Finding 1216600 (2025-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-06-04
Audit: 403067

AI Summary

  • Core Issue: Key data reported in the UDS report for the Health Center Program was not supported by accurate underlying documentation.
  • Impacted Requirements: Compliance with federal reporting requirements is at risk due to discrepancies in reported amounts.
  • Recommended Follow-Up: Implement a mandatory secondary review process by an expert before submitting federal reports to ensure accuracy and compliance.

Finding Text

Information on the federal program - Assistance Listing Number 93.224, Health Center Program Cluster from the U.S. Department of Health and Human Services, Federal Award No. 6 H80CS07897 for project period February 1, 2024 through January 31, 2027 Criteria or specific requirement – Health Centers must comply with federal reporting requirements. Condition – Certain key line items reported on the Uniform Data System (UDS) report were not supportable by underlying data. Within Table 5, Line 8, Columns b and b2, Table 5, Line 10a, Columns b and b2, Table 8A, Line 17, Column c, Table 8A, Line 1, Column c, and Table 8A, Line 2, Column c, there were discrepancies between the reported amounts and the underlying data provided. Cause – Changes were made to amounts initially reported on the UDS report, but the underlying schedules that reflected the final amounts reported were not maintained. 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 – Not applicable. Context – Out of a population of 1 special report required to be submitted during the year under audit, 1 special report was tested. Identification as a repeat finding, if applicable – Is a repeat finding (2024-002) 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 acknowledges the importance of accurate reporting and proper documentation to meet grant compliance standards. To address this repeat finding, effective immediately, management will implement a mandatory secondary review process. All federal reports submitted to granting agencies will undergo a formal secondary review prior to submission. The reviewer will be a designated individual with demonstrated expertise in federal reporting requirements. Evidence of review (e.g., sign-off or electronic approval) will be retained for audit purposes.

Corrective Action Plan

Finding Number: 2025-002 Planned Corrective Action:Management acknowledges the importance of accurate reporting and proper documentation to meet grant compliance standards. To address this repeat finding, management is strengthening its corrective action plan as follows: •Mandatory Secondary Review Process: Effective immediately, all federal reports submitted to granting agencies will undergo a formal secondary review prior to submission. The reviewer will be a designated individual with demonstrated expertise in federal reporting requirements. Evidence of review (e.g., sign-off or electronic approval) will be retained for audit purposes. Anticipated Completion Date: 12/31/2026 Responsible Contact Person: Angelita Thomas, Chief Financial Officer

Categories

Reporting

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $2.61M
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $258,593
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $40,513