Housing Works, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant 

Housing Works, Inc., operating in Brooklyn, New York, did not comply with all applicable Federal requirements and grant terms related to its Affordable Care Act (ACA)-funded New Access Point grant. Specifically, a Housing Works subsidiary (1 of 14 subsidiary nonprofit organizations overseen by Housing Works) did not track and account for these ACA-funded New Access Point grant expenditures separately from other Federal and non-Federal operating expenses and did not reconcile actual grant expenditures to its approved budgeted amounts used to draw down Federal funds. The Housing Works subsidiary followed Federal procurement standards and claimed allowable New Access Point grant costs of $150,000 for the purchase of a mobile health unit. However, we could not determine whether the remaining $1.2 million in grant costs claimed by the Housing Works subsidiary were allowable.