Finding 519921 (2022-004)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2025-01-22

AI Summary

  • Core Issue: The board failed to meet the requirement of at least 51% of members using Health Care Centers within two years.
  • Impacted Requirements: Noncompliance with federal and state laws regarding board composition and member participation.
  • Recommended Follow-up: Ensure board members utilize clinic services as required and implement policies for better oversight and compliance.

Finding Text

Significant Deficiency Internal Control Weakness – Violation of Federal and State Laws and Provisions Condition: The minimum requirement of at least 51% of the Board Members to utilize the Health Care Centers at least once in a two-year (24 mos.) period was not satisfied. The federal mandate of the funding agency is that the board must be comprised of at least 9 Board Members with a maximum of 25. Also, Gateway could not provide a complete list of the actual board members for the board meeting minutes for the 2022 fiscal year. Criteria: Compliance with Federal statutes, regulations, and the terms and conditions of Federal awards that may have a direct and material effect on each of its major programs per funding agency and the Compliance Supplement (OMB). Cause: Policies and procedures are not in place or implemented, to ensure the effectiveness of financial management, laws and regulations and oversight. Effect or Potential Effect: The loss of grant funding due to noncompliance. Auditor’s Recommendation: The board members should utilize the services of the clinics as mandated by the funding Organization

Corrective Action Plan

Responsible Parties: Board of Directors (Dr. Althea Riddick, Chair). Corrected. The Board Members are currently compliance. Anticipated Date of Completion: Deadline: This is an ongoing requirement.

Categories

Internal Control / Segregation of Duties Significant Deficiency Special Tests & Provisions

Other Findings in this Audit

  • 519918 2022-001
    Material Weakness
  • 519919 2022-002
    Significant Deficiency Repeat
  • 519920 2022-003
    Significant Deficiency
  • 1096360 2022-001
    Material Weakness
  • 1096361 2022-002
    Significant Deficiency Repeat
  • 1096362 2022-003
    Significant Deficiency
  • 1096363 2022-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $206,506
93.224 Community Health Centers $197,519