditures of federal awards (the schedule) includes the federal grant activity of Los Angeles Christian Health Centers and Subsidiary (LACHC) under programs of the federal government for the year ended June 30, 2023. The information in the schedule is presented in accordance with the requirements of the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, some amounts presented in the schedule may differ from amounts presented in, or used in the preparation of, the basic consolidated financial statements. Expenditures in 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 to amounts reported as expenditures in prior years. If LACHC is required to match certain federal assistance, as defined by the grant agreements, no such matching has been included as expenditures in the schedule. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate See the Notes to the SEFA for chart/table
Title: SUBRECIPIENTS, NON-CASH ASSISTANCE, FEDERAL INSURANCE, LOANS, AND LOAN GUARANTEES Accounting Policies: The accompanying schedule of expenditures of federal awards (the schedule) includes the federal grant activity of Los Angeles Christian Health Centers and Subsidiary (LACHC) under programs of the federal government for the year ended June 30, 2023. The information in the schedule is presented in accordance with the requirements of the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, some amounts presented in the schedule may differ from amounts presented in, or used in the preparation of, the basic consolidated financial statements. Expenditures in 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 to amounts reported as expenditures in prior years. If LACHC is required to match certain federal assistance, as defined by the grant agreements, no such matching has been included as expenditures in the schedule. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate LACHC did not provide any federal funds to subrecipients nor did they receive any federal non-cash assistance, insurance, loans, or loan guarantees.
Title: MEDICARE AND MEDICAID PAYMENTS Accounting Policies: The accompanying schedule of expenditures of federal awards (the schedule) includes the federal grant activity of Los Angeles Christian Health Centers and Subsidiary (LACHC) under programs of the federal government for the year ended June 30, 2023. The information in the schedule is presented in accordance with the requirements of the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, some amounts presented in the schedule may differ from amounts presented in, or used in the preparation of, the basic consolidated financial statements. Expenditures in 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 to amounts reported as expenditures in prior years. If LACHC is required to match certain federal assistance, as defined by the grant agreements, no such matching has been included as expenditures in the schedule. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate Medicare and Medicaid payments received from the federal medical assistance program, CFDA #93.778 for providing patient care services to eligible individuals are excluded from Uniform Guidance compliance audit requirements and therefore are not included on the schedule.
Title: PROVIDER RELIEF FUND Accounting Policies: The accompanying schedule of expenditures of federal awards (the schedule) includes the federal grant activity of Los Angeles Christian Health Centers and Subsidiary (LACHC) under programs of the federal government for the year ended June 30, 2023. The information in the schedule is presented in accordance with the requirements of the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, some amounts presented in the schedule may differ from amounts presented in, or used in the preparation of, the basic consolidated financial statements. Expenditures in 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 to amounts reported as expenditures in prior years. If LACHC is required to match certain federal assistance, as defined by the grant agreements, no such matching has been included as expenditures in the schedule. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate In response to COVID-19, LACHC received payments totaling $204,257 for the year ended June 30, 2022, from the Department of Health and Human Services (DHHS) Provider Relief Fund ALN #93.498 (PRF). PRF funding received from July 1, 2021 - December 31, 2021 (Period 4), and January 1, 2022 - June 30, 2022 (Period 5), is reported in the schedule for the year ending June 30, 2023, according to DHHS directive and OMB Compliance Supplement. LACHC did not receive any PRF payments for the year ended June 30, 2023.

Finding Details

Uniform Data System (UDS) Reporting DEPARTMENT OF HEALTH AND HUMAN SERVICES ALN #: 93.224 and 93.527 - Health Center Program Cluster Federal Award Identification #: 2022 Reporting Year Condition: LACHC did not retain adeqaute support for the 2022 UDS report submission. Criteria: Section 330 of the Public Health Service (PHS) Act (42 U.S.C. 254b) Questioned Costs: $-0- Context: LACHC had supporting documentation for the key line items on patient visits however this support did not agree to the 2022 UDS report. Cause: Staffing turnover Effect: Inaccurate reporting or lack of adequate support Identification as repeat finding, if applicable: Not applicable. Recommendation: We recommend LACHC retain adequate supporting documentation for UDS report submissions. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. See corrective action plan.
Uniform Data System (UDS) Reporting DEPARTMENT OF HEALTH AND HUMAN SERVICES ALN #: 93.224 and 93.527 - Health Center Program Cluster Federal Award Identification #: 2022 Reporting Year Condition: LACHC did not retain adeqaute support for the 2022 UDS report submission. Criteria: Section 330 of the Public Health Service (PHS) Act (42 U.S.C. 254b) Questioned Costs: $-0- Context: LACHC had supporting documentation for the key line items on patient visits however this support did not agree to the 2022 UDS report. Cause: Staffing turnover Effect: Inaccurate reporting or lack of adequate support Identification as repeat finding, if applicable: Not applicable. Recommendation: We recommend LACHC retain adequate supporting documentation for UDS report submissions. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. See corrective action plan.