EIN: 571084051
UEI: QT36NGN73FS8
Audited by: CliftonLarsonAllen LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 11, 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 August 11, 2026 (18 days ago).
What is a management decision? →FAC accepted this audit on March 24, 2025 — management decision was due September 24, 2025.
Heath Centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted (discounted) based on the patient’s ability to pay using the Federal Poverty Guidelines (FPG). The Centers are required to apply a full discount to fees for services to individuals with income at or below 100% FPG and prorated for incomes between 100% and 200% of the FPG. Questioned costs: None Context: In our sample of 25 patient account, sliding fee scale was applied incorrectly to 4 patients and proper documentation of applications was not maintained. Cause: In our sample of twenty-five (25) patient accounts, the Organization applied the wrong sliding fee scale to four (4) patients and proper documentation of sliding fee applications was not maintained as there were not proper controls in place. Effect: The Organization could charge an incorrect fee or apply a discount in error. Repeat Finding: No Recommendation: CLA recommends that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. Views of responsible officials: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any errors are found in the revenue cycle department to ensure appropriate action is taken.
Show full finding ▾Hide full finding ▴Finding 2024-001: Sliding Fee Discount Federal Agency: Department of Health and Human Services Federal Program Name: Health Center Program Cluster Assistance Listing Number: 93.224 Federal Award Identification Number and Year: H8000298 2023/2024 Award Period: 3/1/2023 – 2/28/2024, 3/1/2024 – 2/28/2025 Type of Finding: • Material Weakness in Internal Control over Compliance Criteria or specific requirement: Health centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted based on the patients ability to pay. Condition: Heath Centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted (discounted) based on the patient’s ability to pay using the Federal Poverty Guidelines (FPG). The Centers are required to apply a full discount to fees for services to individuals with income at or below 100% FPG and prorated for incomes between 100% and 200% of the FPG. Questioned costs: None Context: In our sample of 25 patient account, sliding fee scale was applied incorrectly to 4 patients and proper documentation of applications was not maintained. Cause: In our sample of twenty-five (25) patient accounts, the Organization applied the wrong sliding fee scale to four (4) patients and proper documentation of sliding fee applications was not maintained as there were not proper controls in place. Effect: The Organization could charge an incorrect fee or apply a discount in error. Repeat Finding: No Recommendation: CLA recommends that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. Views of responsible officials: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any errors are found in the revenue cycle department to ensure appropriate action is taken.
ReGenesis Health Care Corrective Action Plan Audit period: July 1, 2023 - June 30, 2024 Audit Finding: Incorrect Application of Sliding Fee Scale and Lack of Proper Documentation ________________________________________ Summary of Audit Finding – Federal Award Program Audit Department of Health and Human Services 2024-001 Health Centers Cluster – Assistance Listing No. 93.224 In a sample of 25 patient accounts, the audit revealed: • Four instances where the incorrect sliding fee scale was applied and lack of proper documentation maintained for sliding fee applications. ________________________________________ Corrective Actions: Staff Training Action: • Conduct mandatory training for General Practice Managers (GPMs) and Patient Service Representatives (PSRs), as well as for all newly hired front desk staff at orientation and annually thereafter. Content: • Process for sliding fee discount program eligibility determination. • Proper application of the sliding fee scale. • Documentation standards and quality improvement/assurance measures. Timeline: Begin training within 30 days from 1/21/25 and establish ongoing annual sessions. Responsible Party: Senior GPM, VP Strategy & Development Action Plan for Slide Application Process: PSR Responsibilities: • Continue scanning all completed slide applications into the system on the same day they are completed. • Ensure all relevant information is entered into the patient’s chart. • Assign scanned slide applications to respective GPMs for review in eCW. GPM Responsibilities: • Review slide applications in D jellybean daily for accuracy. The review should ensure that: o The document has been scanned into the chart. o Calculations are correct. o The correct proof of income and supporting documentation are included. • Discuss any slides requiring correction with the PSR and provide continued education as needed. • Address excessive errors through performance improvement plans and disciplinary actions if necessary. • GPM to ensure sliding fee schedule is correct and all documentation is present before marking the documents as approved in eCW. Auditing: • GPMs will run daily reports in eCW to audit the front desk’s slide application process. • Physicians Services Billing Manager or designee to review slide application information to ensure correct sliding scale has been applied. • Director of Quality Improvement will also audit process to ensure GPMs are completing this expectation. Standardized Procedures Action: • Review and update the Sliding Fee Discount Program Policy and Procedures annually and as needed • Implement a checklist for staff to ensure proper documentation. • The Physician Services Billing Manager will train billing staff on applying sliding fee discount program adjustments and will conduct internal audits to ensure the accuracy of payer status. Timeline: Review current policies and procedures by 2/7/25. Responsible Party: Senior GPM, Chief Financial Officer and Chief Administrative Officer Quality Control Measures Action: • Establish a quality control process to regularly review sliding fee documentation and application accuracy. Frequency: Quarterly reviews of a minimum of 10 patient accounts processed, from multiple ReGenesis Health Care sites where services from all scopes are rendered. Review Team: Compliance and Quality Improvement/Assurance teams Timeline: Begin reviews in Q1 2025. Responsible Party: Chief Administrative Officer, Chief Financial Officer, Director of Quality Improvement and Risk Management ________________________________________ Monitoring and Evaluation • Quarterly Reports: Summary of quality control findings shared with leadership. • Key Performance Indicators (KPIs): o Reduction in errors in sliding fee application. o 100% compliance with documentation requirements. • Audit Follow-Up: Prepare for Operational Site Visit (OSV) to confirm implementation of corrective actions. • Responsible Party: Chief Administrative Officer, Chief Financial Officer ________________________________________ Communication Plan • Staff Updates: Regular updates during Leadership and QI/QA team meetings on progress and reminders of proper procedures. • Leadership Reports: Quarterly updates to the Board of Directors and RHC Executive Team. ________________________________________ Conclusion ReGenesis Health Care is committed to addressing the identified issues and ensuring compliance with all sliding fee scale policies and guidelines. By implementing the outlined corrective actions, RHC aims to strengthen processes and maintain the highest standards of service for our patients. If the Department of Health and Human Services has questions regarding this plan, please call Rich Long, CFO, at 564-504-3658.
FAC accepted this audit on April 23, 2024 — management decision was due October 23, 2024.
FAC accepted this audit on March 30, 2023 — management decision was due September 30, 2023.
FAC accepted this audit on February 1, 2022 — management decision was due August 1, 2022.
Finding 2021-001: Sliding Fee Discount Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 Award Period: 7/1/2020 ? 6/30/2021 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Condition and Criteria: Health Centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted (discounted) based on the patient's ability to pay using the Federal Poverty Guidelines (FPG). The Centers are required to apply a full discount to fees for services to individuals with income at or below 100% FPG and prorated for incomes between 100% and 200% of the FPG. Cause: In our sample of twenty-five (25) patient accounts, the Organization applied the wrong sliding fee scale to one (1) patient. Effect: The Organization could charge an incorrect fee or apply a discount in error. Recommendation: We recommend that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: December 2021
Show full finding ▾Hide full finding ▴Finding 2021-001: Sliding Fee Discount Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 Award Period: 7/1/2020 ? 6/30/2021 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Condition and Criteria: Health Centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted (discounted) based on the patient's ability to pay using the Federal Poverty Guidelines (FPG). The Centers are required to apply a full discount to fees for services to individuals with income at or below 100% FPG and prorated for incomes between 100% and 200% of the FPG. Cause: In our sample of twenty-five (25) patient accounts, the Organization applied the wrong sliding fee scale to one (1) patient. Effect: The Organization could charge an incorrect fee or apply a discount in error. Recommendation: We recommend that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: December 2021
2021-001 Health Centers Cluster - Assistance Listing Number 93.224. Recommendation: We recommend that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken.
2020-007
FAC accepted this audit on March 29, 2021 — management decision was due September 29, 2021.
Finding 2020-007 : Sliding Fee Discount Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 and 93.527 Award Period: 7/1/2019 ? 6/30/2020 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Condition and Criteria: Health Centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted (discounted) based on the patient's ability to pay using the Federal Poverty Guidelines (FPG). The Centers are required to apply a full discount to fees for services to individuals with income at or below 100% FPG and prorated for incomes between 100 and 200% of the FPG. Cause: In our sample of forty (40) patient accounts, the Organization applied the wrong sliding fee scale to one (1) patient. Effect: The Organization could charge an incorrect fee or apply a discount in error. Recommendation: We recommend that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: June 2021
Show full finding ▾Hide full finding ▴Finding 2020-007 : Sliding Fee Discount Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 and 93.527 Award Period: 7/1/2019 ? 6/30/2020 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Condition and Criteria: Health Centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted (discounted) based on the patient's ability to pay using the Federal Poverty Guidelines (FPG). The Centers are required to apply a full discount to fees for services to individuals with income at or below 100% FPG and prorated for incomes between 100 and 200% of the FPG. Cause: In our sample of forty (40) patient accounts, the Organization applied the wrong sliding fee scale to one (1) patient. Effect: The Organization could charge an incorrect fee or apply a discount in error. Recommendation: We recommend that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: June 2021
2020-007 Health Centers Cluster ? CFDA No. 93.224 & 93.527 Recommendation: We recommend that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any error is found in the revenue cycle department to ensure appropriate action is taken. Name(s) of the contact person(s) responsible for corrective action: Brian Kelbaugh, CFO Planned completion date for corrective action plan: June 2021
Finding 2020-008 : Allowable Costs - Payroll Expenditures Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 and 93.527 Award Period: 7/1/2019 ? 6/30/2020 Type of Finding: Compliance and Material Weakness in Internal Control over Compliance Condition and Criteria: Health Centers receiving this funding must use funds towards allowable costs of the grant. One of the pay periods in December 2019, used the incorrect gross wages. Cause: In our sample of forty (40) employee payroll registers, the Organization incorrectly calculated payroll expenditures of twenty-four (24) employees, all in the same payroll period. Effect: The Organization could over allocate amounts of payroll expenditures to be used with grant funds. Recommendation: We recommend that the Organization continue to perform reviews of payroll expenditures calculated in the allocation. View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Allowable Costs will be ongoing. The quality management and compliance department will increase frequency of internal audits.. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: June 2021
Show full finding ▾Hide full finding ▴Finding 2020-008 : Allowable Costs - Payroll Expenditures Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 and 93.527 Award Period: 7/1/2019 ? 6/30/2020 Type of Finding: Compliance and Material Weakness in Internal Control over Compliance Condition and Criteria: Health Centers receiving this funding must use funds towards allowable costs of the grant. One of the pay periods in December 2019, used the incorrect gross wages. Cause: In our sample of forty (40) employee payroll registers, the Organization incorrectly calculated payroll expenditures of twenty-four (24) employees, all in the same payroll period. Effect: The Organization could over allocate amounts of payroll expenditures to be used with grant funds. Recommendation: We recommend that the Organization continue to perform reviews of payroll expenditures calculated in the allocation. View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Allowable Costs will be ongoing. The quality management and compliance department will increase frequency of internal audits.. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: June 2021
2020-008 Health Centers Cluster ? CFDA No. 93.224 & 93.527 Recommendation: We recommend that the Organization continue to perform quality control inspections of payroll expenditures being allocated towards grant funds. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Allowable Costs will be ongoing. The department will increase frequency of internal audits. Plans for required performance improvement, including the provision of additional training, will be developed, and monitored for completion. Instances of repeated deficiencies will result in corrective action. Name(s) of the contact person(s) responsible for corrective action: Brian Kelbaugh, CFO Planned completion date for corrective action plan: June 2021
Finding 2020-009 : Procurement Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 and 93.527 Award Period: 7/1/2019 ? 6/30/2020 Type of Finding: Compliance and Material Weakness in Internal Control over Compliance Condition and Criteria: 2 CFR Part 200.318(i) requires non-Federal entities to maintain records sufficient to detail the history of procurement. These records include, but are not necessarily limited to the following: rationale for the method of procurement, selection of contract type, contractor selection and rejection, and the basis for the contact price. 2 CFR Part 200.320 describes five acceptable methods of procurement which vary based on the size of the purchase. The Organization incorrectly applied the competitive quote requirement for purchases greater than $10,000. Cause: Competitive quotes for purchases greater than $10,000 were either not obtained or records were not maintained if the competitive quote was obtained. Effect: The Organization did not have adequate documentation for the procurement method rationale or price consideration. Recommendation: We recommend that the Organization follow their procurement policy and maintain records to document their compliance with the policy. View of Responsible Officials and Planned Corrective Actions: The Organization agrees with this finding. The Procurement Policy will be reviewed, to ensure the criteria is within the HRSA standards and will be enforced. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: June 2021
Show full finding ▾Hide full finding ▴Finding 2020-009 : Procurement Federal Agency: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program: Health Center Cluster CFDA Numbers: 93.224 and 93.527 Award Period: 7/1/2019 ? 6/30/2020 Type of Finding: Compliance and Material Weakness in Internal Control over Compliance Condition and Criteria: 2 CFR Part 200.318(i) requires non-Federal entities to maintain records sufficient to detail the history of procurement. These records include, but are not necessarily limited to the following: rationale for the method of procurement, selection of contract type, contractor selection and rejection, and the basis for the contact price. 2 CFR Part 200.320 describes five acceptable methods of procurement which vary based on the size of the purchase. The Organization incorrectly applied the competitive quote requirement for purchases greater than $10,000. Cause: Competitive quotes for purchases greater than $10,000 were either not obtained or records were not maintained if the competitive quote was obtained. Effect: The Organization did not have adequate documentation for the procurement method rationale or price consideration. Recommendation: We recommend that the Organization follow their procurement policy and maintain records to document their compliance with the policy. View of Responsible Officials and Planned Corrective Actions: The Organization agrees with this finding. The Procurement Policy will be reviewed, to ensure the criteria is within the HRSA standards and will be enforced. Name of the Contact Person Responsible for Correction Action: Brian Kelbaugh, CFO Planned Completion Date for the Corrective Action Plan: June 2021
2020-009 Health Centers Cluster ? CFDA No. 93.224 & 93.527 Recommendation: We recommend that the Organization follow their procurement policy and maintain records to document their compliance with the policy. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management agrees with the finding. The Organization agrees with this finding. The Procurement Policy will be reviewed, to ensure the criteria is within the HRSA standards and will be enforced. Name(s) of the contact person(s) responsible for corrective action: Brian Kelbaugh, CFO Planned completion date for corrective action plan: June 2021
FAC accepted this audit on November 11, 2019 — management decision was due May 11, 2020.
Time/activity reports (time sheets) are not maintained for salaried employees Criteria: Uniform Guidance Compliance Supplement, Grant Policy Statements Context: A review of payroll disbursements revealed that monthly time and effort certifications for salaried employees were not maintained. Cause: The Organization?s policy does not require salaried employees to certify time and efforts on a monthly basis. Effect: Failure to comply with federal requirements regarding personnel cost and time and effort could result in a reduction of grant funds. Recommendation: Procedures should be established to maintain time and effort certifications by all salaried employees. It is recommended time and effort certifications be prepared on a monthly basis. These certifications should document the hours paid for these salaried employees. Auditee?s Response and Corrective Action Plan: Procedures will be established to ensure that salaried employees certify time and effort on a monthly basis. Contact Person: Marlon Hunter, CEO Anticipated Date of Completion: December 31, 2019
Show full finding ▾Hide full finding ▴Finding: 2019-001 Monthly time/activity reports not maintained for salaried employees Federal Program Identification: U.S. Department of Health and Human Services Health Center Cluster, CFDA 93.224 & 93.527 Grant Number H80CS00298 Condition: Time/activity reports (time sheets) are not maintained for salaried employees Criteria: Uniform Guidance Compliance Supplement, Grant Policy Statements Context: A review of payroll disbursements revealed that monthly time and effort certifications for salaried employees were not maintained. Cause: The Organization?s policy does not require salaried employees to certify time and efforts on a monthly basis. Effect: Failure to comply with federal requirements regarding personnel cost and time and effort could result in a reduction of grant funds. Recommendation: Procedures should be established to maintain time and effort certifications by all salaried employees. It is recommended time and effort certifications be prepared on a monthly basis. These certifications should document the hours paid for these salaried employees. Auditee?s Response and Corrective Action Plan: Procedures will be established to ensure that salaried employees certify time and effort on a monthly basis. Contact Person: Marlon Hunter, CEO Anticipated Date of Completion: December 31, 2019
Corrective Action Plan In Finding 2019-001, a condition was noted in which the Organization failed to comply with grant guidelines regarding monthly time and effort certifications for salaried employees. Failure to comply with federal requirements regarding personnel cost and time and effort could result in a reduction of grant funds. Management recognizes the importance of complying with grant guidelines regarding time and activity reports. In response to Finding 2019-001, policies and procedures will be established to ensure that salaried employees certify time and effort on a monthly basis. Policies will be updated and the new procedures put in place by December 31, 2019. Marlon Hunter Chief Executive Officer
FAC accepted this audit on November 11, 2018 — management decision was due May 11, 2019.
FAC accepted this audit on October 19, 2017 — management decision was due April 19, 2018.
FAC accepted this audit on December 12, 2016 — management decision was due June 12, 2017.
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