Finding 1075892 (2024-005)

Material Weakness
Requirement
H
Questioned Costs
$1
Year
2024
Accepted
2024-09-30
Audit: 322303
Organization: Outpatient Medical Center, Inc. (LA)
Auditor: Dza PLLC

AI Summary

  • Core Issue: The organization incurred costs for goods and services outside the approved budget periods for federal awards.
  • Impacted Requirements: Violations of Title 2 CFR 200.403(h) and (e) regarding allowable costs and GAAP compliance.
  • Recommended Follow-Up: Limit expenditure approvals to personnel with a basic understanding of GAAP and budget period requirements.

Finding Text

2024-005 Period of Performance Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS00513, H8FCS41684, H8GC48547, H8LCS51197 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Title 2 CFR 200.403(h) requires that costs be incurred in the approved budget period for the applicable awards and Title 2 CFR 200.403(e) requires that those costs be determined according to generally accepted accounting principles (GAAP). Condition The Organization’s federal expenditures includes costs for goods and/or services outside of the approved budget periods for the awards. Cause The Organization’s internal controls over compliance did not include consideration of when the goods were received or services were performed compared to the budget periods for the awards. Lack of understanding of GAAP and the requirements of accrual basis accounting allowed expenditures outside of the applicable budget periods to be approved and claimed as current federal expenditures based solely on management’s decision to pay for the expenditure in the current year. Effect The Organization may allocate unallowable costs to the federal awards. Questioned Costs $321,877 (of which $283,128 was previously reported in finding 2024-004 above) Context In a sample of sixty invoices, we noted eight included expenditures for goods or services that were not provided in the current budget period. $283,129 of expenditures charged to the program were for goods or services related to future budget periods. $38,748 of expenditures charged to the program were for goods or services related to previous budget periods. Recommendation We recommend management personnel authorized to approve expenditures of federal awards be limited to those who have a basic understanding of GAAP and the relationship between the accrual basis of accounting and the period of performance requirements. Views of responsible officials and planned corrective action Management is in agreement with this finding and will take corrective action as outlined below.

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 499446 2024-004
    Material Weakness
  • 499447 2024-004
    Material Weakness
  • 499448 2024-004
    Material Weakness
  • 499449 2024-004
    Material Weakness
  • 499450 2024-005
    Material Weakness
  • 499451 2024-005
    Material Weakness
  • 499452 2024-005
    Material Weakness
  • 499453 2024-005
    Material Weakness
  • 499454 2024-006
    Material Weakness
  • 499455 2024-006
    Material Weakness
  • 499456 2024-006
    Material Weakness
  • 499457 2024-006
    Material Weakness
  • 499458 2024-007
    Material Weakness Repeat
  • 499459 2024-007
    Material Weakness Repeat
  • 499460 2024-007
    Material Weakness Repeat
  • 499461 2024-007
    Material Weakness Repeat
  • 499462 2024-008
    Material Weakness
  • 499463 2024-008
    Material Weakness
  • 499464 2024-008
    Material Weakness
  • 499465 2024-008
    Material Weakness
  • 1075888 2024-004
    Material Weakness
  • 1075889 2024-004
    Material Weakness
  • 1075890 2024-004
    Material Weakness
  • 1075891 2024-004
    Material Weakness
  • 1075893 2024-005
    Material Weakness
  • 1075894 2024-005
    Material Weakness
  • 1075895 2024-005
    Material Weakness
  • 1075896 2024-006
    Material Weakness
  • 1075897 2024-006
    Material Weakness
  • 1075898 2024-006
    Material Weakness
  • 1075899 2024-006
    Material Weakness
  • 1075900 2024-007
    Material Weakness Repeat
  • 1075901 2024-007
    Material Weakness Repeat
  • 1075902 2024-007
    Material Weakness Repeat
  • 1075903 2024-007
    Material Weakness Repeat
  • 1075904 2024-008
    Material Weakness
  • 1075905 2024-008
    Material Weakness
  • 1075906 2024-008
    Material Weakness
  • 1075907 2024-008
    Material Weakness

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) $598,681
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $122,157
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $15,473