Audit 325728

FY End
2022-04-30
Total Expended
$2.32M
Findings
30
Programs
2
Year: 2022 Accepted: 2024-10-23

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
503560 2022-003 Significant Deficiency Yes B
503561 2022-004 Significant Deficiency - C
503562 2022-005 Material Weakness Yes H
503563 2022-006 Material Weakness Yes I
503564 2022-007 Material Weakness Yes L
503565 2022-003 Significant Deficiency Yes B
503566 2022-004 Significant Deficiency - C
503567 2022-005 Material Weakness Yes H
503568 2022-006 Material Weakness Yes I
503569 2022-007 Material Weakness Yes L
503570 2022-003 Significant Deficiency Yes B
503571 2022-004 Significant Deficiency - C
503572 2022-005 Material Weakness Yes H
503573 2022-006 Material Weakness Yes I
503574 2022-007 Material Weakness Yes L
1080002 2022-003 Significant Deficiency Yes B
1080003 2022-004 Significant Deficiency - C
1080004 2022-005 Material Weakness Yes H
1080005 2022-006 Material Weakness Yes I
1080006 2022-007 Material Weakness Yes L
1080007 2022-003 Significant Deficiency Yes B
1080008 2022-004 Significant Deficiency - C
1080009 2022-005 Material Weakness Yes H
1080010 2022-006 Material Weakness Yes I
1080011 2022-007 Material Weakness Yes L
1080012 2022-003 Significant Deficiency Yes B
1080013 2022-004 Significant Deficiency - C
1080014 2022-005 Material Weakness Yes H
1080015 2022-006 Material Weakness Yes I
1080016 2022-007 Material Weakness Yes L

Contacts

Name Title Type
KK8LBTLYEDN3 Jack Taitague Auditee
6702565240 James N. Whitt Auditor
No contacts on file

Notes to SEFA

Title: 1. Basis of Presentation Accounting Policies: 2. Summary of Significant Accounting Policies Basis of Accounting The Schedule of Expenditures of Federal Awards is prepared on the accrual basis of accounting. Expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Kagman Community Healthcenter, Inc. did not elect to use the de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal award activity of Kagman Community Health Center, Inc., (KCHC) under a sole program of the federal government for the year ended April 30, 2022. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of KCHC, it is not intended to and does not present the financial position, changes in net assets or cash flows of KCHC.
Title: 2. Summary of Significant Accounting Policies Accounting Policies: 2. Summary of Significant Accounting Policies Basis of Accounting The Schedule of Expenditures of Federal Awards is prepared on the accrual basis of accounting. Expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Kagman Community Healthcenter, Inc. did not elect to use the de minimis indirect cost rate allowed under the Uniform Guidance. Basis of Accounting The Schedule of Expenditures of Federal Awards is prepared on the accrual basis of accounting. Expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement.
Title: 3. Indirect Cost Allocation Accounting Policies: 2. Summary of Significant Accounting Policies Basis of Accounting The Schedule of Expenditures of Federal Awards is prepared on the accrual basis of accounting. Expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Kagman Community Healthcenter, Inc. did not elect to use the de minimis indirect cost rate allowed under the Uniform Guidance. KCHC did not elect to use the de minimis indirect cost rate allowed under the Uniform Guidance.

Finding Details

Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Criteria: In accordance with 2 CFR section 200.403(e), costs must be adequately documented. Condition: Of forty non-payroll expenditures tested, aggregating $128,258 of a total population of $2,220,614, the following were noted: 1. For one (or 3%), supporting Credit Card No Receipt Form (CCNRF) (document no C16791 totaling $51) indicates the original fuel receipt was provided to KCHC’s accounting office. However, no supporting fuel receipt was provided to the audit team supporting the CCNRF. 2. For one (or 3%), the invoice provided by KCHC did not match the expenditure details (invoice no. 21279098 totaling $5,957). The invoice provided by KCHC (invoice no. 212790986) was incorrect. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable allowable costs/cost principles requirements. Effect: KCHC is in noncompliance with applicable allowable costs/cost principles. Questioned costs of $6,008 result as the project questioned costs exceeds $25,000 threshold. Identification as a Repeat Finding: Finding No. 2021-004 Finding No. 2022-003, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Recommendation: Program Expenditures should be approved only when supported by accurate and complete documents. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Criteria: In accordance with entity’s strict draw down policy, all grant drawdowns shall be on a reimbursement basis and drawn down on an as needed basis based on actual allowable expenditures in order to minimize/eliminate the time elapsing between the transfer of the Federal awards and the disbursement of the fund. Further, drawdowns may not be made to cover future expenditures. Condition: Of three SF-425 reports tested, for two (or 66%), cumulative expenditures reported were based on cumulative drawdowns for which amounts were higher than the cumulative expenditures per the underlying accounting records. As KCHC is on a strict reimbursement basis, the variance of $91,960 is questioned. Cause: KCHC did not follow its grant draw down reimbursement policy and monitoring controls over compliance with applicable cash management requirements. Effect: KCHC is in noncompliance with the cash management requirement and questioned costs of $91,960 result. Finding No. 2022-004, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Recommendation: Responsible personnel should monitor drawdowns based on actual allowable expenditures to substantiate compliance with its draw down policy. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-005 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Criteria: In accordance with 45 CFR section 75.309, a non-federal entity may charge only allowable costs incurred during the period of performance and any costs incurred before the Health and Human Services (HHS) awarding agency or pass-through entity made the Federal award that were authorized by the Federal awarding agency or pass-through entity. Condition: For forty subsequent expenditures tested, aggregating $98,002 of a total population of $348,465, the following were noted: 1. For twenty-three (or 58%), expenditures were incurred and/or obligated after the obligation period of 04/30/2022. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Condition, continued: 2. For one (or 3%), cancelled check or other form of evidence (document no. 73206, dated 06/06/2022 amounting to $190) was not provided; accordingly, KCHC was not able to substantiate that the payment was liquidated within the grant award’s 120 days liquidation period, for which the amount is questioned. 3. For sixteen (or 40%), no supporting documents were provided to substantiate that the expenditures were incurred within the period of performance. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable period of performance requirements. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Effect: KCHC is in noncompliance with applicable period of performance requirements and questioned costs of $98,002 result. Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is timely provided and is filed to facilitate easy retrieval substantiating compliance. Identification as a Repeat Finding: Finding No. 2021-005 Views of Responsible Officials: KCHC’s Corrective Action Plan provides a rationale for disagreement with the finding. Auditor response: The supporting evidence provided indicates that the expenditures were incurred after the period of performance. Further, KCHC failed to provide evidence of certain expenditures being incurred within the corresponding period of performance. The finding remains.
Finding No. 2022-006 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Criteria: Non-federal entities other than states must follow the procurement standards set out at 2 CFR sections 200.318 through 200.326. They may use their own documented procedures, which reflect applicable state and local laws and regulations, provided that the procurements confirm to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. Further, KCHC’s procurement policy requires the following: • For small purchases between $10,001 to $250,000, price or rate quotes must be obtained from an adequate number of sources (at least two) and all quotes, including phone calls, web searches, etc., must be documented and kept on file. • To be allowable under a federal award, costs must be reasonable, allocable, and adequately documented and consistent with federal cost principles. Condition: Of forty non-payroll expenditures tested, aggregating $234,183 of a total population of $770,029, the following were noted: 1. For six (or 15%), supporting procurement package was not sufficient to demonstrate price or rate quotes had been obtained from an adequate number of sources. Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Condition, continued: 2. For one (or 3%), no contractual agreement between KCHC and the vendor was provided to the audit team (invoice nos. 1235 and 1351 totaling $3,000 and $1,200, respectively). 3. For one (or 3%), supporting procurement package was not sufficient to support open and fair competition for document no. 2834 totaling $1,215. 4. For 11 (or 28%), no purchase order was provided. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable procurement and suspension and debarment requirements. Effect: KCHC is in noncompliance with applicable procurement requirements and questioned costs of $126,567 result.   Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Effect, continued: Identification as a Repeat Finding: Finding No. 2021-006 Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is processed timely and is filed to facilitate easy retrieval substantiating procurement compliance. In addition, responsible personnel should enforce compliance with procurement regulations. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-007 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Criteria: In accordance with 2 CFR section 200.328 and applicable reporting requirements, the Program is required to submit an accurate SF-425, Federal Financial Report. Condition: For three (or 100%) SF-425 reports tested, the following variances were noted: 1. Grant Award H80CS31624 - 04/30/2022 Reporting Period End Date: 2. Grant Award H8DCS36429 - 03/31/2022 Reporting Period End Date: 3. Grant Award H8FCS41048 - 03/31/2022 Reporting Period End Date: Finding No. 2022-007, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Cause: KCHC did not effectively monitor the accuracy and completeness of the SF 425 report based on underlying accounting records. Effect: KCHC is in noncompliance with the SF-425 federal reporting requirements. No questioned costs are presented as the variances are due to reporting errors. Identification as a Repeat Finding: Finding No. 2021-007 Recommendation: Responsible personnel should take steps to monitor reports and determine that expenditures and program income reported on the SF-425 report are supported by underlying accounting reports. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Criteria: In accordance with 2 CFR section 200.403(e), costs must be adequately documented. Condition: Of forty non-payroll expenditures tested, aggregating $128,258 of a total population of $2,220,614, the following were noted: 1. For one (or 3%), supporting Credit Card No Receipt Form (CCNRF) (document no C16791 totaling $51) indicates the original fuel receipt was provided to KCHC’s accounting office. However, no supporting fuel receipt was provided to the audit team supporting the CCNRF. 2. For one (or 3%), the invoice provided by KCHC did not match the expenditure details (invoice no. 21279098 totaling $5,957). The invoice provided by KCHC (invoice no. 212790986) was incorrect. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable allowable costs/cost principles requirements. Effect: KCHC is in noncompliance with applicable allowable costs/cost principles. Questioned costs of $6,008 result as the project questioned costs exceeds $25,000 threshold. Identification as a Repeat Finding: Finding No. 2021-004 Finding No. 2022-003, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Recommendation: Program Expenditures should be approved only when supported by accurate and complete documents. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Criteria: In accordance with entity’s strict draw down policy, all grant drawdowns shall be on a reimbursement basis and drawn down on an as needed basis based on actual allowable expenditures in order to minimize/eliminate the time elapsing between the transfer of the Federal awards and the disbursement of the fund. Further, drawdowns may not be made to cover future expenditures. Condition: Of three SF-425 reports tested, for two (or 66%), cumulative expenditures reported were based on cumulative drawdowns for which amounts were higher than the cumulative expenditures per the underlying accounting records. As KCHC is on a strict reimbursement basis, the variance of $91,960 is questioned. Cause: KCHC did not follow its grant draw down reimbursement policy and monitoring controls over compliance with applicable cash management requirements. Effect: KCHC is in noncompliance with the cash management requirement and questioned costs of $91,960 result. Finding No. 2022-004, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Recommendation: Responsible personnel should monitor drawdowns based on actual allowable expenditures to substantiate compliance with its draw down policy. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-005 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Criteria: In accordance with 45 CFR section 75.309, a non-federal entity may charge only allowable costs incurred during the period of performance and any costs incurred before the Health and Human Services (HHS) awarding agency or pass-through entity made the Federal award that were authorized by the Federal awarding agency or pass-through entity. Condition: For forty subsequent expenditures tested, aggregating $98,002 of a total population of $348,465, the following were noted: 1. For twenty-three (or 58%), expenditures were incurred and/or obligated after the obligation period of 04/30/2022. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Condition, continued: 2. For one (or 3%), cancelled check or other form of evidence (document no. 73206, dated 06/06/2022 amounting to $190) was not provided; accordingly, KCHC was not able to substantiate that the payment was liquidated within the grant award’s 120 days liquidation period, for which the amount is questioned. 3. For sixteen (or 40%), no supporting documents were provided to substantiate that the expenditures were incurred within the period of performance. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable period of performance requirements. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Effect: KCHC is in noncompliance with applicable period of performance requirements and questioned costs of $98,002 result. Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is timely provided and is filed to facilitate easy retrieval substantiating compliance. Identification as a Repeat Finding: Finding No. 2021-005 Views of Responsible Officials: KCHC’s Corrective Action Plan provides a rationale for disagreement with the finding. Auditor response: The supporting evidence provided indicates that the expenditures were incurred after the period of performance. Further, KCHC failed to provide evidence of certain expenditures being incurred within the corresponding period of performance. The finding remains.
Finding No. 2022-006 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Criteria: Non-federal entities other than states must follow the procurement standards set out at 2 CFR sections 200.318 through 200.326. They may use their own documented procedures, which reflect applicable state and local laws and regulations, provided that the procurements confirm to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. Further, KCHC’s procurement policy requires the following: • For small purchases between $10,001 to $250,000, price or rate quotes must be obtained from an adequate number of sources (at least two) and all quotes, including phone calls, web searches, etc., must be documented and kept on file. • To be allowable under a federal award, costs must be reasonable, allocable, and adequately documented and consistent with federal cost principles. Condition: Of forty non-payroll expenditures tested, aggregating $234,183 of a total population of $770,029, the following were noted: 1. For six (or 15%), supporting procurement package was not sufficient to demonstrate price or rate quotes had been obtained from an adequate number of sources. Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Condition, continued: 2. For one (or 3%), no contractual agreement between KCHC and the vendor was provided to the audit team (invoice nos. 1235 and 1351 totaling $3,000 and $1,200, respectively). 3. For one (or 3%), supporting procurement package was not sufficient to support open and fair competition for document no. 2834 totaling $1,215. 4. For 11 (or 28%), no purchase order was provided. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable procurement and suspension and debarment requirements. Effect: KCHC is in noncompliance with applicable procurement requirements and questioned costs of $126,567 result.   Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Effect, continued: Identification as a Repeat Finding: Finding No. 2021-006 Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is processed timely and is filed to facilitate easy retrieval substantiating procurement compliance. In addition, responsible personnel should enforce compliance with procurement regulations. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-007 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Criteria: In accordance with 2 CFR section 200.328 and applicable reporting requirements, the Program is required to submit an accurate SF-425, Federal Financial Report. Condition: For three (or 100%) SF-425 reports tested, the following variances were noted: 1. Grant Award H80CS31624 - 04/30/2022 Reporting Period End Date: 2. Grant Award H8DCS36429 - 03/31/2022 Reporting Period End Date: 3. Grant Award H8FCS41048 - 03/31/2022 Reporting Period End Date: Finding No. 2022-007, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Cause: KCHC did not effectively monitor the accuracy and completeness of the SF 425 report based on underlying accounting records. Effect: KCHC is in noncompliance with the SF-425 federal reporting requirements. No questioned costs are presented as the variances are due to reporting errors. Identification as a Repeat Finding: Finding No. 2021-007 Recommendation: Responsible personnel should take steps to monitor reports and determine that expenditures and program income reported on the SF-425 report are supported by underlying accounting reports. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Criteria: In accordance with 2 CFR section 200.403(e), costs must be adequately documented. Condition: Of forty non-payroll expenditures tested, aggregating $128,258 of a total population of $2,220,614, the following were noted: 1. For one (or 3%), supporting Credit Card No Receipt Form (CCNRF) (document no C16791 totaling $51) indicates the original fuel receipt was provided to KCHC’s accounting office. However, no supporting fuel receipt was provided to the audit team supporting the CCNRF. 2. For one (or 3%), the invoice provided by KCHC did not match the expenditure details (invoice no. 21279098 totaling $5,957). The invoice provided by KCHC (invoice no. 212790986) was incorrect. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable allowable costs/cost principles requirements. Effect: KCHC is in noncompliance with applicable allowable costs/cost principles. Questioned costs of $6,008 result as the project questioned costs exceeds $25,000 threshold. Identification as a Repeat Finding: Finding No. 2021-004 Finding No. 2022-003, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Recommendation: Program Expenditures should be approved only when supported by accurate and complete documents. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Criteria: In accordance with entity’s strict draw down policy, all grant drawdowns shall be on a reimbursement basis and drawn down on an as needed basis based on actual allowable expenditures in order to minimize/eliminate the time elapsing between the transfer of the Federal awards and the disbursement of the fund. Further, drawdowns may not be made to cover future expenditures. Condition: Of three SF-425 reports tested, for two (or 66%), cumulative expenditures reported were based on cumulative drawdowns for which amounts were higher than the cumulative expenditures per the underlying accounting records. As KCHC is on a strict reimbursement basis, the variance of $91,960 is questioned. Cause: KCHC did not follow its grant draw down reimbursement policy and monitoring controls over compliance with applicable cash management requirements. Effect: KCHC is in noncompliance with the cash management requirement and questioned costs of $91,960 result. Finding No. 2022-004, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Recommendation: Responsible personnel should monitor drawdowns based on actual allowable expenditures to substantiate compliance with its draw down policy. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-005 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Criteria: In accordance with 45 CFR section 75.309, a non-federal entity may charge only allowable costs incurred during the period of performance and any costs incurred before the Health and Human Services (HHS) awarding agency or pass-through entity made the Federal award that were authorized by the Federal awarding agency or pass-through entity. Condition: For forty subsequent expenditures tested, aggregating $98,002 of a total population of $348,465, the following were noted: 1. For twenty-three (or 58%), expenditures were incurred and/or obligated after the obligation period of 04/30/2022. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Condition, continued: 2. For one (or 3%), cancelled check or other form of evidence (document no. 73206, dated 06/06/2022 amounting to $190) was not provided; accordingly, KCHC was not able to substantiate that the payment was liquidated within the grant award’s 120 days liquidation period, for which the amount is questioned. 3. For sixteen (or 40%), no supporting documents were provided to substantiate that the expenditures were incurred within the period of performance. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable period of performance requirements. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Effect: KCHC is in noncompliance with applicable period of performance requirements and questioned costs of $98,002 result. Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is timely provided and is filed to facilitate easy retrieval substantiating compliance. Identification as a Repeat Finding: Finding No. 2021-005 Views of Responsible Officials: KCHC’s Corrective Action Plan provides a rationale for disagreement with the finding. Auditor response: The supporting evidence provided indicates that the expenditures were incurred after the period of performance. Further, KCHC failed to provide evidence of certain expenditures being incurred within the corresponding period of performance. The finding remains.
Finding No. 2022-006 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Criteria: Non-federal entities other than states must follow the procurement standards set out at 2 CFR sections 200.318 through 200.326. They may use their own documented procedures, which reflect applicable state and local laws and regulations, provided that the procurements confirm to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. Further, KCHC’s procurement policy requires the following: • For small purchases between $10,001 to $250,000, price or rate quotes must be obtained from an adequate number of sources (at least two) and all quotes, including phone calls, web searches, etc., must be documented and kept on file. • To be allowable under a federal award, costs must be reasonable, allocable, and adequately documented and consistent with federal cost principles. Condition: Of forty non-payroll expenditures tested, aggregating $234,183 of a total population of $770,029, the following were noted: 1. For six (or 15%), supporting procurement package was not sufficient to demonstrate price or rate quotes had been obtained from an adequate number of sources. Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Condition, continued: 2. For one (or 3%), no contractual agreement between KCHC and the vendor was provided to the audit team (invoice nos. 1235 and 1351 totaling $3,000 and $1,200, respectively). 3. For one (or 3%), supporting procurement package was not sufficient to support open and fair competition for document no. 2834 totaling $1,215. 4. For 11 (or 28%), no purchase order was provided. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable procurement and suspension and debarment requirements. Effect: KCHC is in noncompliance with applicable procurement requirements and questioned costs of $126,567 result.   Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Effect, continued: Identification as a Repeat Finding: Finding No. 2021-006 Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is processed timely and is filed to facilitate easy retrieval substantiating procurement compliance. In addition, responsible personnel should enforce compliance with procurement regulations. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-007 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Criteria: In accordance with 2 CFR section 200.328 and applicable reporting requirements, the Program is required to submit an accurate SF-425, Federal Financial Report. Condition: For three (or 100%) SF-425 reports tested, the following variances were noted: 1. Grant Award H80CS31624 - 04/30/2022 Reporting Period End Date: 2. Grant Award H8DCS36429 - 03/31/2022 Reporting Period End Date: 3. Grant Award H8FCS41048 - 03/31/2022 Reporting Period End Date: Finding No. 2022-007, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Cause: KCHC did not effectively monitor the accuracy and completeness of the SF 425 report based on underlying accounting records. Effect: KCHC is in noncompliance with the SF-425 federal reporting requirements. No questioned costs are presented as the variances are due to reporting errors. Identification as a Repeat Finding: Finding No. 2021-007 Recommendation: Responsible personnel should take steps to monitor reports and determine that expenditures and program income reported on the SF-425 report are supported by underlying accounting reports. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Criteria: In accordance with 2 CFR section 200.403(e), costs must be adequately documented. Condition: Of forty non-payroll expenditures tested, aggregating $128,258 of a total population of $2,220,614, the following were noted: 1. For one (or 3%), supporting Credit Card No Receipt Form (CCNRF) (document no C16791 totaling $51) indicates the original fuel receipt was provided to KCHC’s accounting office. However, no supporting fuel receipt was provided to the audit team supporting the CCNRF. 2. For one (or 3%), the invoice provided by KCHC did not match the expenditure details (invoice no. 21279098 totaling $5,957). The invoice provided by KCHC (invoice no. 212790986) was incorrect. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable allowable costs/cost principles requirements. Effect: KCHC is in noncompliance with applicable allowable costs/cost principles. Questioned costs of $6,008 result as the project questioned costs exceeds $25,000 threshold. Identification as a Repeat Finding: Finding No. 2021-004 Finding No. 2022-003, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Recommendation: Program Expenditures should be approved only when supported by accurate and complete documents. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Criteria: In accordance with entity’s strict draw down policy, all grant drawdowns shall be on a reimbursement basis and drawn down on an as needed basis based on actual allowable expenditures in order to minimize/eliminate the time elapsing between the transfer of the Federal awards and the disbursement of the fund. Further, drawdowns may not be made to cover future expenditures. Condition: Of three SF-425 reports tested, for two (or 66%), cumulative expenditures reported were based on cumulative drawdowns for which amounts were higher than the cumulative expenditures per the underlying accounting records. As KCHC is on a strict reimbursement basis, the variance of $91,960 is questioned. Cause: KCHC did not follow its grant draw down reimbursement policy and monitoring controls over compliance with applicable cash management requirements. Effect: KCHC is in noncompliance with the cash management requirement and questioned costs of $91,960 result. Finding No. 2022-004, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Recommendation: Responsible personnel should monitor drawdowns based on actual allowable expenditures to substantiate compliance with its draw down policy. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-005 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Criteria: In accordance with 45 CFR section 75.309, a non-federal entity may charge only allowable costs incurred during the period of performance and any costs incurred before the Health and Human Services (HHS) awarding agency or pass-through entity made the Federal award that were authorized by the Federal awarding agency or pass-through entity. Condition: For forty subsequent expenditures tested, aggregating $98,002 of a total population of $348,465, the following were noted: 1. For twenty-three (or 58%), expenditures were incurred and/or obligated after the obligation period of 04/30/2022. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Condition, continued: 2. For one (or 3%), cancelled check or other form of evidence (document no. 73206, dated 06/06/2022 amounting to $190) was not provided; accordingly, KCHC was not able to substantiate that the payment was liquidated within the grant award’s 120 days liquidation period, for which the amount is questioned. 3. For sixteen (or 40%), no supporting documents were provided to substantiate that the expenditures were incurred within the period of performance. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable period of performance requirements. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Effect: KCHC is in noncompliance with applicable period of performance requirements and questioned costs of $98,002 result. Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is timely provided and is filed to facilitate easy retrieval substantiating compliance. Identification as a Repeat Finding: Finding No. 2021-005 Views of Responsible Officials: KCHC’s Corrective Action Plan provides a rationale for disagreement with the finding. Auditor response: The supporting evidence provided indicates that the expenditures were incurred after the period of performance. Further, KCHC failed to provide evidence of certain expenditures being incurred within the corresponding period of performance. The finding remains.
Finding No. 2022-006 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Criteria: Non-federal entities other than states must follow the procurement standards set out at 2 CFR sections 200.318 through 200.326. They may use their own documented procedures, which reflect applicable state and local laws and regulations, provided that the procurements confirm to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. Further, KCHC’s procurement policy requires the following: • For small purchases between $10,001 to $250,000, price or rate quotes must be obtained from an adequate number of sources (at least two) and all quotes, including phone calls, web searches, etc., must be documented and kept on file. • To be allowable under a federal award, costs must be reasonable, allocable, and adequately documented and consistent with federal cost principles. Condition: Of forty non-payroll expenditures tested, aggregating $234,183 of a total population of $770,029, the following were noted: 1. For six (or 15%), supporting procurement package was not sufficient to demonstrate price or rate quotes had been obtained from an adequate number of sources. Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Condition, continued: 2. For one (or 3%), no contractual agreement between KCHC and the vendor was provided to the audit team (invoice nos. 1235 and 1351 totaling $3,000 and $1,200, respectively). 3. For one (or 3%), supporting procurement package was not sufficient to support open and fair competition for document no. 2834 totaling $1,215. 4. For 11 (or 28%), no purchase order was provided. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable procurement and suspension and debarment requirements. Effect: KCHC is in noncompliance with applicable procurement requirements and questioned costs of $126,567 result.   Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Effect, continued: Identification as a Repeat Finding: Finding No. 2021-006 Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is processed timely and is filed to facilitate easy retrieval substantiating procurement compliance. In addition, responsible personnel should enforce compliance with procurement regulations. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-007 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Criteria: In accordance with 2 CFR section 200.328 and applicable reporting requirements, the Program is required to submit an accurate SF-425, Federal Financial Report. Condition: For three (or 100%) SF-425 reports tested, the following variances were noted: 1. Grant Award H80CS31624 - 04/30/2022 Reporting Period End Date: 2. Grant Award H8DCS36429 - 03/31/2022 Reporting Period End Date: 3. Grant Award H8FCS41048 - 03/31/2022 Reporting Period End Date: Finding No. 2022-007, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Cause: KCHC did not effectively monitor the accuracy and completeness of the SF 425 report based on underlying accounting records. Effect: KCHC is in noncompliance with the SF-425 federal reporting requirements. No questioned costs are presented as the variances are due to reporting errors. Identification as a Repeat Finding: Finding No. 2021-007 Recommendation: Responsible personnel should take steps to monitor reports and determine that expenditures and program income reported on the SF-425 report are supported by underlying accounting reports. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Criteria: In accordance with 2 CFR section 200.403(e), costs must be adequately documented. Condition: Of forty non-payroll expenditures tested, aggregating $128,258 of a total population of $2,220,614, the following were noted: 1. For one (or 3%), supporting Credit Card No Receipt Form (CCNRF) (document no C16791 totaling $51) indicates the original fuel receipt was provided to KCHC’s accounting office. However, no supporting fuel receipt was provided to the audit team supporting the CCNRF. 2. For one (or 3%), the invoice provided by KCHC did not match the expenditure details (invoice no. 21279098 totaling $5,957). The invoice provided by KCHC (invoice no. 212790986) was incorrect. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable allowable costs/cost principles requirements. Effect: KCHC is in noncompliance with applicable allowable costs/cost principles. Questioned costs of $6,008 result as the project questioned costs exceeds $25,000 threshold. Identification as a Repeat Finding: Finding No. 2021-004 Finding No. 2022-003, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Recommendation: Program Expenditures should be approved only when supported by accurate and complete documents. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Criteria: In accordance with entity’s strict draw down policy, all grant drawdowns shall be on a reimbursement basis and drawn down on an as needed basis based on actual allowable expenditures in order to minimize/eliminate the time elapsing between the transfer of the Federal awards and the disbursement of the fund. Further, drawdowns may not be made to cover future expenditures. Condition: Of three SF-425 reports tested, for two (or 66%), cumulative expenditures reported were based on cumulative drawdowns for which amounts were higher than the cumulative expenditures per the underlying accounting records. As KCHC is on a strict reimbursement basis, the variance of $91,960 is questioned. Cause: KCHC did not follow its grant draw down reimbursement policy and monitoring controls over compliance with applicable cash management requirements. Effect: KCHC is in noncompliance with the cash management requirement and questioned costs of $91,960 result. Finding No. 2022-004, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Recommendation: Responsible personnel should monitor drawdowns based on actual allowable expenditures to substantiate compliance with its draw down policy. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-005 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Criteria: In accordance with 45 CFR section 75.309, a non-federal entity may charge only allowable costs incurred during the period of performance and any costs incurred before the Health and Human Services (HHS) awarding agency or pass-through entity made the Federal award that were authorized by the Federal awarding agency or pass-through entity. Condition: For forty subsequent expenditures tested, aggregating $98,002 of a total population of $348,465, the following were noted: 1. For twenty-three (or 58%), expenditures were incurred and/or obligated after the obligation period of 04/30/2022. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Condition, continued: 2. For one (or 3%), cancelled check or other form of evidence (document no. 73206, dated 06/06/2022 amounting to $190) was not provided; accordingly, KCHC was not able to substantiate that the payment was liquidated within the grant award’s 120 days liquidation period, for which the amount is questioned. 3. For sixteen (or 40%), no supporting documents were provided to substantiate that the expenditures were incurred within the period of performance. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable period of performance requirements. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Effect: KCHC is in noncompliance with applicable period of performance requirements and questioned costs of $98,002 result. Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is timely provided and is filed to facilitate easy retrieval substantiating compliance. Identification as a Repeat Finding: Finding No. 2021-005 Views of Responsible Officials: KCHC’s Corrective Action Plan provides a rationale for disagreement with the finding. Auditor response: The supporting evidence provided indicates that the expenditures were incurred after the period of performance. Further, KCHC failed to provide evidence of certain expenditures being incurred within the corresponding period of performance. The finding remains.
Finding No. 2022-006 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Criteria: Non-federal entities other than states must follow the procurement standards set out at 2 CFR sections 200.318 through 200.326. They may use their own documented procedures, which reflect applicable state and local laws and regulations, provided that the procurements confirm to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. Further, KCHC’s procurement policy requires the following: • For small purchases between $10,001 to $250,000, price or rate quotes must be obtained from an adequate number of sources (at least two) and all quotes, including phone calls, web searches, etc., must be documented and kept on file. • To be allowable under a federal award, costs must be reasonable, allocable, and adequately documented and consistent with federal cost principles. Condition: Of forty non-payroll expenditures tested, aggregating $234,183 of a total population of $770,029, the following were noted: 1. For six (or 15%), supporting procurement package was not sufficient to demonstrate price or rate quotes had been obtained from an adequate number of sources. Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Condition, continued: 2. For one (or 3%), no contractual agreement between KCHC and the vendor was provided to the audit team (invoice nos. 1235 and 1351 totaling $3,000 and $1,200, respectively). 3. For one (or 3%), supporting procurement package was not sufficient to support open and fair competition for document no. 2834 totaling $1,215. 4. For 11 (or 28%), no purchase order was provided. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable procurement and suspension and debarment requirements. Effect: KCHC is in noncompliance with applicable procurement requirements and questioned costs of $126,567 result.   Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Effect, continued: Identification as a Repeat Finding: Finding No. 2021-006 Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is processed timely and is filed to facilitate easy retrieval substantiating procurement compliance. In addition, responsible personnel should enforce compliance with procurement regulations. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-007 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Criteria: In accordance with 2 CFR section 200.328 and applicable reporting requirements, the Program is required to submit an accurate SF-425, Federal Financial Report. Condition: For three (or 100%) SF-425 reports tested, the following variances were noted: 1. Grant Award H80CS31624 - 04/30/2022 Reporting Period End Date: 2. Grant Award H8DCS36429 - 03/31/2022 Reporting Period End Date: 3. Grant Award H8FCS41048 - 03/31/2022 Reporting Period End Date: Finding No. 2022-007, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Cause: KCHC did not effectively monitor the accuracy and completeness of the SF 425 report based on underlying accounting records. Effect: KCHC is in noncompliance with the SF-425 federal reporting requirements. No questioned costs are presented as the variances are due to reporting errors. Identification as a Repeat Finding: Finding No. 2021-007 Recommendation: Responsible personnel should take steps to monitor reports and determine that expenditures and program income reported on the SF-425 report are supported by underlying accounting reports. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Criteria: In accordance with 2 CFR section 200.403(e), costs must be adequately documented. Condition: Of forty non-payroll expenditures tested, aggregating $128,258 of a total population of $2,220,614, the following were noted: 1. For one (or 3%), supporting Credit Card No Receipt Form (CCNRF) (document no C16791 totaling $51) indicates the original fuel receipt was provided to KCHC’s accounting office. However, no supporting fuel receipt was provided to the audit team supporting the CCNRF. 2. For one (or 3%), the invoice provided by KCHC did not match the expenditure details (invoice no. 21279098 totaling $5,957). The invoice provided by KCHC (invoice no. 212790986) was incorrect. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable allowable costs/cost principles requirements. Effect: KCHC is in noncompliance with applicable allowable costs/cost principles. Questioned costs of $6,008 result as the project questioned costs exceeds $25,000 threshold. Identification as a Repeat Finding: Finding No. 2021-004 Finding No. 2022-003, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Allowable Costs/Cost Principles Questioned Costs: $6,008 Recommendation: Program Expenditures should be approved only when supported by accurate and complete documents. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Criteria: In accordance with entity’s strict draw down policy, all grant drawdowns shall be on a reimbursement basis and drawn down on an as needed basis based on actual allowable expenditures in order to minimize/eliminate the time elapsing between the transfer of the Federal awards and the disbursement of the fund. Further, drawdowns may not be made to cover future expenditures. Condition: Of three SF-425 reports tested, for two (or 66%), cumulative expenditures reported were based on cumulative drawdowns for which amounts were higher than the cumulative expenditures per the underlying accounting records. As KCHC is on a strict reimbursement basis, the variance of $91,960 is questioned. Cause: KCHC did not follow its grant draw down reimbursement policy and monitoring controls over compliance with applicable cash management requirements. Effect: KCHC is in noncompliance with the cash management requirement and questioned costs of $91,960 result. Finding No. 2022-004, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Recommendation: Responsible personnel should monitor drawdowns based on actual allowable expenditures to substantiate compliance with its draw down policy. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-005 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Criteria: In accordance with 45 CFR section 75.309, a non-federal entity may charge only allowable costs incurred during the period of performance and any costs incurred before the Health and Human Services (HHS) awarding agency or pass-through entity made the Federal award that were authorized by the Federal awarding agency or pass-through entity. Condition: For forty subsequent expenditures tested, aggregating $98,002 of a total population of $348,465, the following were noted: 1. For twenty-three (or 58%), expenditures were incurred and/or obligated after the obligation period of 04/30/2022. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Condition, continued: 2. For one (or 3%), cancelled check or other form of evidence (document no. 73206, dated 06/06/2022 amounting to $190) was not provided; accordingly, KCHC was not able to substantiate that the payment was liquidated within the grant award’s 120 days liquidation period, for which the amount is questioned. 3. For sixteen (or 40%), no supporting documents were provided to substantiate that the expenditures were incurred within the period of performance. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable period of performance requirements. Finding No. 2022-005, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Period of Performance Questioned Costs: $98,002 Effect: KCHC is in noncompliance with applicable period of performance requirements and questioned costs of $98,002 result. Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is timely provided and is filed to facilitate easy retrieval substantiating compliance. Identification as a Repeat Finding: Finding No. 2021-005 Views of Responsible Officials: KCHC’s Corrective Action Plan provides a rationale for disagreement with the finding. Auditor response: The supporting evidence provided indicates that the expenditures were incurred after the period of performance. Further, KCHC failed to provide evidence of certain expenditures being incurred within the corresponding period of performance. The finding remains.
Finding No. 2022-006 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Criteria: Non-federal entities other than states must follow the procurement standards set out at 2 CFR sections 200.318 through 200.326. They may use their own documented procedures, which reflect applicable state and local laws and regulations, provided that the procurements confirm to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. Further, KCHC’s procurement policy requires the following: • For small purchases between $10,001 to $250,000, price or rate quotes must be obtained from an adequate number of sources (at least two) and all quotes, including phone calls, web searches, etc., must be documented and kept on file. • To be allowable under a federal award, costs must be reasonable, allocable, and adequately documented and consistent with federal cost principles. Condition: Of forty non-payroll expenditures tested, aggregating $234,183 of a total population of $770,029, the following were noted: 1. For six (or 15%), supporting procurement package was not sufficient to demonstrate price or rate quotes had been obtained from an adequate number of sources. Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Condition, continued: 2. For one (or 3%), no contractual agreement between KCHC and the vendor was provided to the audit team (invoice nos. 1235 and 1351 totaling $3,000 and $1,200, respectively). 3. For one (or 3%), supporting procurement package was not sufficient to support open and fair competition for document no. 2834 totaling $1,215. 4. For 11 (or 28%), no purchase order was provided. Cause: KCHC did not enforce recordkeeping and monitoring controls over compliance with applicable procurement and suspension and debarment requirements. Effect: KCHC is in noncompliance with applicable procurement requirements and questioned costs of $126,567 result.   Finding No. 2022-006, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Procurement and Suspension and Debarment Questioned Costs: $126,567 Effect, continued: Identification as a Repeat Finding: Finding No. 2021-006 Recommendation: Responsible personnel should establish a recordkeeping system whereby underlying support for each transaction is processed timely and is filed to facilitate easy retrieval substantiating procurement compliance. In addition, responsible personnel should enforce compliance with procurement regulations. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.
Finding No. 2022-007 Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Criteria: In accordance with 2 CFR section 200.328 and applicable reporting requirements, the Program is required to submit an accurate SF-425, Federal Financial Report. Condition: For three (or 100%) SF-425 reports tested, the following variances were noted: 1. Grant Award H80CS31624 - 04/30/2022 Reporting Period End Date: 2. Grant Award H8DCS36429 - 03/31/2022 Reporting Period End Date: 3. Grant Award H8FCS41048 - 03/31/2022 Reporting Period End Date: Finding No. 2022-007, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624, H8F41048, H8D36529 Area: Reporting Questioned Costs: $-0- Cause: KCHC did not effectively monitor the accuracy and completeness of the SF 425 report based on underlying accounting records. Effect: KCHC is in noncompliance with the SF-425 federal reporting requirements. No questioned costs are presented as the variances are due to reporting errors. Identification as a Repeat Finding: Finding No. 2021-007 Recommendation: Responsible personnel should take steps to monitor reports and determine that expenditures and program income reported on the SF-425 report are supported by underlying accounting reports. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.