Audit 372506

Material Weakness Finding: 2025-002 Cash Management – Federal Grants Federal Programs: Department of Health and Human Services Health Center Program Cluster Assistance Listing No. - 93.224 and 93.527 Department of Health and Human Services Grants for Capital Development in Health Centers Assistance Listing No.- 93.526 Criteria: Cash Management, 2 CFR 200.305(b)(1) Condition: The Organization made three draws of federal funds for which qualifying expenditures were not made prior to the end of the Organization’s financial statement year end. This resulted in excess federal cash on hand at March 31, 2025. The Organization is required to incur qualifying expenditures prior to drawing funds from the U.S. Treasury. Cause: The Organization made drawdowns of federal grant funds for which qualifying expenditures were not incurred. Effect: The Organization held excess federal cash due to lack of qualifying expenditures. Questioned Costs: $430,732. Context/Sampling: Out of 39 drawdowns during the fiscal year, three of the drawdowns were received for expenditures that had yet to be incurred and paid. The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: The Organization should ensure that qualifying expenditures are incurred prior to making the related draws of funds from the U.S. Treasury. Views of Responsible Officials: The Organization understands the requirements to incur qualifying expenditures prior to drawing funds from the U.S. Treasury. Procedures will be established to ensure that excess federal cash is not held by the Organization. Contact Person: Dr. Aretha Powers, CEO Anticipated Date of Completion: November 30, 2025