Finding 561795 (2023-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2025-05-29
Audit: 357447
Auditor: Wipfli LLP

AI Summary

  • Core Issue: El Dorado County Community Health Center failed to file the annual Federal Financial Report and Data Collection Form on time.
  • Impacted Requirements: Reports were due within 90 days and 30 days respectively, but were not submitted as required.
  • Recommended Follow-Up: Ensure timely submission of financial reports and improve audit preparation processes to meet deadlines.

Finding Text

Condition: El Dorado County Community Health Center did not meet its financial reporting obligations under the grant during the year. During the audit, it was determined El Dorado County Community Health Center did not file the annual Federal Financial Report within 90 days of the required reporting end date as well as did not file the Data Collection Form (SF-SAC) by the due date of March 31, 2024. Criteria: El Dorado County Community Health Center is required to file the annual Federal Financial Report within 90 days of the required reporting end date and is required to file the SF-SAC within 30 days after receipt of audit or 9 months after year end, whichever is first. Cause: Staffing challenges. Effect: El Dorado County Community Health Center was not in compliance with federal regulations and the Health Center Program grant. Recommendation: We recommend Federal Financial Reports are submitted on a timely basis and recommend audit preparations are completed on a timely basis to ensure that the reporting deadlines are met. View of Responsible Officials Management acknowledges there were significant capacity issues which contributed to the late filing of the Federal Financial Report and the annual audit report. Management has been in contact with HRSA and the Office of Federal Assistance Management Division of Financial Integrity to keep them abreast of our progress.

Categories

Reporting

Other Findings in this Audit

  • 561791 2023-002
    Significant Deficiency
  • 561792 2023-002
    Significant Deficiency
  • 561793 2023-002
    Significant Deficiency
  • 561794 2023-002
    Significant Deficiency
  • 561796 2023-002
    Significant Deficiency
  • 561797 2023-003
    Significant Deficiency
  • 561798 2023-003
    Significant Deficiency
  • 561799 2023-003
    Significant Deficiency
  • 561800 2023-003
    Significant Deficiency
  • 561801 2023-003
    Significant Deficiency
  • 1138233 2023-002
    Significant Deficiency
  • 1138234 2023-002
    Significant Deficiency
  • 1138235 2023-002
    Significant Deficiency
  • 1138236 2023-002
    Significant Deficiency
  • 1138237 2023-002
    Significant Deficiency
  • 1138238 2023-002
    Significant Deficiency
  • 1138239 2023-003
    Significant Deficiency
  • 1138240 2023-003
    Significant Deficiency
  • 1138241 2023-003
    Significant Deficiency
  • 1138242 2023-003
    Significant Deficiency
  • 1138243 2023-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $18.50M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $650,063
93.788 Opioid Str $603,333
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $577,746
93.268 Immunization Cooperative Agreements $423,650
93.498 Provider Relief Fund $332,387
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $231,220
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $171,234
93.387 National and State Tobacco Control Program (b) $45,000