Finding 499461 (2024-007)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2024-09-30
Audit: 322303
Organization: Outpatient Medical Center, Inc. (LA)
Auditor: Dza PLLC

AI Summary

  • Core Issue: The Organization failed to keep adequate records for its 2023 UDS report, leading to potential inaccuracies in reported data.
  • Impacted Requirements: This finding highlights a lack of compliance with Title 2 CFR Part 200, which mandates proper documentation for federal awards.
  • Recommended Follow-Up: Ensure all reports to awarding agencies are backed by sufficient documentation, and update records if any changes are made to reported amounts.

Finding Text

2024-007 Reporting (repeat of finding 2023-003) 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 H80CS00513, H8FCS41684, H8GC48547, H8LCS51197 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Based on the standards of documentation of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards Subpart D requires the Organization to retain adequate records and other supporting documentation for reports submitted to awarding agencies under the compliance requirements for reporting. Condition The Organization did not maintain sufficient supporting records for the information reported in its calendar year 2023 Uniform Data System (UDS) report. This finding appears to be a systemic problem. Cause The Organization’s internal controls over compliance did not include adequate controls over the retention of supporting documentation for UDS reports submitted to awarding agencies. Effect The Organization submitted UDS reports for federal awards that may lack supporting documentation. Amounts reported may not be correct. Questioned Costs None identified Context Amounts reported in Table 8A and Table 9E did not agree to the supporting documentation. Recommendation We recommend the Organization maintain documentation supporting reports filed with awarding agencies. If changes to the reported amounts are made, the supporting documentation should be updated and the reason for the change should be documented. Views of responsible officials and planned corrective action Management is in agreement with this finding and will take corrective action as outlined below.

Categories

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

Other Findings in this Audit

  • 499446 2024-004
    Material Weakness
  • 499447 2024-004
    Material Weakness
  • 499448 2024-004
    Material Weakness
  • 499449 2024-004
    Material Weakness
  • 499450 2024-005
    Material Weakness
  • 499451 2024-005
    Material Weakness
  • 499452 2024-005
    Material Weakness
  • 499453 2024-005
    Material Weakness
  • 499454 2024-006
    Material Weakness
  • 499455 2024-006
    Material Weakness
  • 499456 2024-006
    Material Weakness
  • 499457 2024-006
    Material Weakness
  • 499458 2024-007
    Material Weakness Repeat
  • 499459 2024-007
    Material Weakness Repeat
  • 499460 2024-007
    Material Weakness Repeat
  • 499462 2024-008
    Material Weakness
  • 499463 2024-008
    Material Weakness
  • 499464 2024-008
    Material Weakness
  • 499465 2024-008
    Material Weakness
  • 1075888 2024-004
    Material Weakness
  • 1075889 2024-004
    Material Weakness
  • 1075890 2024-004
    Material Weakness
  • 1075891 2024-004
    Material Weakness
  • 1075892 2024-005
    Material Weakness
  • 1075893 2024-005
    Material Weakness
  • 1075894 2024-005
    Material Weakness
  • 1075895 2024-005
    Material Weakness
  • 1075896 2024-006
    Material Weakness
  • 1075897 2024-006
    Material Weakness
  • 1075898 2024-006
    Material Weakness
  • 1075899 2024-006
    Material Weakness
  • 1075900 2024-007
    Material Weakness Repeat
  • 1075901 2024-007
    Material Weakness Repeat
  • 1075902 2024-007
    Material Weakness Repeat
  • 1075903 2024-007
    Material Weakness Repeat
  • 1075904 2024-008
    Material Weakness
  • 1075905 2024-008
    Material Weakness
  • 1075906 2024-008
    Material Weakness
  • 1075907 2024-008
    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) $598,681
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $122,157
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $15,473