Finding 1227857 (2023-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2026-08-26
Audit: 409789
Organization: Island Health, Inc. (MA)
Auditor: COHNREZNICK LLP

AI Summary

  • Core Issue: The Center failed to submit its annual audit report on time, violating federal requirements.
  • Impacted Requirements: Non-compliance with §200.328 of the Uniform Guidance and DHHS grant rules.
  • Recommended Follow-Up: Implement stronger controls to ensure timely submission of financial audits and maintain proper accounting records.

Finding Text

Finding 2023.004: Reporting - Material Weakness Name of Federal Agency: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) COVID -19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) 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 Number: 93.224 and 93.527 Federal Award Identification Number and Year: H8026638 - 2022 and 2023, H8F40829 - 2021 and H8G48040-2023 Criteria In accordance with §200.328, Financial Reporting, annual audit reports of recipients of federal funds are required to be submitted to the Federal Audit Clearing House within the earlier of 30 days after the receipt of the audit report or nine months after the end of the audit period. Condition For the year ended June 30, 2023, the Center did not submit their annual audit in accordance with the Uniform Guidance on a timely basis. Cause Due to the turnover in the financial leadership, the ongoing pandemic and the closing of their prior audit firm, the annual audit report was not submitted on time. Effect or Potential Effect The Center 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 Yes, see finding 2022.004. Recommendation The Center should establish controls to ensure all accounting records are analyzed and proper support is available in order to ensure that the financial statement audit is submitted on a timely basis to the Federal government. 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 2023.004 – Reporting Recommendation The Center should establish controls to ensure all accounting records are analyzed and proper support is available in order to ensure that the financial statement audit is submitted on a timely basis to the Federal government. Repeat Finding Yes Action Taken Island Health Care will take the following actions to address this recommendation: • Ensure proper analysis and support of accounting records through a monthly financial close process that enforces standards for supporting documentation, and internal review and approval • Ensure timely submission of financial statement audit by establishing a Master Calendar for the organization's required submissions. Depending on the required submission deadline, we would ensure that we properly allocate time and tasks into a schedule that would assist us in making our submission on a timely basis.

Categories

HUD Housing Programs Material Weakness Reporting

Other Findings in this Audit

  • 1227841 2023-003
    Material Weakness Repeat
  • 1227842 2023-004
    Material Weakness Repeat
  • 1227843 2023-005
    Material Weakness Repeat
  • 1227844 2023-006
    Material Weakness Repeat
  • 1227845 2023-007
    Material Weakness Repeat
  • 1227846 2023-003
    Material Weakness Repeat
  • 1227847 2023-004
    Material Weakness Repeat
  • 1227848 2023-005
    Material Weakness Repeat
  • 1227849 2023-006
    Material Weakness Repeat
  • 1227850 2023-007
    Material Weakness Repeat
  • 1227851 2023-003
    Material Weakness Repeat
  • 1227852 2023-004
    Material Weakness Repeat
  • 1227853 2023-005
    Material Weakness Repeat
  • 1227854 2023-006
    Material Weakness Repeat
  • 1227855 2023-007
    Material Weakness Repeat
  • 1227856 2023-003
    Material Weakness Repeat
  • 1227858 2023-005
    Material Weakness Repeat
  • 1227859 2023-006
    Material Weakness Repeat
  • 1227860 2023-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care $365,690
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $209,873
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $103,743
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $54,138
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $41,299