Finding 516531 (2024-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2024-12-23
Audit: 334460
Organization: Open Door Health Services, INC (IN)

AI Summary

  • Core Issue: Errors were found in multiple reports submitted by the Organization, affecting accuracy.
  • Impacted Requirements: The Organization must ensure accurate preparation of the Uniform Data System (UDS) and Federal Financial Reports (FFRs).
  • Recommended Follow-Up: Evaluate and strengthen review processes and internal controls to ensure reports are error-free before submission.

Finding Text

Federal Program Name: Health Center Program Cluster Federal Agency U.S. Department of Health and Human Services CFDA Title and Number Health Center Program Cluster, CFDA 93.224 and 93.527 Criteria or Specific Requirement: Reporting - The Organization must accurately prepare an annual Uniform Data System (UDS) Report and interim and final Federal Financial Reports (FFRs) which include various operational and financial data elements. Condition: Errors were present in multiple required reports. Questioned Costs: No Context: The Organization establishes and maintains internal controls over the accumulation of information needed to support and accurately file required reports. There were errors within three of the six reports tested. The errors included two or less non-calculated data elements in each respective report. Effect: Errors were present within submitted reports. Cause: Internal controls surrounding completion and review of information utilized in required reports were not adequately applied to ensure that all reports were filed accurately. Repeat Findings: No Recommendation: We recommend that the Organization evaluate its review processes and controls to confirm required reports are free of errors or incorrect information prior to submitting. Views of Responsible Officials and Planned Corrective Action: We concur. Of note, two of interim FFR reports that contained errors were corrected within the final FFRs for the respective supplemental funding. Management continues to evaluate current controls related to both the filling out and review processes of these required reports before final submission.

Corrective Action Plan

Findings Reported by Uniform Guidance – The following steps have been taken or will be taken to address Finding 2024-002: • Open Door Health Services, Inc. continues to focus on the controls related to both the filing and review processes of these required reports before final submission. • Open Door Health Services, Inc. has filed final reports that corrected the errors in the interim reports in two of the three reports that had errors.

Categories

Reporting

Other Findings in this Audit

  • 516532 2024-002
    Significant Deficiency
  • 516533 2024-002
    Significant Deficiency
  • 516534 2024-002
    Significant Deficiency
  • 1092973 2024-002
    Significant Deficiency
  • 1092974 2024-002
    Significant Deficiency
  • 1092975 2024-002
    Significant Deficiency
  • 1092976 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Community Health Centers $2.52M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $1.10M
93.217 Family Planning Services $235,678
93.526 Fip Verification $159,396
93.558 Temporary Assistance for Needy Families $118,629
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $74,458
93.224 Covid-19 - Community Health Centers $65,500
93.788 Opioid Str $50,000
93.667 Social Services Block Grant $31,882