Finding 1179260 (2024-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2026-03-12
Audit: 391649

AI Summary

  • Core Issue: The health center failed to provide adequate data to support specific reported figures in the Uniform Data System (UDS) report.
  • Impacted Requirements: Compliance with federal reporting requirements under the Health Center Program, specifically section 330 of the PHS Act.
  • Recommended Follow-Up: Implement an additional review process to ensure all supporting documentation is retained and reconciled with final reports.

Finding Text

Information on the federal program – Assistance Listing Number 93.224/93.527, Health Center Program Cluster, Department of Health and Human Services, Federal Award No. 5 H80CS33656 for project period May 1, 2023 through April 30, 2024. Criteria or specific requirement – Health centers must comply with federal reporting requirements as required under the HCP authorized by section 330 of the Public Health Service (PHS) Act (42 U.S.C. 254b). Condition – The Center did not have data to support certain line items reported on the Uniform Data System (UDS) report filed. Within Table 5 of the UDS report, the amounts reported within line 8, column B2 and line 10A, column B2, were not supportable by underlying data. Within Table 8A of the UDS report, the amounts reported within line 17 column C, line 1, column C, and line 3, column C, were not supportable by underlying data. Cause – Internal controls were not in place to ensure proper supporting documentation was retained along with the submitted Uniform Data System report. Effect or potential effect – Inaccurate filing of reports may result in the federal program not being properly monitored, thus resulting in potential noncompliance with program requirements. Questioned costs – None Context – Only 1 special report was required to be submitted during the year under audit (UDS). Identification as a repeat finding, if applicable – Not a repeat finding Recommendation – We recommend management implement an additional level of review by someone with knowledge of the reporting requirements. Views of responsible officials and planned corrective actions – Management acknowledged a lack of document retention resulted in the final calculation not being saved in a central, shared site that would support the amount filed. In future periods, management will have processes and procedures in place to require reconciliation and tie-out of supporting documentation to final filings which will alleviate this finding.

Corrective Action Plan

Finding Number: 2024-002 Planned Corrective Action: Management acknowledged the lack of data to support certain line items reported on the 2023 Uniform Data System (UDS) report filed. The Center will have processes and procedures in place to require proper retention of reconciliation and tie-out of supporting documentation to final filings which will alleviate this finding. Anticipated Completion Date: December 31, 2025 Responsible Contact Person: Andreea Mera, Chief Executive Officer

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1179258 2024-002
    Material Weakness Repeat
  • 1179259 2024-003
    Material Weakness Repeat
  • 1179261 2024-003
    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) $588,615
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $325,385
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $249,353
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $158,737
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $93,056
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $77,911