Finding 480299 (2023-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-08-02
Audit: 316511
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Organization failed to provide supporting documentation for the annual UDS report, leading to potential errors.
  • Impacted Requirements: Compliance with 45 CFR 75.342, which mandates accurate reporting for federal grants.
  • Recommended Follow-Up: Review and enhance federal reporting policies, ensure staff training, and implement a review process by the CFO for all federal reports by December 31, 2024.

Finding Text

Health Center Program Cluster – Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 2 H80CS00881-21 and 1 H8FCS41120-01 Program Year 2023 Criteria or Specific Requirement – Reporting – 45 CFR 75.342 Condition – The Organization is required to prepare and submit an annual Uniform Data System (UDS) for each calendar year and an annual Federal Financial Report (FFR) for each grant year. These reports are to be prepared using accurate financial information. Questioned cost – None. Context – One report for each report type listed above was selected for testing with specific data from each report selected for testing. The sampling methodology used is not and is not intended to be statistically valid. Of the nineteen inputs tested, one exceptions were noted related to the annual UDS report. Effect – Potential errors were made on the annual UDS report. Cause – The Organization was unable to provide supporting documentation that agreed to the line items tested on the report. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – The Organization should review its policy over federal reporting and ensure proper staff education on the policy is established to ensure reports are prepared using accurate information and that supporting documentation for federal grant reports is maintained. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions – Management will ensure the Grants Management Policy within the Finance Department will be adhered to when doing all external reporting. To ensure this is followed the additional protocol will be put into place: -All reporting involving federal reporting will be reviewed and approved by the CFO with supporting documentation to ensure accuracy of the report. -Staff preparing reports that contain federal grant data will participate in training to ensure reports are prepared accurately and in accordance with Uniform Guidance. The interim CFO, Jessica Hughes, is responsible for this corrective action plan. Implementaiton of the items are expected to be completed by December 31, 2024 before the next reporting cycle of the annual UDS report.

Categories

Reporting

Other Findings in this Audit

  • 480298 2023-002
    Significant Deficiency
  • 480300 2023-002
    Significant Deficiency
  • 480301 2023-002
    Significant Deficiency
  • 1056740 2023-002
    Significant Deficiency
  • 1056741 2023-002
    Significant Deficiency
  • 1056742 2023-002
    Significant Deficiency
  • 1056743 2023-002
    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) $4.34M
93.914 Hiv Emergency Relief Project Grants $920,835
93.498 Provider Relief Fund $859,575
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $597,467
93.056 Training in General, Pediatric, and Public Health Dentistry $443,394
93.917 Hiv Care Formula Grants $171,459
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $78,511
93.226 Research on Healthcare Costs, Quality and Outcomes $25,936