Finding 1162311 (2024-005)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-11-13

AI Summary

  • Core Issue: The Organization lacks proper documentation to support reported amounts in the UDS submission.
  • Impacted Requirements: Failure to comply with documentation standards set by the U.S. Department of Health and Human Services and Uniform Guidance.
  • Recommended Follow-Up: Implement stronger internal controls to ensure accurate calculations and documentation for UDS submissions.

Finding Text

Finding 2024.005: Reporting - Significant Deficiency Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster, COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services under the Health Center Program, COVID-19 Grants for New and Expanded Services under the Health Center Program. Federal Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS00132-2022 and 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 Organization should be implementing and monitoring procedures to properly determine, calculate and review the amounts that are reported on the UDS submission. Condition The Organization did not have the proper documentation readily available to ensure that the calculations within the UDS reports were correct and accurate. Cause The Organization 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 Organization did not comply with the appropriate rules and regulations as per the Uniform Guidance. Questioned Costs None. Context A review of the UDS submission was performed and the Organization was unable to provide documentation to support the tables within the report. Identification as a Repeat Finding Not a repeat finding. Recommendation The Organization 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

Recommendation The Organization should establish a system of internal controls to ensure that all UDS related calculations are properly documented and maintained. Repeat Finding No Action Taken The health center will share one location to maintain all UDS files and ensure that the worksheet/and data that is prepared is locked so only the owner can make changes.

Categories

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

Other Findings in this Audit

  • 1162303 2024-003
    Material Weakness Repeat
  • 1162304 2024-004
    Material Weakness Repeat
  • 1162305 2024-005
    Material Weakness Repeat
  • 1162306 2024-003
    Material Weakness Repeat
  • 1162307 2024-004
    Material Weakness Repeat
  • 1162308 2024-005
    Material Weakness Repeat
  • 1162309 2024-003
    Material Weakness Repeat
  • 1162310 2024-004
    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) $3.37M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $1.49M
93.778 MEDICAL ASSISTANCE PROGRAM $491,304
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS (NON-CASH ASSISTANCE) $296,191
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $205,247
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $190,319
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $135,587
84.424F STRONGER CONNECTIONS GRANT $128,231
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $91,465
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $75,892
93.283 CENTERS FOR DISEASE CONTROL AND PREVENTION INVESTIGATIONS AND TECHNICAL ASSISTANCE $46,484
93.185 IMMUNIZATION RESEARCH, DEMONSTRATION, PUBLIC INFORMATION AND EDUCATION TRAINING AND CLINICAL SKILLS IMPROVEMENT PROJECTS $3,926