Finding 1079900 (2022-005)

Significant Deficiency
Requirement
ABC
Questioned Costs
-
Year
2022
Accepted
2024-10-22

AI Summary

  • Core Issue: The Organization lacks effective internal controls to ensure accurate tracking of grant expenditures, leading to discrepancies between summarized and detailed expenditure reports.
  • Impacted Requirements: Non-compliance with 2 CFR 200.303(a) due to insufficient internal controls over federal awards, risking inaccurate financial reporting.
  • Recommended Follow-Up: Implement stronger reconciliation procedures and maintain documentation for review processes to ensure accurate drawdowns and compliance with federal requirements.

Finding Text

Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Numbers: 93.224/93.527 Award Period: Varying project and budget periods: 2/1/21 – 1/31/22, 2/1/22 – 1/31/23, 4/1/21 – 3/31/23 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: 2 CFR 200.303(a) states that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Condition: The Organization did not have sufficient internal control processes or review in place to identify errors in grant expenditure tracking spreadsheets, resulting in summarized expenditures that exceeded the total of the underlying detailed expenditures for H8F grant. Grant draws and revenue recognition utilized the summarized expenditures. There was also no documentation of review and approval process occurring related to drawdowns tested in the audit procedures. Questioned costs: None. Context: The Organization's detailed expenditures initially were not sufficient to support the full amount of the grant funds drawn down and recognized as revenue on the H8F grant. There was, however, more than sufficient eligible expenditures when additional indirect costs under an approved indirect cost rate were considered. The Health Center does have a review process in place around federal grant drawdowns, however formal documentation was not maintained to support that review process occurring. Cause: There were insufficient reconciliation procedures in place between the detailed expenditures identified to the grant and the summary schedules used for drawing down federal funds and required reporting. Effect: Had there not been sufficient eligible indirect costs to make up for the deficit between detailed expenditures and grant draws, grant draws would have exceeded the related eligible expenditures, and revenue recorded per the general ledger and SEFA would have been overstated. Without detailed review and approval process, there is greater risk of future errors. Recommendation: We recommend reviewing reconciliation procedures between detailed grant expenditures and summary schedules used in reporting/draw down requests to ensure sufficient detail to support draw downs. Also recommend a detailed review and approval process for federal grant eligible expenditures and draw downs, to identify issues prior to draw down or reporting in the future. Documentation should be retained to support review/approval occurrence. View of responsible officials: No disagreement with the finding. Management will review and improve reconciliation and review process around eligible expenditures for federal grants, and drawdowns of federal funds.

Categories

Cash Management Reporting Significant Deficiency

Other Findings in this Audit

  • 503448 2022-005
    Significant Deficiency
  • 503449 2022-006
    Significant Deficiency
  • 503450 2022-007
    Significant Deficiency
  • 503451 2022-008
    Significant Deficiency
  • 503452 2022-009
    Significant Deficiency Repeat
  • 503453 2022-005
    Significant Deficiency
  • 503454 2022-006
    Significant Deficiency
  • 503455 2022-007
    Significant Deficiency
  • 503456 2022-008
    Significant Deficiency
  • 503457 2022-009
    Significant Deficiency Repeat
  • 503458 2022-005
    Significant Deficiency
  • 503459 2022-006
    Significant Deficiency
  • 503460 2022-007
    Significant Deficiency
  • 503461 2022-008
    Significant Deficiency
  • 503462 2022-009
    Significant Deficiency Repeat
  • 503463 2022-006
    Significant Deficiency
  • 1079890 2022-005
    Significant Deficiency
  • 1079891 2022-006
    Significant Deficiency
  • 1079892 2022-007
    Significant Deficiency
  • 1079893 2022-008
    Significant Deficiency
  • 1079894 2022-009
    Significant Deficiency Repeat
  • 1079895 2022-005
    Significant Deficiency
  • 1079896 2022-006
    Significant Deficiency
  • 1079897 2022-007
    Significant Deficiency
  • 1079898 2022-008
    Significant Deficiency
  • 1079899 2022-009
    Significant Deficiency Repeat
  • 1079901 2022-006
    Significant Deficiency
  • 1079902 2022-007
    Significant Deficiency
  • 1079903 2022-008
    Significant Deficiency
  • 1079904 2022-009
    Significant Deficiency Repeat
  • 1079905 2022-006
    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) $6.71M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.71M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $1.01M
93.498 Provider Relief Fund $547,931
93.558 Temporary Assistance for Needy Families $524,287
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $471,979
93.994 Maternal and Child Health Services Block Grant to the States $240,000
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $209,692
93.914 Hiv Emergency Relief Project Grants $145,668
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $137,736
93.268 Immunization Cooperative Agreements $116,700
93.917 Hiv Care Formula Grants $98,154
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $66,784
93.235 Affordable Care Act (aca) Abstinence Education Program $60,170
93.145 Aids Education and Training Centers $57,189
14.231 Emergency Solutions Grant Program $4,134