Finding 1117311 (2022-102)

Significant Deficiency Repeat Finding
Requirement
C
Questioned Costs
-
Year
2022
Accepted
2025-03-31
Audit: 350520
Organization: Pancare of Florida, INC (FL)

AI Summary

  • Core Issue: The Organization lacks proper documentation for cash management, leading to potential inaccuracies in reimbursement requests.
  • Impacted Requirements: Compliance with 2 CFR section 200.303, which mandates accurate internal controls and documentation for federal awards.
  • Recommended Follow-Up: Ensure documentation is based on actual payroll costs, reviewed by someone other than the preparer, and update policies to reflect these changes.

Finding Text

2022-102 Lack of Cash Management Documentation (prior two years 2021-102 and 2020-102) (initially reported 2016) Assistance Listing Number: 93.224 and 93.527 Name of Federal Agency: Department of Health and Human Services, HRSA Program Title: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) and Grants for New and Expanded Services Under the Health Center Program Compliance Requirement: Cash Management Pass-through Entity: N/A Federal Grant/Contract Number and Grant Year: H80CS06452 (2022) and COVID-19 ARP H8FCS40324 (2021) Finding Type: Significant Deficiency in Internal Control Known Questioned Costs: $0 Condition: The Organization made drawdowns after month-end based on budgeted period expenditures and therefore could not be agreed to the actual approved wages paid prior to the reimbursement request. Insufficient documentation was kept to clearly document that the amount requested was reviewed for accuracy. Criteria: 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Based on grant compliance requirements related to cash management for grants and cooperative agreements to nonfederal entities that are paid on a reimbursement basis, supporting documentation should include the actual costs for which reimbursement was requested and were paid prior to the date of the reimbursement request. Cause: Reimbursement was requested based on the budgeted payroll expenses made for a particular period, adjusted to exclude certain employees that are not related to the grant or are highly paid employees to be conservative in the calculation. There was no indication of a review process beyond the CFO preparing a calculation to request reimbursement and making the request from the grantor. Effect: The Organization could request funds that may not have adequate supporting documentation and were paid prior to the reimbursement request. These errors could lead to the Organization losing funding under this program. Recommendation: Documentation should be based on actual and not budgeted payroll and it should be prepared and reviewed by someone other than the preparer. Also, it should directly link the amount requested to the related expenses to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenses are being considered expended through these funds, and that funds were requested and applied to the correct period. Update policies and procedures as needed to reflect changes, as applicable. Views of Responsible Officials and Planned Corrective Actions: The Organization has hired a new Chief Financial Officer as well as additional supporting staff within the finance department. The Organization’s policy and procedures related to support documentation retention has been evaluated and updated. Supporting documentation for all drawdown requests are retained by grant. The corrective action for this finding has been approved and implemented by the Organization.

Categories

Cash Management

Other Findings in this Audit

  • 540860 2022-101
    Material Weakness Repeat
  • 540861 2022-102
    Significant Deficiency Repeat
  • 540862 2022-105
    Material Weakness Repeat
  • 540863 2022-108
    Significant Deficiency Repeat
  • 540864 2022-101
    Material Weakness Repeat
  • 540865 2022-102
    Significant Deficiency Repeat
  • 540866 2022-105
    Material Weakness Repeat
  • 540867 2022-108
    Significant Deficiency Repeat
  • 540868 2022-101
    Material Weakness Repeat
  • 540869 2022-102
    Significant Deficiency Repeat
  • 540870 2022-105
    Material Weakness Repeat
  • 540871 2022-108
    Significant Deficiency Repeat
  • 540872 2022-101
    Material Weakness Repeat
  • 540873 2022-102
    Significant Deficiency Repeat
  • 540874 2022-105
    Material Weakness Repeat
  • 540875 2022-108
    Significant Deficiency Repeat
  • 1117302 2022-101
    Material Weakness Repeat
  • 1117303 2022-102
    Significant Deficiency Repeat
  • 1117304 2022-105
    Material Weakness Repeat
  • 1117305 2022-108
    Significant Deficiency Repeat
  • 1117306 2022-101
    Material Weakness Repeat
  • 1117307 2022-102
    Significant Deficiency Repeat
  • 1117308 2022-105
    Material Weakness Repeat
  • 1117309 2022-108
    Significant Deficiency Repeat
  • 1117310 2022-101
    Material Weakness Repeat
  • 1117312 2022-105
    Material Weakness Repeat
  • 1117313 2022-108
    Significant Deficiency Repeat
  • 1117314 2022-101
    Material Weakness Repeat
  • 1117315 2022-102
    Significant Deficiency Repeat
  • 1117316 2022-105
    Material Weakness Repeat
  • 1117317 2022-108
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Covid-19 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $5.13M
93.527 Grants for New and Expanded Services Under the Health Center Program $4.67M
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $727,501
93.982 Mental Health Disaster Assistance and Emergency Mental Health $482,712
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $240,408
93.939 Hiv Prevention Activities Non-Governmental Organization Based $69,915
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $62,354
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $46,423