Finding 401672 (2020-004)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2020
Accepted
2024-06-24
Audit: 309626
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

  • 401666 2020-003
    Material Weakness
  • 401667 2020-003
    Material Weakness
  • 401668 2020-003
    Material Weakness
  • 401669 2020-003
    Material Weakness
  • 401670 2020-004
    Material Weakness
  • 401671 2020-004
    Material Weakness
  • 401673 2020-004
    Material Weakness
  • 401674 2020-005
    Material Weakness
  • 401675 2020-005
    Material Weakness
  • 401676 2020-005
    Material Weakness
  • 401677 2020-005
    Material Weakness
  • 401678 2020-006
    Material Weakness
  • 401679 2020-006
    Material Weakness
  • 401680 2020-006
    Material Weakness
  • 401681 2020-006
    Material Weakness
  • 401682 2020-007
    Material Weakness
  • 401683 2020-007
    Material Weakness
  • 401684 2020-007
    Material Weakness
  • 401685 2020-007
    Material Weakness
  • 978108 2020-003
    Material Weakness
  • 978109 2020-003
    Material Weakness
  • 978110 2020-003
    Material Weakness
  • 978111 2020-003
    Material Weakness
  • 978112 2020-004
    Material Weakness
  • 978113 2020-004
    Material Weakness
  • 978114 2020-004
    Material Weakness
  • 978115 2020-004
    Material Weakness
  • 978116 2020-005
    Material Weakness
  • 978117 2020-005
    Material Weakness
  • 978118 2020-005
    Material Weakness
  • 978119 2020-005
    Material Weakness
  • 978120 2020-006
    Material Weakness
  • 978121 2020-006
    Material Weakness
  • 978122 2020-006
    Material Weakness
  • 978123 2020-006
    Material Weakness
  • 978124 2020-007
    Material Weakness
  • 978125 2020-007
    Material Weakness
  • 978126 2020-007
    Material Weakness
  • 978127 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