Finding 1229111 (2026-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2026
Accepted
2026-09-08

AI Summary

  • Core Issue: Most board members or their families are not using health center services, violating compliance rules.
  • Impacted Requirements: Over 50% of board members must use the health center as their main source of care to provide effective input.
  • Recommended Follow-Up: Implement procedures to ensure compliance by having more than half of board members actively use the health center.

Finding Text

Finding: 2026-001-Board Member Compliance Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Health Center Program Compliance Manual Condition: A majority of the board members or their immediate family are not users of the health center services. Compliance conditions state that more than fifty percent of board members should “utilize the health center as their principal source of primary health care” in order for them to give substantive input into the Organization’s strategic direction and policy. Cause: The above exception resulted from the failure to follow established procedures requiring board members or their immediate families to be active users of the health center. Effect: This non-compliance with federal grant requirements could result in a reduction of grant funds or additional grant restrictions. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that procedures be established to ensure that more than fifty percent of board members are active users of the health center. Views of Responsible Officials: Management concurs. The Organization has reestablished compliance, and as of the date of the audit, more than fifty percent of the board members are users of the health center. Contact Person: Brian Morton, CFO Anticipated Date of Completion: September 30, 2026

Corrective Action Plan

In Finding 2026-001, a condition was noted that a majority of the board members or their immediate family are not users of the health center services. Compliance conditions state that more than fifty percent of board members should “utilize the health center as their principal source of primary health care” in order for them to give substantive input into the Organization’s strategic direction and policy. BRCHS Management understands the importance of complying with health center compliance requirements related to board member composition. At the time of the audit, BRCHS had 50% of its board membership within compliance and it is noted that the timeframe for noncompliance was March 2026-June 2026. In response to Finding 2026-001, additional monitoring procedures have been implemented to ensure ongoing compliance with this requirement, and the health center is in compliance as of the date of this corrective action plan.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 1229110 2026-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $654,461
93.516 AFFORDABLE CARE ACT (ACA) PUBLIC HEALTH TRAINING CENTERS PROGRAM $486,046
93.526 AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $405,902
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $134,435
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $107,805
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $70,864
93.800 ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREENING $68,082
93.211 TELEHEALTH PROGRAMS $62,512
93.884 GRANTS FOR PRIMARY CARE TRAINING AND ENHANCEMENT $47,161
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $38,873
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $38,000
14.231 EMERGENCY SOLUTIONS GRANT PROGRAM $34,223
23.002 APPALACHIAN AREA DEVELOPMENT $33,958
84.215J FULL SERVICE COMMUNITY SCHOOLS PROGRAM $6,894