Finding 6484 (2023-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2023-12-26
Audit: 8436
Organization: Hamilton Health Center, Inc. (PA)

AI Summary

  • Core Issue: The Organization failed to submit 32% of required reports on time, impacting compliance with federal reporting requirements.
  • Impacted Requirements: Timely submission of twenty-five reports, including four financial and twenty-one performance reports, was not met.
  • Recommended Follow-Up: Implement new procedures and tracking systems to ensure all reporting deadlines are met consistently in the future.

Finding Text

Federal Program: Health Centers Program Cluster Assistance Listing Number: 93.224/93.527 Federal Agency: U.S. Department of Health and Human Services Award Number: N/A Award Year: 2023 Compliance Requirement: Reporting Questioned Costs: There are no questioned costs associated with this finding. Criteria: The Organization is required to submit quarterly Federal Cash Transaction Reports within 30 days of the end of each calendar quarter. The Organization also has requirements to submit various reports for performance and special reporting throughout the year. Performance and special reporting deadlines vary by grant, as some require a one time submission, while others may have semi-annual or quarterly reporting requirements. Condition and Context: The Organization was required to submit twenty-five reports during its fiscal year ended March 31, 2023, which comprised four financial reports and twenty-one performance reports. Eight of the performance reports were not filed timely. Furthermore, two of the eight late filings were not submitted yet as of the end of the fiscal year. This is a late submission rate of 32% overall, and 38% on performance reports only. Reports that were filed late ranged from being four days late up to fifty-one days late. Effect: The Organization did not comply with the reporting requirements for the submission of its performance reports for the fiscal year ending March 31, 2023. Cause: The Organization did not file these reports timely due to an oversight by management and turnover within the accounting department during the fiscal year. Recommendation: The Organization should implement procedures to identify and ensure compliance with all reporting requirements for each project. Views of Responsible Officials and Planned Correction: In September of 2022, the Chief Financial Officer left the health center, and a replacement was not hired until February 20, 2023, a month before the end of the fiscal year on March 31, 2023. While the accounting staff have been with the health center for more than three years, they lacked guidance while the search for a replacement Chief Financial Officer was going on. The accounting staff were not trained in HRSA grant reporting and this led to missing the grant reporting due dates. The new Chief Financial Officer is experienced in HRSA grants reporting and has put in place a tracking system for all grants including HRSA Federal grants so that lapses in grants reporting do not happen again. This finding has since been resolved and there will never be a reoccurrence in future.

Corrective Action Plan

Corrective Action Planned: In September of 2022, the Chief Financial Officer left the health center, and a replacement was not hired until a month (February 20, 2023) before the end of the fiscal year on March 31, 2023. While the accounting staff have been with the health center for more than three years, they lacked guidance while the search for a replacement Chief Financial Officer was going on. The accounting staff were not trained in HRSA grant reporting and this led to missing the grant reporting due dates. The new Chief Financial Officer is experienced in HRSA grants reporting and has put in place a tracking system for all grants including HRSA Federal grants so that lapses in grants reporting do not happen again. Name(s) of Contact Person(s) Responsible for Corrective Action: Frackson Sakala Anticipated Completion Date: 12/31/2023

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 6485 2023-003
    Significant Deficiency
  • 6486 2023-002
    Material Weakness Repeat
  • 6487 2023-003
    Significant Deficiency
  • 582926 2023-002
    Material Weakness Repeat
  • 582927 2023-003
    Significant Deficiency
  • 582928 2023-002
    Material Weakness Repeat
  • 582929 2023-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $3.79M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.81M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $1.29M
93.926 Healthy Start Initiative $1.25M
93.268 Immunization Cooperative Agreements $614,874
93.217 Family Planning_services $210,803
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $180,684
93.788 Opioid Str $153,250
93.994 Maternal and Child Health Services Block Grant to the States $80,838
93.566 Refugee and Entrant Assistance_state Administered Programs $44,016
93.959 Block Grants for Prevention and Treatment of Substance Abuse $42,083
93.667 Social Services Block Grant $30,683
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $3,468