Audit 3537

FY End
2023-06-30
Total Expended
$1.52M
Findings
4
Programs
14
Year: 2023 Accepted: 2023-11-16

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
2024 2023-003 Significant Deficiency - I
2025 2023-002 Significant Deficiency - G
578466 2023-003 Significant Deficiency - I
578467 2023-002 Significant Deficiency - G

Contacts

Name Title Type
ZVEGY7NJKXU5 Michele Bever Auditee
4024626211 Zachary Wells Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the cash basis of accounting. Such 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. The Department has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee used an indirect cost rate (27.7%) that was approved by the Nebraska Department of Health and Human Services. The accompanying schedule of expenditures of Federal awards (Schedule) includes the Federal award activity of South Heartland District Health Department (Department) under programs of the Federal government for the year ended June 30, 2023. 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 the Department, it is not intended to and does not present the financial position or changes in net assets of the Department. The Department’s reporting entity is defined in Note 1.A. to the Department’s financial statements. Federal awards received directly from Federal agencies, as well as those passed through other government agencies, are included in the Schedule. Unless otherwise noted on the Schedule, all programs are received directly from the respective Federal agency.
Title: Summary of Significant Accounting Policies Accounting Policies: Expenditures reported on the Schedule are reported on the cash basis of accounting. Such 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. The Department has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee used an indirect cost rate (27.7%) that was approved by the Nebraska Department of Health and Human Services. Expenditures reported on the Schedule are reported on the cash basis of accounting. Such 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. The Department has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance.

Finding Details

Program - AL 21.027 – COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Grant Number & Year - 71667 Y3 – July 1, 2022, through June 30, 2023 Federal Grantor Agency - U.S. Department of Health and Human Services Pass-Through Entity - Nebraska Department of Health and Human Services Criteria - Title 45 of the U.S. Code of Federal Regulations (CFR) § 75.303 (October 1, 2022) states the following, in relevant part: The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). 45 CFR § 75.213 (October 1, 2022) states the following: Non-Federal entities are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR part 180 and 376. These regulations restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in Federal assistance programs or activities. 2 CFR § 180.300 (January 1, 2023) requires non-Federal entities to verify that an entity is not excluded or disqualified prior to entering into a covered transaction by “(a) Checking SAM Exclusions; or (b) Collecting a certification from that . . . [entity]; or (c) Adding a clause or condition to the covered transaction with that . . . [entity].” A good internal control plan requires the Department to have proper procedures for verifying that contractors paid with Federal funds are not suspended, debarred, or otherwise excluded from or ineligible for participation in Federal programs or activities. Condition - The Department could not provide documentation to support that it had implemented effective internal controls to ensure that suspension and debarment requirements were followed and adequately documented. Repeat Finding - No Questioned Costs - None Statistical Sample - No Context - The Department used Coronavirus State and Local Fiscal Recovery Funds to purchase a building for $555,000. The Department failed to ensure that the vendor was not excluded or disqualified prior to entering into this covered transaction. Per SAM.gov, the vendor was not suspended, debarred, or otherwise excluded from participation in Federal programs or activities as of the date testing was performed. Cause - The Department was in the process of modifying its procurement policies and had not previously made a similar purchase using Federal funds. Effect - Without procedures to verify the status of contractors paid with Federal funds, there is an increased risk of the Department entering into transactions with entities that are suspended, debarred, or otherwise excluded from participation in Federal programs. Recommendation - We recommend the Department implement procedures to ensure that its vendors are not debarred, suspended, or otherwise excluded from participation in Federal programs. View of Officials - SHDHD will add a clause to each Agreement covered by Federal funds, certifying that the recipient of the funds is eligible to receive such funds. SHDHD will also clarify the certification process in our Procurement Policy.
Program - AL 93.069 – Public Health Emergency Preparedness – Matching Grant Number & Year - 57142 Y3 – July 1, 2022, through June 30, 2023 Federal Grantor Agency - U.S. Department of Health and Human Services Pass-Through Entity - Nebraska Department of Health and Human Services Criteria - Per the grant agreement, the Department will make available non-Federal fund-based contributions in the amount of 10% of the award. The agreement refers to 45 CFR § 75.306 for match requirements, including descriptions of acceptable match resources. 45 CFR § 75.306(b) (October 1, 2022) states, in part, the following: For all Federal awards, any shared costs or matching funds and all contributions, including cash and third-party in-kind contributions, must be accepted as part of the non-Federal entity's cost sharing or matching when such contributions meet all of the following criteria: * * * * 5. Are not paid by the Federal Government under another Federal award, except where the Federal statute authorizing a program specifically provides that Federal funds made available for such program can be applied to matching or cost sharing requirements of other Federal programs[.] Condition - The Department did not meet the 10% matching requirements identified in the grant award. Repeat Finding - No Questioned Costs - None Statistical Sample - No Context - Based upon the Department’s Federal expenditures, the required match was $9,436; however, the Department recorded only $3,400 in match. In addition, the match for one of three transactions tested was not from an allowable source. The exception noted was matching expenditures that were recorded to a different Federal program, which is not allowable. In total, the Department recorded $841 in match that was paid by a different Federal program. Cause - It was the first year where a 10% match was included in the grant award. Effect - The Department was not in compliance with the grant award. Recommendation - We recommend the Department implement procedures to ensure matching requirements are met and that only allowable sources of match are used. View of Officials - SHDHD monitors matching fund levels for Federal subawards on a quarterly basis to determine whether the match amount is on track toward meeting the percentage required in each grant agreement. Regarding the PHEP award, in particular, the Department will ensure that the new Emergency Response Coordinator (hired in the middle of the grant period last year) is aware of the match requirements. SHDHD will also ensure that no Federal funds are used to pay for matching funds required in Federal subawards. The Department was not aware that this was not allowable.
Program - AL 21.027 – COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Grant Number & Year - 71667 Y3 – July 1, 2022, through June 30, 2023 Federal Grantor Agency - U.S. Department of Health and Human Services Pass-Through Entity - Nebraska Department of Health and Human Services Criteria - Title 45 of the U.S. Code of Federal Regulations (CFR) § 75.303 (October 1, 2022) states the following, in relevant part: The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). 45 CFR § 75.213 (October 1, 2022) states the following: Non-Federal entities are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR part 180 and 376. These regulations restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in Federal assistance programs or activities. 2 CFR § 180.300 (January 1, 2023) requires non-Federal entities to verify that an entity is not excluded or disqualified prior to entering into a covered transaction by “(a) Checking SAM Exclusions; or (b) Collecting a certification from that . . . [entity]; or (c) Adding a clause or condition to the covered transaction with that . . . [entity].” A good internal control plan requires the Department to have proper procedures for verifying that contractors paid with Federal funds are not suspended, debarred, or otherwise excluded from or ineligible for participation in Federal programs or activities. Condition - The Department could not provide documentation to support that it had implemented effective internal controls to ensure that suspension and debarment requirements were followed and adequately documented. Repeat Finding - No Questioned Costs - None Statistical Sample - No Context - The Department used Coronavirus State and Local Fiscal Recovery Funds to purchase a building for $555,000. The Department failed to ensure that the vendor was not excluded or disqualified prior to entering into this covered transaction. Per SAM.gov, the vendor was not suspended, debarred, or otherwise excluded from participation in Federal programs or activities as of the date testing was performed. Cause - The Department was in the process of modifying its procurement policies and had not previously made a similar purchase using Federal funds. Effect - Without procedures to verify the status of contractors paid with Federal funds, there is an increased risk of the Department entering into transactions with entities that are suspended, debarred, or otherwise excluded from participation in Federal programs. Recommendation - We recommend the Department implement procedures to ensure that its vendors are not debarred, suspended, or otherwise excluded from participation in Federal programs. View of Officials - SHDHD will add a clause to each Agreement covered by Federal funds, certifying that the recipient of the funds is eligible to receive such funds. SHDHD will also clarify the certification process in our Procurement Policy.
Program - AL 93.069 – Public Health Emergency Preparedness – Matching Grant Number & Year - 57142 Y3 – July 1, 2022, through June 30, 2023 Federal Grantor Agency - U.S. Department of Health and Human Services Pass-Through Entity - Nebraska Department of Health and Human Services Criteria - Per the grant agreement, the Department will make available non-Federal fund-based contributions in the amount of 10% of the award. The agreement refers to 45 CFR § 75.306 for match requirements, including descriptions of acceptable match resources. 45 CFR § 75.306(b) (October 1, 2022) states, in part, the following: For all Federal awards, any shared costs or matching funds and all contributions, including cash and third-party in-kind contributions, must be accepted as part of the non-Federal entity's cost sharing or matching when such contributions meet all of the following criteria: * * * * 5. Are not paid by the Federal Government under another Federal award, except where the Federal statute authorizing a program specifically provides that Federal funds made available for such program can be applied to matching or cost sharing requirements of other Federal programs[.] Condition - The Department did not meet the 10% matching requirements identified in the grant award. Repeat Finding - No Questioned Costs - None Statistical Sample - No Context - Based upon the Department’s Federal expenditures, the required match was $9,436; however, the Department recorded only $3,400 in match. In addition, the match for one of three transactions tested was not from an allowable source. The exception noted was matching expenditures that were recorded to a different Federal program, which is not allowable. In total, the Department recorded $841 in match that was paid by a different Federal program. Cause - It was the first year where a 10% match was included in the grant award. Effect - The Department was not in compliance with the grant award. Recommendation - We recommend the Department implement procedures to ensure matching requirements are met and that only allowable sources of match are used. View of Officials - SHDHD monitors matching fund levels for Federal subawards on a quarterly basis to determine whether the match amount is on track toward meeting the percentage required in each grant agreement. Regarding the PHEP award, in particular, the Department will ensure that the new Emergency Response Coordinator (hired in the middle of the grant period last year) is aware of the match requirements. SHDHD will also ensure that no Federal funds are used to pay for matching funds required in Federal subawards. The Department was not aware that this was not allowable.