Finding 1218831 (2025-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-06-25

AI Summary

  • Core Issue: The organization failed to provide necessary documentation for Federal Financial Reports due to turnover in financial leadership.
  • Impacted Requirements: This non-compliance affects adherence to the Uniform Guidance and DHHS grant reporting standards.
  • Recommended Follow-Up: Implement stronger controls to ensure timely submission of reports and maintain proper supporting documentation.

Finding Text

Finding 2025.002: Reporting - Significant Deficiency Name of Federal Agency: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program 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: H80CS11299 - 2024 and 2025, Q8MCS49109 - 2024, H2ECS45512 - 2024 and H8LCS51634 - 2024 Criteria In accordance with Reporting requirements of the Office of Management and Budget, SF-425, Federal Financial Reports are required to be filed timely and supporting documentation is required to be maintained. Condition For the year ended September 30, 2025, the Organization was not able to provide supporting documentation for the Federal Financial Reports. Cause Due to the turnover in the financial leadership, the supporting documentation for these reports were not able to be obtained. Effect or Potential Effect The Organization did not comply with the appropriate rules and regulations as per the Uniform Guidance and with DHHS grant requirements. Questioned Costs None. Identification of Repeat Finding Not a repeat finding. Recommendation The Organization should establish controls to ensure all accounting records are analyzed and proper support is available in order to ensure that the reports are accurate. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure all reports are submitted timely in accordance with the Uniform Guidance and DHHS grant requirements.

Corrective Action Plan

Item 2025.002 - Reporting Recommendation The Organization should establish controls to ensure all accounting records are analyzed and proper support is available in order to ensure that the reports are accurate. Repeat Finding Not a repeat finding. Action Taken The Health Center has engaged Cambire Consulting to assist in the restructure of the grant department and workflow. In addition, the Health Center converted GL accounting and grant tracking to Sage lntacct. The updated grant reporting and tracking will include workpaper for reconciliation and supporting documents for reporting.

Categories

Reporting

Other Findings in this Audit

  • 1218824 2025-001
    Material Weakness Repeat
  • 1218825 2025-002
    Material Weakness Repeat
  • 1218826 2025-003
    Material Weakness Repeat
  • 1218827 2025-001
    Material Weakness Repeat
  • 1218828 2025-002
    Material Weakness Repeat
  • 1218829 2025-003
    Material Weakness Repeat
  • 1218830 2025-001
    Material Weakness Repeat
  • 1218832 2025-003
    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) $3.88M
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $463,530
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $460,832
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $207,294
93.217 FAMILY PLANNING SERVICES $107,993
93.247 ADVANCED NURSING EDUCATION WORKFORCE GRANT PROGRAM $104,743
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA — RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $54,282
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $17,603
93.988 COOPERATIVE AGREEMENTS FOR DIABETES CONTROL PROGRAMS $10,000
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $5,967