Finding 1114546 (2024-001)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2024
Accepted
2025-03-27
Audit: 349132
Organization: Avera Health (SD)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: There is a significant deficiency in internal controls over compliance for employee timecard approvals in federal programs 16.582 and 93.912.
  • Impacted Requirements: Compliance with 2 CFR 200.303 (a) is compromised due to employees approving their own timecards, risking improper expenditures.
  • Recommended Follow-Up: Strengthen controls by ensuring all employee timecards are reviewed and approved by someone other than the employee.

Finding Text

Department of Justice Federal Financial Assistance Listing #16.582 Crime Victim Assistance Activities Allowed and Allowable Costs Significant Deficiency in Internal Control over Compliance Department of Health and Human Services Federal Financial Assistance Listing #93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement Activities Allowed and Allowable Costs, Period of Performance Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303 (a) establishes 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: Our testing over activities allowed and allowable costs and period of performance identified five employee timecards that were not reviewed and approved by an individual other than the employee. Cause: There was a lapse the internal control process which allowed the employees to approve their own timecards in these instances. Effect: The lack of a secondary review of employee timecards could result in improper expenditures being allocated to the federal award. Questioned Costs: None reported. Context: A non-statistical sample of 48 transactions was selected for testing for program 16.582, which accounted for $159,466 of $529,020 of federal program payroll expenditures. One employee timecard was not reviewed and approved by an individual other than the employee. A non-statistical sample of 60 transactions was selected for testing for program 93.912, which accounted for $109,039 of $1,092,627 of federal program payroll expenditures. four employee timecards were not reviewed and approved by an individual other than the employee. Repeat Finding from Prior Year: No Recommendation: We recommend the Organization review and strengthen the controls surrounding employee timecard approvals to ensure that all timecards are reviewed and approved by an individual other than the employee. Views of Responsible Officials: Management agrees with the finding.

Categories

Allowable Costs / Cost Principles Period of Performance Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 538104 2024-001
    Significant Deficiency
  • 538105 2024-001
    Significant Deficiency
  • 538106 2024-002
    Significant Deficiency
  • 1114547 2024-001
    Significant Deficiency
  • 1114548 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $8.35M
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $1.72M
16.582 Crime Victim Assistance/discretionary Grants $910,423
10.855 Distance Learning and Telemedicine Loans and Grants $741,001
93.884 Primary Care Training and Enhancement $592,002
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $549,700
20.509 Formula Grants for Rural Areas and Tribal Transit Program $276,155
93.279 Drug Abuse and Addiction Research Programs $271,330
93.393 Cancer Cause and Prevention Research $233,717
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $220,000
93.359 Nurse Education, Practice, Quality and Retention Grants $216,404
93.155 Rural Health Research Centers $194,579
93.838 Lung Diseases Research $182,187
93.732 Mental and Behavioral Health Education and Training Grants $154,032
93.395 Cancer Treatment Research $141,251
10.331 Gus Schumacher Nutrition Incentive Program $91,622
93.136 Injury Prevention and Control Research and State and Community Based Programs $81,653
21.027 Coronavirus State and Local Fiscal Recovery Funds $64,478
16.838 Comprehensive Opioid, Stimulant, and Other Substances Use Program $53,980
93.310 Trans-Nih Research Support $44,091
93.211 Rural Telemedicine Grants $43,344
97.008 Non-Profit Security Program $40,000
93.865 Child Health and Human Development Extramural Research $28,329
16.589 Rural Domestic Violence, Dating Violence, Sexual Assault, and Stalking Assistance Program $27,094
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $26,757
93.301 Small Rural Hospital Improvement Grant Program $26,622
16.575 Crime Victim Assistance $25,201
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $21,026
93.191 Graduate Psychology Education $16,216
93.859 Biomedical Research and Research Training $14,496
93.926 Healthy Start Initiative $10,957
93.994 Maternal and Child Health Services Block Grant to the States $10,906
93.959 Block Grants for Prevention and Treatment of Substance Abuse $7,734
93.268 Immunization Cooperative Agreements $6,467
93.273 Alcohol Research Programs $3,791
93.800 Organized Approaches to Increase Colorectal Cancer Screening $2,668
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $2,000
16.026 Ovw Research and Evaluation Program $1,615
93.991 Preventive Health and Health Services Block Grant $1,500
93.069 Public Health Emergency Preparedness $857
93.778 Medical Assistance Program $792