Finding 1140756 (2024-001)

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Requirement
L
Questioned Costs
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Year
2024
Accepted
2025-06-10

AI Summary

  • Core Issue: The UDS report for the Health Center Program was submitted late, missing the March 31, 2024 deadline.
  • Impacted Requirements: This affects compliance with reporting obligations for Assistance Listing Numbers 93.224/93.527.
  • Recommended Follow-Up: Improve tracking and monitoring of submission deadlines to ensure timely compliance with Federal grant requirements.

Finding Text

Finding 2024-001: Health Center Program Uniform Data System (UDS) Report This finding impacts the reporting compliance requirement for the major program, Assistance Listing Number 93.224/93.527 Health Center Program Cluster. Criteria: Health Center Program grant recipients are required to file a UDS report that provides standardized information about the performance and operation of health centers delivering health care services to underserved communities and vulnerable populations. The UDS report is due 45 days after the calendar year end for the initial submission, and 90 days after calendar year end for the final submission to the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services Condition: The UDS report final submission was due on March 31, 2024; however, it was not submitted until April 18, 2024. Cause: There was oversight in tracking the submission due dates. Effect: The Agency was not in compliance with the reporting requirements of the Health Center Program grant. Recommendation: We recommend that the Agency enhance controls and monitoring procedures over Federal grant requirements to ensure future reports are submitted on time. Management Response: In 2024, the UDS submission was led by our Chief Information Officer with support from a Financial Analyst. In prior years, the submission was headed by the Director of Finance who had been with the organization for 10+ years. She left in November of 2023 and as a result the organization lost some institutional knowledge and UDS experience. In 2025, the 2024 UDS submission was managed by the Chief Financial Officer and submitted by February 15th, 2025. All follow-up requests from the reviewer were resolved prior to March 31, 2025. We don’t foresee any further issues with future submissions.

Categories

Subrecipient Monitoring Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.600 Head Start $5.29M
93.527 Grants for New and Expanded Service Under the Health Center Program $3.58M
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $781,450
93.526 Covid-19 - Grants for Capital Development in Health Centers $654,418
93.959 Block Grants for Prevention and Treatment of Substance Abuse $544,813
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $516,420
93.914 Hiv Emergency Relief Project Grants $509,633
14.241 Housing Opportunities for Persons with Aids $300,541
10.555 National School Lunch Program $202,552
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $124,407
93.558 Temporary Assistance for Needy Families $81,174
93.940 Hiv Prevention Activities Health Department Based $72,717
93.426 The National Cardiovascular Health Program $61,419
93.217 Family Planning Services $49,534
93.575 Child Care and Development Block Grant $17,987
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $15,681
14.218 Community Development Block Grants/entitlement Grants $15,000
10.558 Child and Adult Care Food Program $7,663
84.181 Special Education - Grants for Infants and Families $6,088