Finding 401082 (2022-006)

Significant Deficiency Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2024-06-18
Audit: 309100
Organization: Promise Healthcare Nfp (IL)

AI Summary

  • Core Issue: Significant deficiency in internal controls over compliance due to lack of supporting documentation for reported amounts.
  • Impacted Requirements: Non-federal entities must ensure oversight and monitoring of federal award activities as per § 200.329.
  • Recommended Follow-Up: Maintain proper documentation for all reports submitted to the federal agency to prevent inaccuracies.

Finding Text

2022-006 – Reporting Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Pass-Through Agency: n/a Pass-Through Number(s): n/a Award Period: 6/1/21-5/31/22 & 6/1/22-5/31/23 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: § 200.329 indicates that the non-federal entity is responsible for oversight of the operations of the Federal award supported activities. The non-Federal entity must monitor its activities under Federal awards to assure compliance with applicable Federal requirements and performance expectations are being achieved. Condition: There were two instances in which documentation was not available to support amounts included within reports submitted. These instances affected the Federal Financial Report and the UDS report. Questioned costs: None. Context: Documentation was not available to support the amount reported on line E, Federal share of expenditures, of the ARPA Federal Financial Report. In addition, there was no documentation to support two key lines items of the UDS report, Table 9E, Lines 1g and 1q, Column A. Cause: Management turnover Effect: Inaccurate reports could be file if there is no underlying documentation to support the amounts reported. Repeat Finding: The finding is a repeat of a finding in the immediately prior year. Prior year finding number was 2021-07. Recommendation: We recommend that the Organization maintain supporting documentation for all reports required to be filed to the federal agency. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

Reporting – Assistance Listing No. 93.224/93.527 Recommendation: We recommend that Promise Healthcare maintain supporting documentation for all reports required to be filed to the federal agency. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: 1. Create procedure to deposit all supporting files and schedules in a shared and accessible location: in progress a. Develop steps in the UDS process that outlines where working and final supporting schedules will be stored for future access b. Identify role or job that will handle responsibility for following the procedure. c. Formalize the process into a written procedure and add to the UDS Report or other relevant policy. d. After UDS submission, review data folders to check that all relevant supporting schedules and documents have been deposited.

Categories

Reporting Internal Control / Segregation of Duties Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 401076 2022-003
    Significant Deficiency Repeat
  • 401077 2022-003
    Significant Deficiency Repeat
  • 401078 2022-003
    Significant Deficiency Repeat
  • 401079 2022-004
    Material Weakness Repeat
  • 401080 2022-004
    Material Weakness Repeat
  • 401081 2022-004
    Material Weakness Repeat
  • 401083 2022-006
    Significant Deficiency Repeat
  • 401084 2022-006
    Significant Deficiency Repeat
  • 401085 2022-005
    Material Weakness Repeat
  • 401086 2022-005
    Material Weakness Repeat
  • 401087 2022-005
    Material Weakness Repeat
  • 977518 2022-003
    Significant Deficiency Repeat
  • 977519 2022-003
    Significant Deficiency Repeat
  • 977520 2022-003
    Significant Deficiency Repeat
  • 977521 2022-004
    Material Weakness Repeat
  • 977522 2022-004
    Material Weakness Repeat
  • 977523 2022-004
    Material Weakness Repeat
  • 977524 2022-006
    Significant Deficiency Repeat
  • 977525 2022-006
    Significant Deficiency Repeat
  • 977526 2022-006
    Significant Deficiency Repeat
  • 977527 2022-005
    Material Weakness Repeat
  • 977528 2022-005
    Material Weakness Repeat
  • 977529 2022-005
    Material Weakness Repeat

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) $1.94M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $158,002
93.994 Maternal and Child Health Services Block Grant to the States $110,358
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $89,452
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $75,110
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $56,929
93.268 Immunization Cooperative Agreements $55,681
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $33,008
93.498 Provider Relief Fund $20,617
93.461 Covid-19 Testing for the Uninsured $10,782