Finding 517060 (2024-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2024-12-27

AI Summary

  • Core Issue: The 2023 UDS Report had significant errors, impacting critical information required for compliance.
  • Impacted Requirements: Health centers must submit accurate UDS reports to meet federal funding criteria.
  • Recommended Follow-Up: Ensure UDS preparers understand documentation, reconcile financial statements with UDS, and consider a secondary review by finance team members.

Finding Text

Reporting: UDS Reporting Errors Condition: The 2023 UDS Report contained errors, including line items containing “critical information” per the May 2023 Compliance Supplement. The UDS Report errors we identified are summarized below: UDS Report - 2023 Criteria: Health centers receiving federal award funds under the Health Center Program are required to submit an accurate Uniform Data System (UDS) report annually. Cause: The personnel responsible for preparing the UDS report was unfamiliar with the underlying documentation used to prepare the financial information presented above. Additionally, the reported amounts were not agreed to the Clinic’s financial statements. Effect: As a result of this error, some of the information presented in the UDS was materially incorrect. This could potentially affect the health center’s compliance with federal reporting requirements and mislead users of the UDS information. Furthermore, inaccurate financial data could impair HRSA’s monitoring of the health center’s programmatic and financial performance. Recommendations: The UDS preparer should gain an understanding of the underlying documentation used to report the correct information. In addition, the financial statements should be compared to the UDS for all financial amounts presented. Any reconciling items between the Clinic’s financial statements and UDS should be documented and explained. The Clinic may want to consider a secondary review of the financial information included in the UDS by a member of the finance team. View of Responsible Officials and Planned Corrective Actions: The Clinic will take the auditor’s recommendation under advisement.

Corrective Action Plan

Action Taken: The Clinic has reviewed the auditors’ recommendation. The preparer has gained an understanding of the underlying documentation used to report the related information. The Clinic will ensure that reported amounts agree to the Clinic’s underlying accounting records.

Categories

Subrecipient Monitoring Reporting

Other Findings in this Audit

  • 1093502 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program $914,000
93.527 Health Center Program Service Expansion - School Based Services Sites $119,611
93.527 Fy 2021 Ending the Hiv Epidemic - Primary Care Hiv Prevention $104,149
93.224 American Rescue Plan Act Funding for Health Centers $57,481
93.527 Fy 2023 Expanding Covid-19 Vaccination $51,339
93.527 Fy 2023 Bridge Access Program $8,519