Finding 555671 (2021-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2021
Accepted
2025-04-23
Audit: 354288
Organization: Island Health, Inc. (MA)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: The Center failed to submit their annual audit and Federal Financial Reports on time, violating federal guidelines.
  • Impacted Requirements: Compliance with §200.328 of the Uniform Guidance and DHHS grant reporting timelines was not met.
  • Recommended Follow-Up: Implement stronger controls to ensure timely submission of all financial reports and monitor compliance with reporting requirements.

Finding Text

Finding 2021-004: Reporting - Material Weakness Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS26638 - 2020 and 2021, H8DCS35487 - 2020, H8CCS34364 - 2020, H8ECS38373 - 2020, and H8F40829 - 2021 Criteria In accordance with §200.328, Financial Reporting, annual audit reports of recipients of federal funds are required to be submitted to the Federal Audit Clearing House within the earlier of 30 days after the receipt of the audit report or nine months after the end of the audit period. In addition, in accordance with grant requirements, annual Federal Financial Reports ("FFR") must be submitted no later than indicated in the notice of grant award. Condition For the year ended June 30, 2021, the Center did not submit their annual audit in accordance with the Uniform Guidance on a timely basis. In addition, the Center submitted the annual FFR late for the budget period ended January 31, 2021. Cause Due to the turnover in the financial leadership, the ongoing pandemic and the closing of their prior audit firm, these reports were not submitted on time. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance and with DHHS grant requirements. Questioned Costs None. Identification of Repeat Finding Yes, see finding 2020-004. Recommendation The Center should establish controls to ensure all accounting records are analyzed and proper support is available in order to ensure that the financial statement audit is submitted on a timely basis to the Federal government. The Center should also ensure that all reporting requirements are monitored and met on a timely basis. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure all reports are submitted timely in accordance with the Uniform Guidance and DHHS grant requirements.

Corrective Action Plan

Item 2021.004 – Reporting Recommendation The Center should establish controls to ensure all accounting records are analyzed and proper support is available in order to ensure that the financial statement audit is submitted on a timely basis to the Federal government. The Center should also ensure that all reporting requirements are monitored and met on a timely basis. Repeat Finding Yes Action Taken Island Health Care will take the following actions to address this recommendation: • Ensure proper analysis and support of accounting records through a monthly financial close process that ensures standards for supporting documentation, and internal review and approval. • Ensure timely submission of financial statement audit by establishing a Master Calendar for the Organization’s required submissions. Depending on the required submission deadline, we would ensure that we properly allocate time and tasks into a schedule that would assist us in making our submission on a timely basis.

Categories

Reporting

Other Findings in this Audit

  • 555670 2021-003
    Material Weakness Repeat
  • 555672 2021-005
    Material Weakness Repeat
  • 555673 2021-006
    Material Weakness Repeat
  • 555674 2021-007
    Material Weakness Repeat
  • 555675 2021-003
    Material Weakness Repeat
  • 555676 2021-004
    Material Weakness Repeat
  • 555677 2021-005
    Material Weakness Repeat
  • 555678 2021-006
    Material Weakness Repeat
  • 555679 2021-007
    Material Weakness Repeat
  • 555680 2021-003
    Material Weakness Repeat
  • 555681 2021-004
    Material Weakness Repeat
  • 555682 2021-005
    Material Weakness Repeat
  • 555683 2021-006
    Material Weakness Repeat
  • 555684 2021-007
    Material Weakness Repeat
  • 1132112 2021-003
    Material Weakness Repeat
  • 1132113 2021-004
    Material Weakness Repeat
  • 1132114 2021-005
    Material Weakness Repeat
  • 1132115 2021-006
    Material Weakness Repeat
  • 1132116 2021-007
    Material Weakness Repeat
  • 1132117 2021-003
    Material Weakness Repeat
  • 1132118 2021-004
    Material Weakness Repeat
  • 1132119 2021-005
    Material Weakness Repeat
  • 1132120 2021-006
    Material Weakness Repeat
  • 1132121 2021-007
    Material Weakness Repeat
  • 1132122 2021-003
    Material Weakness Repeat
  • 1132123 2021-004
    Material Weakness Repeat
  • 1132124 2021-005
    Material Weakness Repeat
  • 1132125 2021-006
    Material Weakness Repeat
  • 1132126 2021-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.03M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care $600,236
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $29,517
93.461 Covid-19-Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $12,720