Finding 972577 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-05-07
Audit: 305717
Organization: Communicare Health Centers (CA)
Auditor: Moss Adams LLP

AI Summary

  • Core Issue: The Center faced significant delays in the financial close process due to management turnover and merger-related capacity constraints.
  • Impacted Requirements: The Center failed to meet the March 31, 2024 reporting deadline, violating internal control standards and Title 2, Appendix VII requirements.
  • Recommended Follow-Up: Management should enhance policies for financial close and reporting, focusing on risk prioritization and adopting new procedures from the merger to improve timeliness and accuracy.

Finding Text

Finding 2023-001 – Financial Close and Reporting and Delay in Reporting – Significant Deficiency Criteria – Management is responsible for establishing and maintaining effective internal control over financial reporting inclusive of meeting reporting deadlines as part of the closing process. Additionally, per Title 2, Appendix VII, the data collection form should be submitted within a nine-month period subsequent to June 30, 2023. Condition – The Center’s June 30, 2023 financial statements closing process experienced delays due to certain turnover in management, capacity constraints related to planned merger with another entity. Context – The Company did not meet their reporting deadline of March 31, 2024. Effect – The financial close and the data collection form were not submitted in a timely manner. Cause – The Center’s controls over financial close and reporting did not operate effectively during the year ended June 30, 2023. Recommendation – We recommend management strengthen its existing policies and procedures surrounding financial close and reporting, including prioritizing risks based on their potential impact on the timeliness of financial reporting. Management’s Response – Management agrees with the recommendation to strengthen existing policies and procedures surrounding financial close and reporting. Through the merger, effective October 1, 2023, CommuniCare Health Centers has adopted stronger close processes to ensure the timeliness and accuracy of reporting. CommuniCare Health Centers has adopted policies from the surviving entity, OLE Health, which include: - Month-end check lists that ensure completeness of general ledger transactions - Month-end, quarter-end and year-end deadlines that ensure timeliness of financial reporting - Additional oversight, through the hiring of an Accounting Manager, that ensures accuracy of GAAP reporting

Categories

Internal Control / Segregation of Duties Reporting Significant Deficiency

Other Findings in this Audit

  • 396135 2023-001
    Significant Deficiency
  • 396136 2023-001
    Significant Deficiency
  • 396137 2023-001
    Significant Deficiency
  • 972578 2023-001
    Significant Deficiency
  • 972579 2023-001
    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) $1.96M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $466,481
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $405,069
93.917 Hiv Care Formula Grants $173,598
93.217 Family Planning_services $136,093
93.778 Medical Assistance Program $69,900
14.241 Housing Opportunities for Persons with Aids $26,456
10.331 Food Insecurity Nutrition Incentive Grants Program $15,654