Corrective Action Plans

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2. Ensure continued CEO oversight of Medicare Cost Report submissions, with responsibilities reaffirmed annually during internal planning.
2. Ensure continued CEO oversight of Medicare Cost Report submissions, with responsibilities reaffirmed annually during internal planning.
3. Continue monthly Finance Committee updates on Cost Report timelines and submission status.
3. Continue monthly Finance Committee updates on Cost Report timelines and submission status.
4. Provide refresher training as needed to maintain awareness of CMS and HRSA reporting requirements.
4. Provide refresher training as needed to maintain awareness of CMS and HRSA reporting requirements.
5. Retain Allen Bryant, CPA, for annual preparation and submission of the Medicare Cost Report in accordance with CMS deadlines.
5. Retain Allen Bryant, CPA, for annual preparation and submission of the Medicare Cost Report in accordance with CMS deadlines.
Corrective Actions Taken:
Corrective Actions Taken:
1. Engaged CPA Zac Mabry in 2024 to perform monthly reconciliations and prepare SCMRC’s financial records through FY2024.
1. Engaged CPA Zac Mabry in 2024 to perform monthly reconciliations and prepare SCMRC’s financial records through FY2024.
2. Engaged Allen Bryant, CPA, to complete all outstanding audits (FY21–23) based on reconciled records.
2. Engaged Allen Bryant, CPA, to complete all outstanding audits (FY21–23) based on reconciled records.
3. Allen Bryant’s engagement and presence during the 2025 HRSA Verification Site Visit helped facilitate clearance of audit-related OSV findings.
3. Allen Bryant’s engagement and presence during the 2025 HRSA Verification Site Visit helped facilitate clearance of audit-related OSV findings.
4. Updated SCMRC’s internal compliance calendar to include audit preparation, board approval of engagement letters, and submission deadlines.
4. Updated SCMRC’s internal compliance calendar to include audit preparation, board approval of engagement letters, and submission deadlines.
Corrective Action Plan:
Corrective Action Plan:
1. Continue monthly accounting and reconciliation support through CPA Zac Mabry to ensure timely year-end close.
1. Continue monthly accounting and reconciliation support through CPA Zac Mabry to ensure timely year-end close.
2. Embed audit timelines, including document preparation and board approvals, into the annual compliance calendar.
2. Embed audit timelines, including document preparation and board approvals, into the annual compliance calendar.
3. Secure Board review and approval of audit engagement letters by August 31 each year.
3. Secure Board review and approval of audit engagement letters by August 31 each year.
4. Submit future audits on time via the Federal Audit Clearinghouse and maintain documentation of all communications with auditors and HRSA.
4. Submit future audits on time via the Federal Audit Clearinghouse and maintain documentation of all communications with auditors and HRSA.
Corrective Actions Taken:
Corrective Actions Taken:
1. Implemented a 15-month rolling cash flow forecast in Q4 2024, updated weekly by the CEO and Controller in partnership with the contract accountant.
1. Implemented a 15-month rolling cash flow forecast in Q4 2024, updated weekly by the CEO and Controller in partnership with the contract accountant.
2. Finance staff monitor cash balances and disbursements at least twice per week to anticipate timing issues and support grant drawdown coordination.
2. Finance staff monitor cash balances and disbursements at least twice per week to anticipate timing issues and support grant drawdown coordination.
3. Established internal minimum balance thresholds and enabled low balance alerts to prevent overdrafts.
3. Established internal minimum balance thresholds and enabled low balance alerts to prevent overdrafts.
4. Consolidated underutilized accounts in 2025 and formalized contingency planning with SCMRC’s banking institution.
4. Consolidated underutilized accounts in 2025 and formalized contingency planning with SCMRC’s banking institution.
5. Conducted nonprofit cash flow management training for the CEO, Controller, and Board in Q2 FY25.
5. Conducted nonprofit cash flow management training for the CEO, Controller, and Board in Q2 FY25.
6. Included cash flow forecasting and liquidity discussions in monthly Finance Committee updates.
6. Included cash flow forecasting and liquidity discussions in monthly Finance Committee updates.
7. These improvements were reviewed during the 2025 HRSA Verification Site Visit and contributed to clearance of relevant conditions under Chapter 21 of the HRSA Health Center Compliance Manual.
7. These improvements were reviewed during the 2025 HRSA Verification Site Visit and contributed to clearance of relevant conditions under Chapter 21 of the HRSA Health Center Compliance Manual.
Corrective Action Plan:
Corrective Action Plan:
1. Continue weekly updates of the 12-month rolling cash flow forecast.
1. Continue weekly updates of the 12-month rolling cash flow forecast.
2. Maintain twice-weekly internal cash reviews to align disbursements with available cash and grant timing.
2. Maintain twice-weekly internal cash reviews to align disbursements with available cash and grant timing.
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