Finding 1236207 (2025-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-09-23
Audit: 411822
Organization: Waikiki Health (HI)
Auditor: COHNREZNICK LLP

AI Summary

  • Core Issue: The Center submitted the annual Federal Financial Report (FFR) late due to turnover in financial leadership.
  • Impacted Requirements: This late submission violates grant requirements set by the U.S. Department of Health and Human Services and the Uniform Guidance.
  • Recommended Follow-Up: Establish stronger internal controls and monitoring to ensure timely submission of all financial reports.

Finding Text

Section III - Federal Award Findings and Questioned Costs Finding 2025-001: 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 (Community Health Centers, Migrant Health Centers, Health Care for the Homless, and Public Housing Care) 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: H80CS00053-2023 and 2024 Criteria In accordance with grant requirements, annual Federal Financial Reports ("FFR") must be submitted no later than indicated in the notice of grant award. Condition The Center submitted the annual FFR late for the budget period ended January 31, 2026. Cause Due to the turnover in the financial leadership, the 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 Context The annual FFR for the budget period ended January 31, 2026 was due May 1, 2026. The CFO authorized and submitted the FFR on May 22, 2026. Identification of Repeat Finding Not a repeat finding. Recommendation The Center should establish controls to ensure all accounting records are analyzed and proper support is available in order to ensure that the FFRs are submitted on a timely basis. The Center should also ensure that all reporting requirements are monitored and met on a timely basis. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency. Management has prepared a Corrective Action Plan that outlines the additional controls implemented.

Corrective Action Plan

Federal Award Findings: Finding 2025.001 - Reporting Recommendation The Organization should also ensure that all reporting requirements are monitored and met on a timely basis. Action Taken Waikiki Health will implement a centralized HRSA reporting calendar and monitoring process to ensure all federal reporting requirements are identified, assigned, tracked, reviewed, and submitted by the required deadlines. The Finance Department, in coordination with will review all notices of award, HRSA reporting requirements, and related submission deadlines; assign responsible staff for each report; establish internal due dates before the federal deadline; and maintain documentation of review, approval, and submission. Management will perform periodic status reviews to verify that upcoming reporting requirements are on schedule and will escalate any delays promptly so corrective steps can be taken before deadlines are missed. This process is expected to be fully implemented during fiscal year 2026.

Categories

Reporting

Other Findings in this Audit

  • 1236206 2025-001
    Material Weakness Repeat
  • 1236208 2025-002
    Material Weakness Repeat
  • 1236209 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $1.68M
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $330,936
93.932 NATIVE HAWAIIAN HEALTH CARE SYSTEMS $175,038
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $35,136
93.493 CONGRESSIONAL DIRECTIVES $23,400