Finding 370073 (2023-001)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2023
Accepted
2024-02-21

AI Summary

  • Core Issue: La Pine Community Health Center failed to retain documentation for one allocated cost, raising concerns about compliance with federal grant requirements.
  • Impacted Requirements: Federal grant recipients must keep records of allocated expenditures to verify they are allowable costs.
  • Recommended Follow-Up: Ensure proper documentation retention practices are implemented and conduct a review of allocated costs to prevent future issues.

Finding Text

2023-001 Activities Allowed or Unallowed Federal agency: U.S. Department of Health and Human Services Federal program title: Health Center Program Cluster AL Number: 93.224 and 93.527 Award Period: March 1, 2021 – March 31, 2023 Type of Finding: Significant Deficiency in Internal Control over Compliance Condition: La Pine Community Health Center (the Organization) had one instance where support for an allocated cost was not retained by the Organization. Criteria or specific requirement: Recipients of federal grants are required to retain documentation of allocated expenditures. These expenditures are required to be for allowable costs and activities, and the documentation retained should support these expenditures. Questioned costs: None. Context: There was one instances where the required supporting documentation was not retained. However, due to the broad nature of allowable costs and activities and the nature of the Organization’s operations, the likelihood that an allocated cost is unallowable to the Federal program is limited. Cause: Documentation of expenditures allocated to the grant was not retained by the Organization. Effect: Due to inadequate documentation retention, it cannot be verified if the expenditures allocated to the grant were allowable costs to the program. Lack of retained documentation could allow for unallowable cots being charged to a Federal program. Recommendation: CLA recommends that LPCHC retain documentation and records for expenditures allocated to federal funds. View of responsible officials and planned corrective actions: There is no disagreement with the audit finding. A review of allocated costs and a check to retain the supporting documentation will be conducted to ensure proper documentation is retained.

Corrective Action Plan

U.S. Department of Health and Human Services La Pine Community Health Center respectfully submits the following corrective action plan for the year ended October 31, 2023. Audit period: November 1, 2022 – October 31, 2023 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT None noted. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Health and Human Services 2023-001 Health Center Program Cluster – Assistance Listing No. 93.224, 93.527 Recommendation: CLA recommends that La Pine Community Health Center retain documentation and records for expenditures allocated to federal funds. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management will design and implement procedures to perform checks and review allocated expenditures to ensure proper documentation is retained. Name(s) of the contact person(s) responsible for corrective action: Karen Forman, CFO Planned completion date for corrective action plan: October 31, 2024 If the U.S. Department of Health and Human Services has questions regarding this plan, please call Karen Forman, CFO, at 541-876-1843.

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 370074 2023-001
    Significant Deficiency
  • 946515 2023-001
    Significant Deficiency
  • 946516 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $5.30M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.15M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $520,594
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $440,652
93.224 Covid-19 American Rescue Plan Act Funding for Health Centers $416,682
93.527 Covid-19 Expanding Covid_19 Vaccination Capacity $145,620
93.527 Covid-19 Hhs Bridge Access Program for Covid_19 Vaccines and Treatments $13,327