Finding 1062147 (2023-002)

Significant Deficiency
Requirement
C
Questioned Costs
$1
Year
2023
Accepted
2024-09-04
Audit: 318513
Organization: Camillus Health Concern, Inc. (FL)
Auditor: Rlmolina LLC

AI Summary

  • Core Issue: CHC drew down Federal funds too early, with three instances exceeding 60 days before actual needs.
  • Impacted Requirements: This violates 2 CFR 200.305(b), which mandates minimizing time between fund transfer and disbursement.
  • Recommended Follow-Up: CHC should adjust procedures for cash requests based on immediate needs and seek guidance during uncertainties.

Finding Text

Ineffective Controls Over the Cash Management Requirement Federal Agency: Department of Health and Human Service Federal Program: Health Center Program Assistance Listing Number: 93:224/93.527 Type of Finding: Significant Deficiency Condition Community Health Concern, Inc. (“CHC”) did not minimize the times between drawdowns and disbursements of Federal funds in accordance with Federal regulations. There were three cash drawdowns made by management that were at least two months (60 days) in advance of actual expenditures or immediate requirement need for payment. Possible Asserted Criteria: In accordance with 2 CFR 200.305 (b), for non-Federal entities other than states, payment methods must minimize the time elapsing between the transfer of funds from the United States Treasury or the pass-through entity and the disbursement by the non-Federal entity whether the payment is made by electronic funds transfer, or issuance or redemption of checks, warrants, or payment by other means. Advance payments to a non-Federal entity must be limited to the minimum amounts needed and be timed to be in accordance with the actual, immediate cash requirements of the non-Federal entity in carrying out the purpose of the approved program or project. Possible Asserted Cause: Management made two (2) early drawdowns to have funds available fearing a government shutdown. An additional early drawdown was made to meet a project deadline. Potential Asserted Effect of Condition: The Federal government may: • Require the funds to be paid back immediately. • Require the use of a more stringent cash drawdown method for the program. • Potential interest liability may be required. Questioned Costs: $967,117. Recommendation: We recommend that CHC improve its procedures to ensure that Federal cash is requested based on immediate cash needs and within the correct period. Additionally, management should consult with its Project Officer for helpful guidance and/or actions to take during cases of looming uncertainties such as government shutdowns, missing project deadlines, etc. Management’s Views: Management’s response is included inthe “Management’s Views and Corrective Action Plan” included at the end of this report after “Section IV – Status of Financial Statements Findings of Prior Audits.”

Categories

Questioned Costs Cash Management

Other Findings in this Audit

  • 485704 2023-001
    Significant Deficiency
  • 485705 2023-002
    Significant Deficiency
  • 1062146 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $829,647
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $254,967
32.006 Covid-19 Telehealth Program $253,396
93.498 Provider Relief Fund $239,102
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $155,833