EIN: 352445761
UEI: EAJHMUF6E693
Data as of August 22, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on August 13, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by February 13, 2027 (174 days from today).
What is a management decision? →Criteria – As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description – During our testing for “Performance Measure Report”, submitted, we noted that out of 10 objectives selected, 1 objective was not achieved. Cause/Effect – Internal controls were not properly executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement.
Show full finding ▾Hide full finding ▴Criteria – As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description – During our testing for “Performance Measure Report”, submitted, we noted that out of 10 objectives selected, 1 objective was not achieved. Cause/Effect – Internal controls were not properly executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement.
One Healthy Start Project Performance Measure for “breast feeding for 6 months” was not achieved. Program staff working with mothers to provide support from WIC breast feeding peer counselors to continue breast feeding and the storage of breast milk as mothers return to work.
2024-003
Criteria – As per the HRSA compliance manual, the health center requires that at least 51 percent of governing board members be patients of the health center. A patient board member must have received at least one service within the preceding 24 months that generated a health center visit, where both the service and the site were within the HRSA-approved scope of project. Condition and Description – During our testing of the composition of the governing board, we noted that only 6 of the 12 governing board members (50%) were identified as patient board members. To satisfy the Health Center Program requirement that at least 51% of governing board members be patients of the health center, a minimum of 7 of the 12 board members were required to meet the patient board member definition. Additionally, testing revealed that 3 of the 6 board members identified as patient board members did not receive at least one service within the preceding 24 months that generated a health center visit, where both the service and the site were within the HRSA-approved scope of project. As a result, these individuals did not meet the Health Center Program definition of a patient board member. Consequently, the Agency did not maintain a governing board with at least 51% patient representation as required by HRSA. Cause/Effect – The Agency has not complied with the requirements for maintaining a governing board with at least 51% patient representation and including receipt of qualifying services within the preceding 24 months
Show full finding ▾Hide full finding ▴Criteria – As per the HRSA compliance manual, the health center requires that at least 51 percent of governing board members be patients of the health center. A patient board member must have received at least one service within the preceding 24 months that generated a health center visit, where both the service and the site were within the HRSA-approved scope of project. Condition and Description – During our testing of the composition of the governing board, we noted that only 6 of the 12 governing board members (50%) were identified as patient board members. To satisfy the Health Center Program requirement that at least 51% of governing board members be patients of the health center, a minimum of 7 of the 12 board members were required to meet the patient board member definition. Additionally, testing revealed that 3 of the 6 board members identified as patient board members did not receive at least one service within the preceding 24 months that generated a health center visit, where both the service and the site were within the HRSA-approved scope of project. As a result, these individuals did not meet the Health Center Program definition of a patient board member. Consequently, the Agency did not maintain a governing board with at least 51% patient representation as required by HRSA. Cause/Effect – The Agency has not complied with the requirements for maintaining a governing board with at least 51% patient representation and including receipt of qualifying services within the preceding 24 months
We concur with the finding. There are currently 11 Board members and 6 are consumer members and the one member has subsequently been seen in the clinic. As a result, we believe we are currently in compliance with this requirement.
Criteria – Per the Single Audit Act, an audit submission deadline is earlier of 30 calendar days after receipt of the audit report, or nine months after the end of the audit period, as outlined in 2CFR 200.512(a). Condition and Description – The audit submission was subsequent to June 30, 2026 and was therefore a late filing. Cause and Effect – Due to additional time needed to resolve issues with revenues and receivables, the audit was unable to be completed by the June 30, 2026 deadline.
Show full finding ▾Hide full finding ▴Criteria – Per the Single Audit Act, an audit submission deadline is earlier of 30 calendar days after receipt of the audit report, or nine months after the end of the audit period, as outlined in 2CFR 200.512(a). Condition and Description – The audit submission was subsequent to June 30, 2026 and was therefore a late filing. Cause and Effect – Due to additional time needed to resolve issues with revenues and receivables, the audit was unable to be completed by the June 30, 2026 deadline.
IPH will strive to submit requested documents to the auditors accurately and timely.
FAC accepted this audit on July 1, 2025 — management decision was due January 1, 2026.
During our testing for “Performance Measure Report”, submitted, we noted that out of 9 objectives selected, 2 objectives were not achieved.
Show full finding ▾Hide full finding ▴During our testing for “Performance Measure Report”, submitted, we noted that out of 9 objectives selected, 2 objectives were not achieved.
During the Budget Period April 1, 2023 to April 30, 2024, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 71%. Not achieved. HS 5, the percentage of Father and/or Partner Involvement during pregnancy to 80%. Program performance was 63%. Not achieved. Father involvement is a challenge while the program staff encourage, teach, and support Father involvement, too many relationships struggle with co-parenting and stress management issues.
2023-003
For 1 out of 15 encounters tested, the sliding fee adjustment was not made as per the sliding fee discount schedule.
Show full finding ▾Hide full finding ▴For 1 out of 15 encounters tested, the sliding fee adjustment was not made as per the sliding fee discount schedule.
Patients who are eligible for the sliding fee discount will receive the discount based on the current year Sliding Fee schedule. The Sliding Fee Discount will be applied to the each year during a renewal period using the most recent Board approved Sliding Fee Discount.
2023-004
FAC accepted this audit on June 28, 2024 — management decision was due December 28, 2024.
During our testing for “Performance Measure Report”, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved
Show full finding ▾Hide full finding ▴During our testing for “Performance Measure Report”, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved
During the Budget Period April 1, 2022 to March 31, 2023, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 71%. Not achieved. HS 5, the percentage of Father and/or Partner Involvement during pregnancy to 80%. Program performance was 63%. Not achieved. Father involvement is a challenge while the program staff encourage, teach, and support Father involvement, too many relationships struggle with co-parenting and stress management issues.
2022-003
For 2 out of 10 encounters tested, the sliding fee adjustment was not made as per the sliding fee discount schedule.
Show full finding ▾Hide full finding ▴For 2 out of 10 encounters tested, the sliding fee adjustment was not made as per the sliding fee discount schedule.
Patients who are eligible for the sliding fee discount will receive the discount based on the current year Sliding Fee schedule. The Sliding Fee Discount will be applied to the each year during a renewal period using the most recent Board approved Sliding Fee Discount.
FAC accepted this audit on June 29, 2023 — management decision was due December 29, 2023.
2022-003 Program Name ? Healthy Start Initiative (HRSA) CFDA Number ? 93.926 Pass-through Entity ? US. Department of Health and Human Services ? HRSA (HRSA) Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description ? During our testing for ?Performance Measure Report?, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved. Questioned Costs ? None Identification of a Repeat Finding- This is not a repeat finding from the previous audit. Cause/Effect ? Internal controls were not properly executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement. Recommendation ? It is recommended that the Agency strive to achieve compliance with the performance measures of the program. View of Responsible Officials and Planned Corrective Action ? During the Budget Period April 1, 2021, to March 31, 2022, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 72.3%. Not achieved. Community Action Network (CAN) Collective Impact Measures to 90%. Program Performance was 80%. Not achieved. The Common Agenda did not have measurable outcomes.
Show full finding ▾Hide full finding ▴2022-003 Program Name ? Healthy Start Initiative (HRSA) CFDA Number ? 93.926 Pass-through Entity ? US. Department of Health and Human Services ? HRSA (HRSA) Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description ? During our testing for ?Performance Measure Report?, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved. Questioned Costs ? None Identification of a Repeat Finding- This is not a repeat finding from the previous audit. Cause/Effect ? Internal controls were not properly executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement. Recommendation ? It is recommended that the Agency strive to achieve compliance with the performance measures of the program. View of Responsible Officials and Planned Corrective Action ? During the Budget Period April 1, 2021, to March 31, 2022, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 72.3%. Not achieved. Community Action Network (CAN) Collective Impact Measures to 90%. Program Performance was 80%. Not achieved. The Common Agenda did not have measurable outcomes.
2022-003 Auditors Findings:- During our testing for ?Performance Measure Report?, submitted, we noted that out of 10 objectives selected, 2 objectives were not achieved. Corrective Action:- 2022-003 During the Budget Period April 1, 2021, to March 31, 2022, Healthy Start Performance Measure (HS 6) the percentage of Father and/or Partner Involvement with child <24 months to 80%. Program performance was 72.3%. Not achieved. Community Action Network (CAN) Collective Impact Measures to 90%. Program Performance was 80%. Not achieved. The Common Agenda did not have measurable outcomes.
2022-004 Program Name ? American Rescue Plan Act funding for Health Center Program CFDA Number ? 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the American Rescue Plan funding for Health Centers (H8F) Award Submission requirement Guidance and as per the Notice of Grant Award, the agency must submit the quarterly progress report within two weeks from the end of the quarter. Condition and Description ? During our audit, we noted that the quarterly H8F progress report for the quarter ended June 30, 2022, was submitted late. Questioned Costs ? Unknown. Identification of a Repeat Finding- Similar conditions were noted in the immediate previous single audit as Finding 2021-005. Cause/Effect ? The Agency has not complied with the requirements for the quarterly reporting. Recommendation ? We recommend that the Agency implement procedures over reporting compliance to adhere to the applicable reporting compliance requirements. View of Responsible Officials and Planned Corrective Action ? The initial report was submitted timely yet returned by HRSA for corrections. Thus, documentation during the audit showed that the report was submitted after the due date.
Show full finding ▾Hide full finding ▴2022-004 Program Name ? American Rescue Plan Act funding for Health Center Program CFDA Number ? 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the American Rescue Plan funding for Health Centers (H8F) Award Submission requirement Guidance and as per the Notice of Grant Award, the agency must submit the quarterly progress report within two weeks from the end of the quarter. Condition and Description ? During our audit, we noted that the quarterly H8F progress report for the quarter ended June 30, 2022, was submitted late. Questioned Costs ? Unknown. Identification of a Repeat Finding- Similar conditions were noted in the immediate previous single audit as Finding 2021-005. Cause/Effect ? The Agency has not complied with the requirements for the quarterly reporting. Recommendation ? We recommend that the Agency implement procedures over reporting compliance to adhere to the applicable reporting compliance requirements. View of Responsible Officials and Planned Corrective Action ? The initial report was submitted timely yet returned by HRSA for corrections. Thus, documentation during the audit showed that the report was submitted after the due date.
2022-004 Auditors Findings:- During our audit, we noted that the quarterly H8F progress report for the quarter ended June 30, 2022, was submitted late. Corrective Action: 2022-004 The initial report was submitted timely yet returned by HRSA for corrections. Thus, documentation during the audit showed that the report was submitted after the due date.
2021-005
FAC accepted this audit on July 21, 2022 — management decision was due January 21, 2023.
2021-005 Program Name ? Healthy Start Initiative (HRSA) & Health Center Program Cluster CFDA Number ? 93.926, 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the OMB compliance supplement and the HRSA compliance manual, the agency must submit the quarterly SF-425 report within 30 days from the end of the quarter. Condition and Description ? During our audit, we noted that the quarterly SF-425 for the quarter ended September 30, 2021, was submitted 1 day late. Questioned Costs ? Unknown. Identification of a Repeat Finding- This is not a repeat Finding and was not included in the immediate previous single audit. Cause/Effect ? The Agency has not complied with the requirements for SF-425 reporting. Recommendation ? We recommend that the Agency implement procedures over reporting compliance to adhere to the applicable reporting compliance requirements. View of Responsible Officials and Planned Corrective Action ? SF-425 Quarterly Report schedule on the calendar as a reminder of the due dates. Subsequent reports to that date have been submitted and certified on time. DRAFT
Show full finding ▾Hide full finding ▴2021-005 Program Name ? Healthy Start Initiative (HRSA) & Health Center Program Cluster CFDA Number ? 93.926, 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the OMB compliance supplement and the HRSA compliance manual, the agency must submit the quarterly SF-425 report within 30 days from the end of the quarter. Condition and Description ? During our audit, we noted that the quarterly SF-425 for the quarter ended September 30, 2021, was submitted 1 day late. Questioned Costs ? Unknown. Identification of a Repeat Finding- This is not a repeat Finding and was not included in the immediate previous single audit. Cause/Effect ? The Agency has not complied with the requirements for SF-425 reporting. Recommendation ? We recommend that the Agency implement procedures over reporting compliance to adhere to the applicable reporting compliance requirements. View of Responsible Officials and Planned Corrective Action ? SF-425 Quarterly Report schedule on the calendar as a reminder of the due dates. Subsequent reports to that date have been submitted and certified on time. DRAFT
2021-005 Auditors Findings: ? During our audit, we noted that the quarterly SF-425 for the quarter ended September 30, 2021, was submitted 1 day late. Agency Response: SF-425 Quarterly Report schedule on the calendar as a reminder of the due dates. Subsequent reports to that date have been submitted and certified on time. Corrective Action: 2021-005 Action Taken Individual Responsible Timeframe Add due dates to calendar Gwen Daniels, Project Director Joseph Mutebi, CFO Quarterly, 2022
2021-006 Program Name ? Health Center Program Cluster CFDA Number ? 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the HRSA compliance manual, the health center must prepare a sliding fee discount schedule to be applied to the payment of fees based on the patient's ability to pay. Condition and Description ? For 6 out of 10 encounters tested, the sliding fee adjustment was not made as per the sliding fee discount schedule. Questioned Costs ? Unknown. Identification of a Repeat Finding- This is not a repeat Finding and was not included in the immediate previous single audit. Cause/Effect ? The Agency has not complied with the requirements for applying the sliding fee discount as per the HRSA compliance manual Recommendation ? We recommend that the Agency implement controls to ensure the sliding fee is applied as per the schedule for all encounters. View of Responsible Officials and Planned Corrective Action ? As stated in the Sliding Fee Policy and Procedures, Sliding Fee discount applied based on income and family size no matter what the service. Income is based on documents provided by the patient on the application. The most current Federal Poverty Guidelines will be used to determine the discount as approved by the Board for minimum charges.
Show full finding ▾Hide full finding ▴2021-006 Program Name ? Health Center Program Cluster CFDA Number ? 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the HRSA compliance manual, the health center must prepare a sliding fee discount schedule to be applied to the payment of fees based on the patient's ability to pay. Condition and Description ? For 6 out of 10 encounters tested, the sliding fee adjustment was not made as per the sliding fee discount schedule. Questioned Costs ? Unknown. Identification of a Repeat Finding- This is not a repeat Finding and was not included in the immediate previous single audit. Cause/Effect ? The Agency has not complied with the requirements for applying the sliding fee discount as per the HRSA compliance manual Recommendation ? We recommend that the Agency implement controls to ensure the sliding fee is applied as per the schedule for all encounters. View of Responsible Officials and Planned Corrective Action ? As stated in the Sliding Fee Policy and Procedures, Sliding Fee discount applied based on income and family size no matter what the service. Income is based on documents provided by the patient on the application. The most current Federal Poverty Guidelines will be used to determine the discount as approved by the Board for minimum charges.
2021-006 Auditors Findings: ? As per the HRSA compliance manual, the health center must prepare a sliding fee discount schedule to be applied to the payment of fees based on the patient's ability to pay. For 6 out of 10 encounters tested, the sliding fee adjustment was not made as per the sliding fee discount schedule. Agency Response: As stated in the Sliding Fee Policy and Procedures, Sliding Fee discount applied based on income and family size no matter what the service. Income is based on documents provided by the patient on the application. The most current Federal Poverty Guidelines will be used to determine the discount as approved by the Board for minimum charges. Corrective Action: 2021-006 Action Taken Individual Responsible Timeframe Patients in Sliding Fee Discount Program will have records reviewed for correct discounts Kimberly Staten, Lead Biller Quarterly beginning with July, 2022
2021-007 Program Name ? Health Center Program Cluster CFDA Number ? 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the HRSA compliance manual, and per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services ? HRSA, the health center must establish systems for monitoring program performance to ensure oversight of the operations of the federal award supported activities in compliance and performance expectations are being achieved and areas for improvement in program outcomes and productivity are identified. Condition and Description ? During the review of Health Center program Report, for ?Operational Site Visit?, conducted by Health Resource and Service Administration (HRSA), Bureau of Primary Health Care (BHPC), 2 findings related to ?Clinical Staffing?, and ?Required and Additional Health Services?, were noted, however, the grant conditions stated in the award letter were lifted subsequent to the agency?s fiscal year. Questioned Costs ? Unknown Identification of a Repeat Finding- This is not a repeat finding from the previous audit. Cause/Effect ? The Agency has not complied with the requirements for performance expectations during the fiscal year. Recommendation ? We recommend that the Agency implements controls to ensure that Performance expectations are being achieved and are in compliance with federal requirements. View of Responsible Officials and Planned Corrective Action ? According to the HRSA EHB ?Clinical Staffing? documentation submitted September 28, 2021 with a deadline of 11/24/2021. The Notice of Award to Lifted the condition received on November 2, 2021. According to the HRSA EHB ?Required and Additional Health Services? documents submitted September 24, 2021 with a deadline of November 24, 2021. Notice of Award to Lifted on November 2, 2021.
Show full finding ▾Hide full finding ▴2021-007 Program Name ? Health Center Program Cluster CFDA Number ? 93.224 Pass-through Entity ? N/A Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the HRSA compliance manual, and per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services ? HRSA, the health center must establish systems for monitoring program performance to ensure oversight of the operations of the federal award supported activities in compliance and performance expectations are being achieved and areas for improvement in program outcomes and productivity are identified. Condition and Description ? During the review of Health Center program Report, for ?Operational Site Visit?, conducted by Health Resource and Service Administration (HRSA), Bureau of Primary Health Care (BHPC), 2 findings related to ?Clinical Staffing?, and ?Required and Additional Health Services?, were noted, however, the grant conditions stated in the award letter were lifted subsequent to the agency?s fiscal year. Questioned Costs ? Unknown Identification of a Repeat Finding- This is not a repeat finding from the previous audit. Cause/Effect ? The Agency has not complied with the requirements for performance expectations during the fiscal year. Recommendation ? We recommend that the Agency implements controls to ensure that Performance expectations are being achieved and are in compliance with federal requirements. View of Responsible Officials and Planned Corrective Action ? According to the HRSA EHB ?Clinical Staffing? documentation submitted September 28, 2021 with a deadline of 11/24/2021. The Notice of Award to Lifted the condition received on November 2, 2021. According to the HRSA EHB ?Required and Additional Health Services? documents submitted September 24, 2021 with a deadline of November 24, 2021. Notice of Award to Lifted on November 2, 2021.
2021-007 Auditors Findings: ? During the review of Health Center program Report, for ?Operational Site Visit?, conducted by Health Resource and Service Administration (HRSA), Bureau of Primary Health Care (BHPC), 2 findings related to ?Clinical Staffing?, and ?Required and Additional Health Services?, were noted, however, the grant conditions stated in the award letter were lifted subsequent to the agency?s fiscal year. Agency Response: According to the HRSA EHB ?Clinical Staffing? documentation submitted September 28, 2021 with a deadline of 11/24/2021. The Notice of Award to Lifted the condition received on November 2, 2021. According to the HRSA EHB ?Required and Additional Health Services? documents submitted September 24, 2021 with a deadline of November 24, 2021. Notice of Award to Lifted on November 2, 2021. Corrective Action: 2021-007 The Reports submitted before Fiscal Year ending September 30, 2021. The Notice of Award from HRSA received November 2, 2021 which was out of the control of the Agency. All of which was completed before the 90-day deadline of November 24, 2021. Presented to the Agency Board of Directors July 21, 2022
FAC accepted this audit on January 18, 2022 — management decision was due July 18, 2022.
2020-004 Program Name ? Healthy Start Initiative (HRSA) CFDA Number ? 93.926 Pass-through Entity ? US. Department of Health and Human Services ? HRSA (HRSA) Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description ? During our testing for ?Performance Measure Report?, submitted, we noted that out of 9 objectives established, 1 objectives was not achieved. Questioned Costs ? None Identification of a Repeat Finding- Similar conditions were noted in the immediate previous single audit, 2019-06. Cause/Effect ? Internal controls were not properly executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement. Recommendation ? It is recommended that the Agency strive to achieve compliance with the performance measures of the program. View of Responsible Officials and Planned Corrective Action ? IPH Healthy Start Detroit Project is in compliance with the Terms and Conditions of the Award. The purpose of the award is to reduce infant mortality through several approaches. One of the nine objectives were not met. There were 7 women who experienced miscarriages. The ?Not Met? objective was ?the percent of Healthy Start women participants who conceived within 18 months of a previous birth objective is 43% and performance was 46% (not met). Case Managers continue to provide health care education on the importance of birth spacing and supporting participants to access prenatal care early, avoid tobacco use and enrolling in WIC Food Supplemental program to have a healthy baby even though birth spacing was not achieved.
Show full finding ▾Hide full finding ▴2020-004 Program Name ? Healthy Start Initiative (HRSA) CFDA Number ? 93.926 Pass-through Entity ? US. Department of Health and Human Services ? HRSA (HRSA) Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description ? During our testing for ?Performance Measure Report?, submitted, we noted that out of 9 objectives established, 1 objectives was not achieved. Questioned Costs ? None Identification of a Repeat Finding- Similar conditions were noted in the immediate previous single audit, 2019-06. Cause/Effect ? Internal controls were not properly executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement. Recommendation ? It is recommended that the Agency strive to achieve compliance with the performance measures of the program. View of Responsible Officials and Planned Corrective Action ? IPH Healthy Start Detroit Project is in compliance with the Terms and Conditions of the Award. The purpose of the award is to reduce infant mortality through several approaches. One of the nine objectives were not met. There were 7 women who experienced miscarriages. The ?Not Met? objective was ?the percent of Healthy Start women participants who conceived within 18 months of a previous birth objective is 43% and performance was 46% (not met). Case Managers continue to provide health care education on the importance of birth spacing and supporting participants to access prenatal care early, avoid tobacco use and enrolling in WIC Food Supplemental program to have a healthy baby even though birth spacing was not achieved.
View of Responsible Officials and Planned Corrective Action ?IPH Healthy Start Detroit Project is in compliance with the Terms and Conditions of the Award. The purpose of the award is to reduce infant mortality through several approaches. One of the nine objectives were not met. There were 7 women who experienced miscarriages. The ?Not Met? objective was ?the percent of Healthy Start women participants who conceived within 18 months of a previous birth objective is 43% and performance was 46% (not met). Case Managers continue to provide health care education on the importance of birth spacing and supporting participants to access prenatal care early, avoid tobacco use and enrolling in WIC Food Supplemental program to have a healthy baby even though birth spacing was not achieved.
2019-006
FAC accepted this audit on December 28, 2020 — management decision was due June 28, 2021.
2019-006 Program Name ? Healthy Start Initiative (HRSA) CFDA Number ? 93.926 Pass-through Entity ? US. Department of Health and Human Services ? HRSA (HRSA) Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description ? During our testing for ?Performance Measure Report?, submitted, we noted that out of 9 objectives established, 3 objectives were not achieved. Questioned Costs ? None Identification of a Repeat Finding- Similar conditions were noted in the immediate previous single audit, 2018-07. Cause/Effect ? Internal controls were not properly designed, executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement. Recommendation ? It is recommended that the Agency strive to achieve compliance with the performance measures of the program. View of Responsible Officials and Planned Corrective Action ? IPH Healthy Start Detroit Project is in compliance with the Terms and Conditions of the Award. The purpose of the award is to reduce infant mortality through several approaches. Three of the nine objectives are a challenge as women and their families face systemic racism, lack of health insurance, and barriers to accessing health care. The ?Not Met? objectives include: 1) the percentage of women who have a Reproductive Life Plan, 2) to reduce the proportion of Healthy Start women participants who conceive within 18 months of a previous birth to 30%, 3) to increase the proportion of Healthy Start women participants that demonstrate father and/or partner involvement to 90%. IPH continues quality improvement measures and implement evidenced based strategies to meet those objectives.
Show full finding ▾Hide full finding ▴2019-006 Program Name ? Healthy Start Initiative (HRSA) CFDA Number ? 93.926 Pass-through Entity ? US. Department of Health and Human Services ? HRSA (HRSA) Finding Type ? Significant Deficiency and Noncompliance Criteria ? As per the Notice of Grant Award between IPH (the Agency) and U.S Department of Health and Human Services (DHHS) and per 45 CFR Part 74, the Agency is required to submit the performance report within 90 days and should include completing the financial forms, project abstract, grant summary and performance measures. Condition and Description ? During our testing for ?Performance Measure Report?, submitted, we noted that out of 9 objectives established, 3 objectives were not achieved. Questioned Costs ? None Identification of a Repeat Finding- Similar conditions were noted in the immediate previous single audit, 2018-07. Cause/Effect ? Internal controls were not properly designed, executed or monitored to ensure the achievement of the established objectives. As a result, the Agency did not comply with the requirement. Recommendation ? It is recommended that the Agency strive to achieve compliance with the performance measures of the program. View of Responsible Officials and Planned Corrective Action ? IPH Healthy Start Detroit Project is in compliance with the Terms and Conditions of the Award. The purpose of the award is to reduce infant mortality through several approaches. Three of the nine objectives are a challenge as women and their families face systemic racism, lack of health insurance, and barriers to accessing health care. The ?Not Met? objectives include: 1) the percentage of women who have a Reproductive Life Plan, 2) to reduce the proportion of Healthy Start women participants who conceive within 18 months of a previous birth to 30%, 3) to increase the proportion of Healthy Start women participants that demonstrate father and/or partner involvement to 90%. IPH continues quality improvement measures and implement evidenced based strategies to meet those objectives.
2019-006 IPH Healthy Start Detroit Project is in compliance with the Terms and Conditions of the Award. The purpose of the award is to reduce infant mortality through several approaches. Three of the nine objectives are a challenge as women and their families face systemic racism, lack of health insurance, and barriers to accessing health care. The ?Not Met? objectives include: 1) the percentage of women who have a Reproductive Life Plan, 2) to reduce the proportion of Healthy Start women participants who conceive within 18 months of a previous birth to 30%, 3) to increase the proportion of Healthy Start women participants that demonstrate father and/or partner involvement to 90%. IPH continues quality improvement measures and implement evidenced based strategies to meet those objectives.
2018-007
FAC accepted this audit on September 5, 2019 — management decision was due March 5, 2020.
GSA_MIGRATION
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GSA_MIGRATION
2017-007
FAC accepted this audit on October 23, 2018 — management decision was due April 23, 2019.
GSA_MIGRATION
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GSA_MIGRATION
2016-011
GSA_MIGRATION
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GSA_MIGRATION
FAC accepted this audit on December 12, 2017 — management decision was due June 12, 2018.
GSA_MIGRATION
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GSA_MIGRATION
2015-003
GSA_MIGRATION
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GSA_MIGRATION
2015-002
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