EIN: 560963926
UEI: Y6NBWL7VUG63
Data as of August 24, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on December 17, 2022. 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 June 17, 2023 (1165 days ago).
What is a management decision? →The same expenditures reported on the Portal were reported on more than one submission. Effect: Reimbursed expenditures were overstated while lost revenues reimbursed by Provider Relief Funds were understated. Cause: The individual who compiled and entered the data for Period 1 reporting left the Community shortly thereafter. A different individual compiled and entered the data for Period 2 reporting inadvertently picking up certain expenditures previously reported in Period 1. Recommendation: We recommend that management implement controls over the preparation of schedules used to input amounts into the Portal and that someone independent of compiling the data review the schedules before the amounts are submitted to HRSA. Views of responsible officials and planned corrective actions: Management agrees with this finding. Please refer to page 38 for the Corrective Action Plan.
Show full finding ▾Hide full finding ▴Portal Reporting MATERIAL WEAKNESS Criteria: Controls should be in place to ensure that amounts reported on the Department of Health Resources and Services Administration (HRSA) portal (the Portal) are accurate and properly supported by accounting records. Condition: The same expenditures reported on the Portal were reported on more than one submission. Effect: Reimbursed expenditures were overstated while lost revenues reimbursed by Provider Relief Funds were understated. Cause: The individual who compiled and entered the data for Period 1 reporting left the Community shortly thereafter. A different individual compiled and entered the data for Period 2 reporting inadvertently picking up certain expenditures previously reported in Period 1. Recommendation: We recommend that management implement controls over the preparation of schedules used to input amounts into the Portal and that someone independent of compiling the data review the schedules before the amounts are submitted to HRSA. Views of responsible officials and planned corrective actions: Management agrees with this finding. Please refer to page 38 for the Corrective Action Plan.
Corrective Action Plan Finding 2022-001 Name of Contact Person: Tracy Biesecker Corrective Action Plan: Management will implement enhanced controls over the preparation of schedules used to input amounts into the Portal and someone independent of compiling the data review the schedules before the amounts are submitted to HRSA. Specifically, amounts reported will be compiled in a source worksheet with all necessary supporting detail. These amounts will be reviewed by a person independent of the source worksheet preparer. Amounts will be submitted to HRSA only after the preparer and independent reviewer agree to the proper classification, valuation and other criteria of the data submitted. This process will be evidenced by a preparer and reviewer signature indicating an attestation that all amounts are properly classified and valued in accordance with the terms and conditions of the PRF. Proposed Completion Date: March 31, 2023
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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