Finding 1079063 (2023-002)

Material Weakness
Requirement
C
Questioned Costs
-
Year
2023
Accepted
2024-10-14
Audit: 324609
Organization: Promise Healthcare Nfp (IL)

AI Summary

  • Core Issue: There is a material weakness in internal controls over cash management, specifically regarding the draw down process.
  • Impacted Requirements: The organization failed to meet the requirement for proper segregation of duties as outlined in § 200.305(b)(3), which could lead to inaccuracies in fund requests.
  • Recommended Follow-Up: Implement a system to document who prepares and reviews draw down requests independently, using methods like sign-offs or checklists.

Finding Text

2023-002 – Cash Management Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Pass-Through Agency: n/a Pass-Through Number(s): n/a Award Period: 9/1/23-8/31/25; 4/1/21-3/31/23; 6/1/19-5/31/23; 6/1/23-5/31/26; 12/1/22-5/31/23 Type of Finding: Material Weakness in Internal Control over Compliance Criteria or Specific Requirement: § 200.305(b)(3) indicates reimbursement of costs previously occurred is an acceptable method for requesting payment of Federal funds. However, the Organization is responsible for determining that the entity paid for the costs for which reimbursement is being requested, prior to the date of the reimbursement request. Condition: The Organization could not provide documentation to support that the draw down request was prepared by someone independent of the person who reviewed the request. Questioned Costs: None. Context: For six of six drawdowns selected for testing, CLA was able to obtain documentation of approval prior to draw down, but there was no documentation to support segregation of duties in the draw down process. Cause: Management turnover. Effect: Lack of segregation of duties could result in inaccurate amounts being drawn down. Repeat Finding: No. Recommendation: CLA recommends that the Organization maintain documentation of the individual preparing the draw down request, along documentation of an independent review being performed prior to the drawdown. This can be in the form of sign off, email, checklist, etc. Views of Responsible Officials: There is no disagreement with the audit finding.

Categories

Cash Management Internal Control / Segregation of Duties

Other Findings in this Audit

  • 502620 2023-002
    Material Weakness
  • 502621 2023-002
    Material Weakness
  • 502622 2023-002
    Material Weakness
  • 502623 2023-002
    Material Weakness
  • 502624 2023-003
    Material Weakness
  • 502625 2023-003
    Material Weakness
  • 502626 2023-003
    Material Weakness
  • 502627 2023-004
    Material Weakness Repeat
  • 502628 2023-004
    Material Weakness Repeat
  • 502629 2023-005
    Material Weakness Repeat
  • 502630 2023-006
    Significant Deficiency
  • 502631 2023-007
    Significant Deficiency Repeat
  • 502632 2023-007
    Significant Deficiency Repeat
  • 502633 2023-007
    Significant Deficiency Repeat
  • 502634 2023-008
    Significant Deficiency
  • 1079062 2023-002
    Material Weakness
  • 1079064 2023-002
    Material Weakness
  • 1079065 2023-002
    Material Weakness
  • 1079066 2023-003
    Material Weakness
  • 1079067 2023-003
    Material Weakness
  • 1079068 2023-003
    Material Weakness
  • 1079069 2023-004
    Material Weakness Repeat
  • 1079070 2023-004
    Material Weakness Repeat
  • 1079071 2023-005
    Material Weakness Repeat
  • 1079072 2023-006
    Significant Deficiency
  • 1079073 2023-007
    Significant Deficiency Repeat
  • 1079074 2023-007
    Significant Deficiency Repeat
  • 1079075 2023-007
    Significant Deficiency Repeat
  • 1079076 2023-008
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.526 Fip Verification $478,998
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $220,580
93.268 Immunization Cooperative Agreements $178,382
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $177,552
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $136,658
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $40,283
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $39,862
93.994 Maternal and Child Health Services Block Grant to the States $25,000
93.224 Community Health Centers $14,966
93.322 Cdc Partnership: Strengthening Public Health Laboratories $13,399