Finding 47320 (2022-001)

-
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-01-04

AI Summary

  • Core Issue: There was a significant discrepancy between actual cash draws and what was reported in the UDS report for the covered period.
  • Impacted Requirements: Compliance with Title 2 U.S. CFR Part 200, which mandates accurate reporting of cash draws in UDS reports.
  • Recommended Follow-Up: Implement additional review procedures to ensure accurate reporting before submission to awarding agencies.

Finding Text

2022-001 Reporting Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement L, Reporting, requires the reporting of cash draws, among other things, to be included in the Uniform Data Systems (UDS) reports filed with awarding agencies. Our testing of the December 31, 2021, UDS report noted a difference in the amount of actual cash draws and the amount reported for the covered period. Condition Amounts reported as draw downs in the calendar year end UDS report were significantly different from actual cash received and drawn down. Context This finding appears to be isolated. Cause The Organization?s internal controls over compliance were not adequate to prevent or detect errors in amounts reported in the UDS report. Effect The amounts reported on the Organization?s UDS report did not properly report cash receipts through PMS draws. Questioned Costs None identified Recommendation We recommend the Organization implement procedures to ensure reports filed with awarding agencies accurately reflect the appropriate activity for the period covered by the report. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will add an additional layer of review of reports prior to submission. Management has made every effort to fully staff the finance department to provide a proper level of review to ensure reports accurately reflect the appropriate activity covered by the report filed with awarding agencies.

Categories

Allowable Costs / Cost Principles Cash Management Material Weakness Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

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) $2.09M
14.267 Continuum of Care Program $1.70M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.60M
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $1.29M
93.917 Hiv Care Formula Grants $982,465
93.940 Hiv Prevention Activities_health Department Based $823,229
93.939 Hiv Prevention Activities_non-Governmental Organization Based $799,642
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $756,498
93.498 Provider Relief Fund $595,157
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $329,453
93.959 Block Grants for Prevention and Treatment of Substance Abuse $273,097
14.241 Housing Opportunities for Persons with Aids $217,850
93.914 Hiv Emergency Relief Project Grants $130,523
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $120,000
14.218 Community Development Block Grants/entitlement Grants $104,501
93.461 Covid-19 Testing for the Uninsured $67,889
93.686 Ending the Hiv Epidemic: A Plan for America Ryan White Hiv/aids Program Parts A and B (b) $61,195
93.928 Special Projects of National Significance $45,808
93.488 National Harm Reduction Technical Assistance and Syringe Services Program (ssp) Monitoring and Evaluation Funding Opportunity $33,333
93.279 Drug Abuse and Addiction Research Programs $33,175
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $24,611
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $12,500
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $10,033
93.118 Acquired Immunodeficiency Syndrome (aids) Activity $4,702