Finding 1218063 (2024-004)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2026-06-22
Audit: 404217
Organization: Community Health Service, Inc. (MN)

AI Summary

  • Core Issue: The Center failed to maintain proper backup for sliding fee applications and income documents, leading to material noncompliance.
  • Impacted Requirements: Compliance with Title 2 U.S. Code of Federal Regulations Part 200 is necessary for applying sliding fee discounts based on patients' ability to pay.
  • Recommended Follow-Up: Implement stronger internal controls to ensure compliance with federal requirements and prevent repeat findings.

Finding Text

2024-004: U.S. Department of Health and Human Services Health Center Program Cluster- Health Center Program, Assistance Listing No. 93.224 Compliance Requirements: Special Tests and Provisions Type of Finding - Material Noncompliance and Material Weakness in Internal Control over Compliance (Repeat Finding) Condition - Proper backup of sliding fee applications and supporting income level documents were not maintained or stored. Criteria - Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires that a non-federal entity prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Cause - The Center did not have internal controls to reasonably ensure compliance. Effect: Patients were potentially incorrectly given or not given proper sliding fee discounts. Context - A non statistical sample of 45 from a population of over 250 encounters was selected for testing. The proper supporting documents were not maintained for 12 encounters tested. The sample was not intended to be, and was not a statistically valid sample. Repeat Finding - Repeat of finding of 2023-005. Recommendation - We recommend the Center implement internal controls to reasonably ensure its compliance with the requirements identified in Uniform Guidance. Management Response to Findings – Management concurs with the finding.

Corrective Action Plan

Type: Material Weakness in Internal Control Over Compliance Corrective Actions: - Ensure complete documentation is obtained and retained. - Implement monitoring and periodic reviews. - Provide staff training. Responsible Parties: Chief Executive Officer and Chief Financial Officer

Categories

Special Tests & Provisions Allowable Costs / Cost Principles Material Weakness Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1218053 2024-003
    Material Weakness Repeat
  • 1218054 2024-004
    Material Weakness Repeat
  • 1218055 2024-005
    Material Weakness Repeat
  • 1218056 2024-003
    Material Weakness Repeat
  • 1218057 2024-004
    Material Weakness Repeat
  • 1218058 2024-005
    Material Weakness Repeat
  • 1218059 2024-003
    Material Weakness Repeat
  • 1218060 2024-004
    Material Weakness Repeat
  • 1218061 2024-005
    Material Weakness Repeat
  • 1218062 2024-003
    Material Weakness Repeat
  • 1218064 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $1.30M
16.575 CRIME VICTIM ASSISTANCE $34,466
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $16,216