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MWD-75-89 1 (1975-06-10)

handle is hein.gao/gaobaaefy0001 and id is 1 raw text is: 
0~ 15      ESTRICTED -   Not to be released outside th Gone
         Accounting Office exedt10,t the basis of specific apprV
         by the Office ot Coigressional Relation',                -
      COMPTROLLER GENERAL OF THE UNITED STATES
                 WASHINGTON, D.C. 20540


B-164031(5)


The Honorable Philip A. Hart
United States Senate

Dear Senator Hart:


RELEASED


j 0 19


       In response to your letters of August 29 and September 4, 1974,
  we reviewed (1) certain allegations of mismanagement of Federal funds
  at the Community Health Center in Baldwin, Michigan and (2) the
  actions by the Department of Health, Education, and Welfare and the       P -7lJ
2grantee, Regional Health Care, Inc., to assure the fiscal integrity of    P 27S-
_-the Center. This Center is being funded primarily by Department grants
  under section 314(e) of the Public Health Service Act (42 U.S.C. 246 (e)).

       We obtained information from the local attorney who wrote the
  letter containing the allegations; reviewed records at the Center;
  interviewed former and present employees and officials, including
  officials of the Michigan Department of Public Health; and studied
  Certified Public Accountants (CPAs') reports on the Center's operations,
  and discussed these reports with officials of the CPA firms. We also
  reviewed the Department's regional files in Chicago and interviewed
  Department officials. As suggested by your office, we did not follow
  our normal procedure of obtaining official comments on this report.

       On February 21, 1975, we discussed the results of our review with
  your office. As requested, this report briefly summarizes the infor-
  mation we provided.

  BACKGROUND

       The Center was funded by-the Office of Economic Opportunity from
  June 26, 1967, through October 31, 1971. In August 1971, responsi-
  bility for the Center was transferred to the Department of Health,
  Education, and Welfare, which has funded it since November 1, 1971.
  Through October 31, 1974, grants totaling about $10.3 million for
  support of the Center were awarded to FIVECAP, Inc., a community
  action program established under section 222(a)(A) of the Economic
  Opportunity Act of 1964. For the fiscal year beginning November 1,
  1974, the Department awarded a grant for about $962,000 to support the
  Center to Regional Health Care, Inc., a nonprofit corporation established
  by citizens in the area being served by the Center.

       The Center offers medical and dental care to residents of four
  counties in rural Michigan. The principal site is in Baldwin, Lake
  County, but a satellite is maintained in the other three counties.


 090 3F3


MWD-75-89

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