Finding 1222848 (2025-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-07-02
Audit: 406409
Organization: Promise Healthcare Nfp (IL)

AI Summary

  • Core Issue: The UDS report contained discrepancies between reported patient numbers and supporting documentation.
  • Impacted Requirements: Compliance with CFR § 200.303 and accurate reporting for the Health Center Program Cluster.
  • Recommended Follow-Up: Conduct a final review of UDS report figures against supporting documents before submission.

Finding Text

Reporting Federal agency: U.S. Department of Health and Human Services Federal program title: Health Center Program Cluster Assistance Listing Number: 93.224/93.527 Award Period: 6/1/24-5/31/25; 6/1/25-5/31/26 Criteria: Code of federal regulation (CFR) § 200.303 requires that recipients of federal funds establish, document, and maintain effective internal control over the Federal award that provides reasonable assurance that the recipient is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Recipients of grants from the Bureau of Primary Health Care Health Center Program are required to submit the Uniform Data System (UDS) report on an annual basis. The UDS report contains various information which has been identified as key line items with the compliance supplement for the Health Center Program Cluster. Condition: The amount reported for one of the key line items within the UDS report did not agree to the supporting documentation provided by the Organization. Questioned Costs: None Context: Within the UDS report, Table 4, which contains a breakout of patients by income as a percentage of the federal poverty guideline, contained an amount on Line 6, Column A for the total number of patients which did not agree to the supporting documentation provided by the Organization. Cause: Support was not saved in real time. The reports run after the fact do not agree to the final UDS report. Effect: Reporting of incorrect amounts within the UDS report. Repeat Finding: No. Recommendation: We recommend the Organization perform a final review of amounts entered within the UDS report, as compared to the supporting schedules, prior to submission. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

Reporting – Assistance Listing No. 93.224/93.527 Recommendation: We recommend the Organization perform a final review of amounts entered within the UDS report, as compared to the supporting schedules, prior to submission. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: • Update UDS procedure to pull detail reports on all numbers reported in the UDS. • Add to the UDS procedure a review of detail reports to tie them to UDS report • Add a sign off to UDS report as part of final review that detail reports were pulled and verified. Name of the contact person responsible for corrective action: Keith Flores, CFO Planned completion date for corrective action plan: July 2026

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1222847 2025-001
    Material Weakness Repeat
  • 1222849 2025-002
    Material Weakness Repeat
  • 1222850 2025-002
    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) $494,079
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $59,000
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $14,085
93.788 OPIOID STR $6,608