Citizens of Lake County for Health Care, Inc.

EIN: 621026947

UEI: URJ2GPRKBJT8

Data as of August 26, 2026

Citizens of Lake County for Health Care, Inc.11 audit years2 findings
11
Audit Years
2
Total Findings
0
Repeat Findings

FY 2022-01-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on October 24, 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 April 24, 2023 (1221 days ago).

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2022-003
Reporting
MATERIAL WEAKNESS

The Uniform Data System (UDS) report submitted to the U.S. Department of Health and Human Services (DHHS) for the year ended December 31, 2021, contained incorrect data for expenses. The expenses were overstated on Table 8A of the UDS report by approximately $700,000. Cause: The above exception resulted from errors in preparing Table 8A of the Uniform Data System report. Effect: The DHHS reviews the UDS data for financial analysis for grant recipients. Errors in this data causes incorrect financial analysis results and distorted performance indicators. Questioned Costs: None reported Context/Sampling: The UDS contained incorrect data for expenses. Repeat Finding from Prior Year: No Recommendation: It is recommended that a system should be developed to ensure that actual expenses as reported in the Organization?s financial reporting system are reconciled to the UDS report. The DHHS should be informed of the error and the 2021 Table 8A should be revised and resubmitted, if requested. Views of Responsible Officials: Management concurs. Efforts will be made to ensure that expenses are reconciled from the financial reporting system to expenses on the UDS report. Contact Person: Gayanne Williams, CEO Anticipated Date of Completion: June 30, 2022

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Full finding narrative

Finding: 2022-003 Uniform Data System Report Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Reporting ? Uniform Data System Condition: The Uniform Data System (UDS) report submitted to the U.S. Department of Health and Human Services (DHHS) for the year ended December 31, 2021, contained incorrect data for expenses. The expenses were overstated on Table 8A of the UDS report by approximately $700,000. Cause: The above exception resulted from errors in preparing Table 8A of the Uniform Data System report. Effect: The DHHS reviews the UDS data for financial analysis for grant recipients. Errors in this data causes incorrect financial analysis results and distorted performance indicators. Questioned Costs: None reported Context/Sampling: The UDS contained incorrect data for expenses. Repeat Finding from Prior Year: No Recommendation: It is recommended that a system should be developed to ensure that actual expenses as reported in the Organization?s financial reporting system are reconciled to the UDS report. The DHHS should be informed of the error and the 2021 Table 8A should be revised and resubmitted, if requested. Views of Responsible Officials: Management concurs. Efforts will be made to ensure that expenses are reconciled from the financial reporting system to expenses on the UDS report. Contact Person: Gayanne Williams, CEO Anticipated Date of Completion: June 30, 2022

Corrective Action Plan

In Finding 2022-003, it was reported that the Uniform Data System report submitted to DHHS for the year ended December 31, 2021, contained incorrect data for expenses. The expenses were overstated on Table 8A of the UDS report by approximately $700,000. Management recognizes the importance of complying with federal reporting guidelines. In response to Finding 2022-003, efforts will be made to ensure that expenses from all sources are reconciled to the revenue and expenses on the UDS report. This review will be performed by the Chief Executive Officer and completed by June 30, 2022.

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FY 2021-01-31

FAC accepted this audit on April 21, 2021 — management decision was due October 21, 2021.

2021-002
Procurement & Suspension/Debarment
MATERIAL WEAKNESS

The Organization did not follow its policy governing procurement requirements for the purchase of goods or services. Cause: The Organization did not comply with their federal procurement policy. The Organization did not obtain bids for certain purchases in accordance with its procurement policy. Effect: Purchases were made that did not adhere to the Organization?s procurement policy. Context/Sampling: The finding appears to be a systemic problem. Repeat Finding from Prior Year: No Recommendation: The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials: Management concurs. Management will review the procurement policy and will educate staff to ensure the policy is being followed. Contact Person: Gayanne Williams, CEO Anticipated Date of Completion: April 30, 2021 Questioned Costs: None Reported

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Full finding narrative

Finding: 2021-002 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not follow its policy governing procurement requirements for the purchase of goods or services. Cause: The Organization did not comply with their federal procurement policy. The Organization did not obtain bids for certain purchases in accordance with its procurement policy. Effect: Purchases were made that did not adhere to the Organization?s procurement policy. Context/Sampling: The finding appears to be a systemic problem. Repeat Finding from Prior Year: No Recommendation: The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials: Management concurs. Management will review the procurement policy and will educate staff to ensure the policy is being followed. Contact Person: Gayanne Williams, CEO Anticipated Date of Completion: April 30, 2021 Questioned Costs: None Reported

Corrective Action Plan

In Finding 2021-002, a condition was noted that the Organization did not follow its policy governing procurement requirements for the purchase of goods or services. Management recognizes the importance of complying with grant guidelines procurement. In response to Finding 2021-002, Management will review the procurement policy and will educate staff to ensure the policy is being followed. This review will be performed by the Chief Executive Officer and completed by April 30, 2021.

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