Finding 496373 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-09-10
Audit: 319258
Organization: Open Door Health Center (MN)

AI Summary

  • Core Issue: There was a significant deficiency in internal controls, leading to errors in the UDS report for 2023.
  • Impacted Requirements: Compliance with 2 CFR 200.303(a) was not fully met, as the UDS report contained overstated amounts due to manual keying errors.
  • Recommended Follow-Up: Implement quality checks, such as comparing totals in the UDS to financial statements, before submission to prevent future errors.

Finding Text

Federal Agency: United States Department of Health and Human Services Federal Program Title: Health Center Cluster Assistance Listing Numbers: 93.224/93.527 Award Periods: Various periods -March 1, 2022 through February 28, 2023, March 1, 2023 through February 29, 2024, April 1, 2021 through March 31, 2023, September 1, 2023 through December 31, 2024, December 1, 2022 through May 31, 2023. Type of Finding: • Significant Deficiency in Internal Control over Compliance and Noncompliance Criteria or specific requirement: 2 CFR 200.303(a) states that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Specific to the consolidated health center grant, an annual Uniform Data Set (UDS) report is required. Condition: While the Organization did have an internal control process and review in place over required reporting for federal programs, errors were identified in key line items tested in the UDS report filed for 2023. Context: For the UDS report, due to a keying error, amounts reported in Table 8S, lines 1c, 3c and 17c were overstated. Cause: Due to a manual keying error where numbers were transposed. Error was not identified in review process. Effect: Two line items in the required UDS reporting were overstated. Repeat Finding: No Recommendation: We recommend implementing certain quality checks while reviewing UDS before submission like comparing total expenses in Table 8A to underlying financial statements. Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding. Management will implement additional checks in quality review process of UDS prior to submission.

Categories

Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 496372 2023-001
    Significant Deficiency
  • 496374 2023-001
    Significant Deficiency
  • 496375 2023-001
    Significant Deficiency
  • 1072814 2023-001
    Significant Deficiency
  • 1072815 2023-001
    Significant Deficiency
  • 1072816 2023-001
    Significant Deficiency
  • 1072817 2023-001
    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) $759,233
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $357,677
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $146,151
14.218 Community Development Block Grants/entitlement Grants $61,876