Finding 1162293 (2024-006)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-11-13
Audit: 372114
Organization: Waikiki Health (HI)
Auditor: COHNREZNICK LLP

AI Summary

  • Core Issue: The Center lacks proper documentation to support reported amounts in the UDS submission, leading to inaccuracies.
  • Impacted Requirements: Failure to comply with documentation standards set by the U.S. Department of Health and Human Services and the Office of Management and Budget.
  • Recommended Follow-Up: Implement stronger internal controls to ensure accurate calculations and documentation for UDS reports.

Finding Text

Finding 2024.006: Reporting - Significant Deficiency Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 - Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Assistance Listing Numbers: 93.224 Federal Award Identification Number and Year: H80CS00053 - 2023 and 2024, H8FCS41422 - 2023 Criteria Health centers are required to have documentation that supports the amounts reported within the tables on the Health Resources and Services Administration Uniform Data Systems ("UDS") submission in accordance with the Office of Management and Budget Control No. 0915-0193. The Center should be implementing and monitoring procedures to properly determine, calculate and review the amounts that are reported on the UDS submission. Condition The Center did not have the proper documentation readily available to ensure that the calculations within the UDS reports were correct and accurate. Cause The Center did not have adequate internal controls in place to effectively ensure that all calculations within the UDS report were correct and accurate. Effect or Potential Effect The Center did not comply with the appropriate reporting rules and regulations as per the Uniform Guidance. Questioned Costs None Context A review of the UDS submission was performed and the Center was unable to provide documentation to support the tables within the report. Identification of Repeat Finding This finding is not a repeat finding. Recommendation The Center should establish a system of internal controls to ensure that all UDS related calculations are properly documented and maintained. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.

Corrective Action Plan

Finding 2024.006 - Reporting Recommendation The Organization should establish a system of internal controls to ensure that all UDS related calculations are properly documented and maintained. Action Taken In response to the audit finding, I will develop and implement a formal internal control system to ensure that all Uniform Data System (UDS) related calculations are accurately documented and consistently maintained.

Categories

Subrecipient Monitoring HUD Housing Programs Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1162286 2024-003
    Material Weakness Repeat
  • 1162287 2024-004
    Material Weakness Repeat
  • 1162288 2024-005
    Material Weakness Repeat
  • 1162289 2024-006
    Material Weakness Repeat
  • 1162290 2024-003
    Material Weakness Repeat
  • 1162291 2024-004
    Material Weakness Repeat
  • 1162292 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $358,035
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $189,487