Finding 1079072 (2023-006)

Significant Deficiency
Requirement
B
Questioned Costs
-
Year
2023
Accepted
2024-10-14
Audit: 324609
Organization: Promise Healthcare Nfp (IL)

AI Summary

  • Core Issue: The organization lacks proper documentation for management's review and approval of $511 in costs for camera supplies.
  • Impacted Requirements: This finding highlights a significant deficiency in internal controls as per § 200.303(a), which mandates effective management of federal awards.
  • Recommended Follow-Up: Implement electronic approval processes within Intacct to ensure all costs are reviewed and documented appropriately.

Finding Text

2023-006 – Allowable Costs 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: Significant deficiency in internal control over compliance Criteria or Specific Requirement: § 200.303(a) indicates non-federal entities must 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). Condition: The Organization could not provide supporting documentation showing management's review and approval of costs totaling $511 for camera supplies. Questioned Costs: None. Context: Of the three transactions selected for testing, there was no documentation available to support management's review and approval of one transaction. Cause: Management turnover. Effect: If costs are not reviewed and approved as being allowable, it could result in unallowable costs being charged to federal grants. Repeat Finding: No. Recommendation: We recommend the Organization maintain approvals electronically within Intacct. Views of Responsible Officials: There is no disagreement with the audit finding.

Categories

Allowable Costs / Cost Principles Significant Deficiency Matching / Level of Effort / Earmarking

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
  • 1079063 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
  • 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