Finding 391646 (2023-005)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-04-01

AI Summary

  • Core Issue: The UDS report contained discrepancies between reported amounts and supporting documentation.
  • Impacted Requirements: Annual filing of the UDS report is mandatory for grant recipients, and accuracy is crucial for compliance.
  • Recommended Follow-Up: Conduct a final review of UDS amounts against supporting schedules before submission to ensure accuracy.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Health Center Cluster Assistance Listing Number: 93.224 & 93.527 Federal Award Identification Number: H80CS00725-21 and H80CS00725-22 Award Periods: June 1, 2022 – May 31, 2023 and June 1, 2023 – May 31, 2024 Criteria: Recipients of grants from the Bureau of Primary Health Care Health Center Program are required to prepare and file the Uniform Data System (UDS) report on an annual basis. The UDS report contains various information which has been identified as key line items with the compliance supplement for the health center program cluster. Condition: The amounts reported for Table 8A, line 1, column c and Table 8A, line 3, column c within the UDS report did not agree to the supporting documentation provided by the organization. Questioned Costs: None. Context: One of the key line items within the UDS report contained an amount which did not agree to the supporting documentation provided by the Organization. Total costs were in agreement however a change made to an allocation did not get updated within the final UDS report. Cause: During the UDS preparation process, the Organization was addressing various diagnostic checks which are built into the UDS report. As part of this process, a change was made to Table 5 and the Organization was unaware that this change also resulted in a change being made to Table 8. Effect: Reporting of incorrect amounts within the UDS report. Repeat Finding: No. Recommendation: We recommend the Organization performed a final review of amounts entered within the UDS report, as compared to the supporting schedules, prior to submission. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

Action taken in response to finding: Any changes made to the UDS report that are prompted from the report’s HRSA review are first made in the supporting file documentation and then carried to the final report itself. This was a human error that was not repeated for the subsequent year’s UDS report. Name(s) of the contact person(s) responsible for corrective action: Christopher Dons, Chief Financial Officer Planned completion date for corrective action plan: March 31, 2024

Categories

Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

  • 391644 2023-003
    Significant Deficiency
  • 391645 2023-004
    Significant Deficiency
  • 391647 2023-006
    Material Weakness
  • 391648 2023-007
    Significant Deficiency
  • 391649 2023-007
    Significant Deficiency
  • 968086 2023-003
    Significant Deficiency
  • 968087 2023-004
    Significant Deficiency
  • 968088 2023-005
    Significant Deficiency
  • 968089 2023-006
    Material Weakness
  • 968090 2023-007
    Significant Deficiency
  • 968091 2023-007
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $5.28M
93.788 Opioid Str $1.30M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $584,813
93.527 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $564,238
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $309,600
93.667 Social Services Block Grant $171,829
14.218 Community Development Block Grants/entitlement Grants $171,759
93.926 Healthy Start Initiative $140,725
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $91,192
93.940 Hiv Prevention Activities_health Department Based $47,970
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $17,516
93.498 Provider Relief Fund $4,254