Finding 1241320 (2024-003)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2026-10-29

AI Summary

  • Core Issue: Northeast Washington County Community Health, Inc. submitted a Federal Financial Report late, about 1.5 months overdue, and the Single Audit report is 18 months late.
  • Impacted Requirements: Timely submission of financial reports is critical, with semiannual reports due 30 days post-period and annual reports due 90 days post-period.
  • Recommended Follow-Up: Establish a formal tracking system for grant reporting, including due dates and follow-up protocols to ensure timely submissions.

Finding Text

Finding Type: Internal Control Over Compliance – Reporting Information on the Federal Programs: Federal Agency: U.S. Department of Health and Human Services Assistance Listing Number: 93.224 and 93.527 Federal Program Name: Health Center Program Federal Award Periods: May 1, 2023 – April 30, 2024 May 1, 2024 – April 30, 2025 Federal Awards: 22H80CS08230, 23H8LCS51011C6, 23H8GCS48313 Federal Agency: U.S. Department of Health and Human Services Assistance Listing Number: 93.526 Federal Program Name: Grants for Capital Development in Health Center Federal Award Periods: September 15, 2021 – September 14, 2024 Federal Awards: C8ECS43699 Criteria: Northeast Washington County Community Health, Inc. has the responsibility to submit financial reports accurately and by established deadlines specified in the award terms and conditions by Federal agencies at certain times throughout the grant award period. Semiannual reports are due 30 days after period end and annual reports are due 90 days after period end. Annual audits are due nine months after fiscal year end. Condition Found and Context: Northeast Washington County Community Health, Inc. submitted one Federal Financial Report (SF- 425) after the required submission deadline. The report was submitted approximately a month and a half late. The Single Audit report is approximately 18 months late. Cause and Effect: Northeast Washington County Community Health, Inc. experienced significant staffing challenges during the time that they were managing the patient billing conversion and managing these awards, which has created a significant backlog in work to be completed. This led to delayed financial reporting for 2024 as well as submissions for subsequent years. Questioned Costs: None Repeat Finding: No Recommendation: Management should formalize a procedure and internal tracking document that allows for the tracking and monitoring of grant reporting to ensure completion. This report should be monitored by the staff responsible for the reporting and by management. This procedure should include the process of completing reports, the report due dates and protocol for any follow-up needed on submitted reports.

Corrective Action Plan

Management will formalize a written grant reporting procedure and maintain a central tracking document for required federal financial reports and Single Audit submissions. The tracker will identify each award, reporting period, applicable due date, preparer, backup, management reviewer, submission status, and required follow-up. Staff will verify deadlines against the applicable award terms, agency instructions, and federal audit submission requirements and set internal preparation and review dates before each deadline. The procedure will describe how staff and designated individuals prepare reports, reconcile reported amounts to the accounting records, obtain documented management review, and submit reports through the required system. We will retain support schedules, approvals, submission confirmations, and evidence that required submissions were accepted. Rejected reports, agency questions, and required corrections will be logged, assigned to a responsible employee, and tracked through resolution. The designated individual responsible for reporting will review the tracker at least weekly, and management will review it monthly and before approaching deadlines. Overdue reports, missing information, and staffing gaps will be escalated promptly. Management will assess the backlog for fiscal year 2024 and subsequent years, assign completion dates and adequate staff support, and coordinate outstanding audit deliverables and submissions with the independent auditor. Any extension request will be documented, and deadlines will be changed only when an authorized extension is granted.

Categories

Reporting

Other Findings in this Audit

  • 1241309 2024-001
    Material Weakness Repeat
  • 1241310 2024-002
    Material Weakness Repeat
  • 1241311 2024-003
    Material Weakness Repeat
  • 1241312 2024-001
    Material Weakness Repeat
  • 1241313 2024-002
    Material Weakness Repeat
  • 1241314 2024-003
    Material Weakness Repeat
  • 1241315 2024-001
    Material Weakness Repeat
  • 1241316 2024-002
    Material Weakness Repeat
  • 1241317 2024-003
    Material Weakness Repeat
  • 1241318 2024-001
    Material Weakness Repeat
  • 1241319 2024-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $269,463
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $203,906
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $66,969