Finding 28741 (2022-004)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2022-12-28
Audit: 31947
Auditor: Terry Horne CPA

AI Summary

  • Core Issue: The 2021 Uniform Data System report submitted to DHHS had significant errors, with expenses overstated by $682,000 and patient charges understated by $680,000.
  • Impacted Requirements: These inaccuracies violate Uniform Guidance reporting standards and can lead to flawed financial analyses by DHHS.
  • Recommended Follow-up: Develop a reconciliation system to ensure accurate reporting of expenses and patient charges in future UDS submissions.

Finding Text

Finding: 2022-004 Uniform Data System Report Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Reporting ? Uniform Data System Condition: The Uniform Data System (UDS) report submitted to the U.S. Department of Health and Human Services (DHHS) for the year ended December 31, 2021, contained incorrect data for total expenses and patient charges. The expenses were overstated on Table 8A of the UDS report by approximately $682,000. The charges were understated on Table 9D of the UDS report by approximately $680,000. Cause: The above exception resulted from errors in preparing Table 8A and 9D of the Uniform Data System report. Effect: The DHHS reviews the UDS data for financial analysis for grant recipients. Errors in this data causes incorrect financial analysis results and distorted performance indicators. Questioned Costs: None reported Context/Sampling: The finding appears to be a systematic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that a system should be developed to ensure that total expenses and patient charges as reported in the Organization?s financial reporting system are reconciled to the UDS report. Views of Responsible Officials: Management concurs. Efforts will be made to ensure that expenses and charges are reconciled from the financial reporting system to expenses on the UDS report. Contact Person: Bart Miles, CFO Anticipated Date of Completion: January 31, 2023

Corrective Action Plan

In Finding 2022-004, it was reported that the Uniform Data System report submitted to DHHS for the year ended December 31, 2021 contained incorrect data for contained incorrect data for expenses and charges. The expenses were overstated on Table 8A of the UDS report by approximately $682,000. The charges were understated on Table 9D of the UDS report by approximately $680,000. Management recognizes the importance of complying with federal reporting guidelines. In response to Finding 2022-004, efforts will be made to ensure that that expenses and charges are reconciled from the financial reporting system to expenses on the UDS report. This will be implemented by the Chief Financial Officer by January 31, 2023.

Categories

Reporting

Other Findings in this Audit

  • 28740 2022-003
    Material Weakness
  • 28742 2022-003
    Material Weakness
  • 28743 2022-004
    Material Weakness
  • 28744 2022-003
    Material Weakness
  • 28745 2022-004
    Material Weakness
  • 28746 2022-003
    Material Weakness
  • 28747 2022-004
    Material Weakness
  • 605182 2022-003
    Material Weakness
  • 605183 2022-004
    Material Weakness
  • 605184 2022-003
    Material Weakness
  • 605185 2022-004
    Material Weakness
  • 605186 2022-003
    Material Weakness
  • 605187 2022-004
    Material Weakness
  • 605188 2022-003
    Material Weakness
  • 605189 2022-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.46M
93.224 Covid-19-Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.16M
93.498 Covid-19-Provider Relief Fund $936,837
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $305,883
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $234,862