Finding 1224373 (2026-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2026
Accepted
2026-07-22
Audit: 407682
Organization: Dayspring Health, Inc. (TN)

AI Summary

  • Core Issue: The Organization failed to provide support for a specific line item on the UDS report, impacting compliance with federal reporting requirements.
  • Impacted Requirements: Health centers must adhere to federal reporting standards to ensure accurate monitoring of program compliance.
  • Recommended Follow-Up: Implement a secondary review process for federal reports and establish policies for retaining supporting documentation.

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 H80CS00716 for project period February 1, 2025 through January 31, 2028. Criteria or specific requirement – Health centers must comply with federal reporting requirements. Condition – The Organization did not have support for a certain line item on the Uniform Data System (UDS) report filed. Within Table 4 of the UDS report, the amount reported within line 6 column A was unable to be supported by the Organization. Cause – There was a lack of detailed review of the amounts reported on the UDS. 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 – 1 special report was required to be submitted during the year under audit (UDS), thus this was the only report selected for testing. On this report 10 line items were tested, and of those 10 items, 1 of the lines did not have support for the reported balance. Identification as a repeat finding – Is 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 – To ensure compliance with federal reporting standards, the Health Center will require a secondary review of all federal reports submitted to granting agencies. Additionally, the Health Center will implement policies and procedures surrounding file retention of the underlying data that supports federal reports submitted.

Corrective Action Plan

Finding Number: 2026-002 Planned Corrective Action: To ensure compliance with federal reporting standards, the Health Center will require a secondary review of all federal reports submitted to granting agencies. The designated secondary reviewer shall be an individual that has strong knowledge of the reporting requirements. Additionally, the Health Center will implement policies and procedures surrounding file retention of the underlying data that supports federal reports submitted. Anticipated Completion Date: 1/31/2027 Responsible Contact Person: Braden Miller, Chief Financial Officer

Categories

Reporting

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $2.47M
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $388,700
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $135,089