Finding 1161775 (2025-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2025-11-03

AI Summary

  • Core Issue: The UDS report for 2024 had significant errors, including an understatement of federal grants by $1.685 million and overstated revenues by $8.426 million.
  • Impacted Requirements: Compliance with Uniform Guidance and accurate financial reporting are compromised, affecting DHHS's financial analysis of grant recipients.
  • Recommended Follow-Up: Develop a system to ensure accurate reporting and reconcile data; revise and resubmit Tables 8A, 9D, and 9E if necessary.

Finding Text

Finding: 2025-004 Uniform Data System Report Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Condition: The Uniform Data System (UDS) report submitted to DHHS for the year ended December 31, 2024 contained incorrect data for federal grant reporting, patient revenue and total expenses. Revenues and expenses were not correctly reported on Tables 8E and 9D of the UDS report. Federal grant reporting was understated by $1,685,000. The revenues were overstated by approximately $8,426,000 and expenses were understated by approximately $1,238,000. Criteria: Uniform Guidance, Special Reporting – Uniform Data System Cause: The above exception resulted from errors in preparing Tables 8A, 9D, and 9E of the Uniform Data System report. Effect: The Department of Health and Human Services reviews the UDS data for financial analysis for grant recipients. Errors in this data causes incorrect financial analysis results and distorted performance indicators. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that a system be developed to ensure that revenue and expenses are reported and reconciled to the UDS report. HRSA should be informed of the error and the 2024 Tables 8A, 9D, and 9E should be revised and resubmitted, if requested. Views of Responsible Officials: Management concurs. Efforts will be made to ensure that the revenue and expenses recorded is reconciled to the revenue and expenses on the UDS report. Contact Person: Janice Robinson, CEO Anticipated Date of Completion: November 30, 2025

Corrective Action Plan

In Finding 2025-004, a condition was noted that the Uniform Data System (UDS) report submitted to DHHS for the year ended December 31, 2024 contained incorrect data for federal grant reporting, patient revenue and total expenses. Management recognizes the importance of complying with federal reporting guidelines. In response to Finding 2025-004, management concurs, and efforts will be made to ensure that the revenue and expenses recorded are reconciled to the revenue and expenses on the UDS report prior to submission.

Categories

Reporting

Other Findings in this Audit

  • 1161774 2025-004
    Material Weakness Repeat
  • 1161776 2025-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $6.29M
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $714,777
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $396,985
93.526 AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $312,141
93.217 FAMILY PLANNING_SERVICES $266,605
93.527 AFFORDABLE CARE ACT (ACA) GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $131,797
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $63,730
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $0