Finding 400492 (2020-004)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2020
Accepted
2024-06-10
Audit: 308496
Organization: Island Health, Inc. (MA)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: The Center failed to submit its annual audit and Federal Financial Reports on time due to leadership turnover and pandemic-related challenges.
  • Impacted Requirements: Non-compliance with §200.328 of the Uniform Guidance and DHHS grant reporting timelines.
  • Recommended Follow-Up: Implement stronger controls to ensure timely submission of all financial reports and monitor compliance with reporting requirements.

Finding Text

Grantor: 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 Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services under the Health Center Program CFDA Numbers: 93.224 and 93.527 Criteria In accordance with §200.328, Financial Reporting, annual audit reports of recipients of federal funds are required to be submitted to the Federal Audit Clearing House within the earlier of 30 days after the receipt of the audit report or nine months after the end of the audit period. In addition, in accordance with grant requirements, annual Federal Financial Reports ("FFR") must be submitted no later than indicated in the notice of grant award. Condition For the year ended June 30, 2020, the Center did not submit their annual audit in accordance with the Uniform Guidance on a timely basis. In addition, the Center submitted the annual FFR late for the budget period ended January 31, 2020. Cause Due to the turnover in the financial leadership, the ongoing pandemic and the closing of their prior audit firm, these reports were not submitted on time. 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. 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 that financial statement audit is submitted on a timely basis to the Federal government. The Center should also ensure that all reporting requirements are monitored and met on a timely basis. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure all report are submitted timely in accordance with Uniform Guidance and DHHS grant requirements.

Categories

Reporting

Other Findings in this Audit

  • 400487 2020-003
    Material Weakness
  • 400488 2020-003
    Material Weakness
  • 400489 2020-003
    Material Weakness
  • 400490 2020-003
    Material Weakness
  • 400491 2020-004
    Material Weakness
  • 400493 2020-004
    Material Weakness
  • 400494 2020-004
    Material Weakness
  • 400495 2020-005
    Material Weakness
  • 400496 2020-005
    Material Weakness
  • 400497 2020-005
    Material Weakness
  • 400498 2020-005
    Material Weakness
  • 400499 2020-006
    Material Weakness
  • 400500 2020-006
    Material Weakness
  • 400501 2020-006
    Material Weakness
  • 400502 2020-006
    Material Weakness
  • 400503 2020-007
    Material Weakness
  • 400504 2020-007
    Material Weakness
  • 400505 2020-007
    Material Weakness
  • 400506 2020-007
    Material Weakness
  • 976929 2020-003
    Material Weakness
  • 976930 2020-003
    Material Weakness
  • 976931 2020-003
    Material Weakness
  • 976932 2020-003
    Material Weakness
  • 976933 2020-004
    Material Weakness
  • 976934 2020-004
    Material Weakness
  • 976935 2020-004
    Material Weakness
  • 976936 2020-004
    Material Weakness
  • 976937 2020-005
    Material Weakness
  • 976938 2020-005
    Material Weakness
  • 976939 2020-005
    Material Weakness
  • 976940 2020-005
    Material Weakness
  • 976941 2020-006
    Material Weakness
  • 976942 2020-006
    Material Weakness
  • 976943 2020-006
    Material Weakness
  • 976944 2020-006
    Material Weakness
  • 976945 2020-007
    Material Weakness
  • 976946 2020-007
    Material Weakness
  • 976947 2020-007
    Material Weakness
  • 976948 2020-007
    Material Weakness

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) $60,009
93.461 Covid-19 Testing for the Uninsured $2,234
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $2,000
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1,600