Finding 1132409 (2024-002)

Significant Deficiency
Requirement
C
Questioned Costs
-
Year
2024
Accepted
2025-04-25

AI Summary

  • Core Issue: The Organization's internal controls failed to prevent an advance drawdown for a suspended project.
  • Impacted Requirements: Compliance with cash management regulations (45 CFR 75.305) was not met due to insufficient eligible expenditures identified within the audit period.
  • Recommended Follow-Up: The Organization should enhance monitoring of grant-funded projects to avoid future advance drawdowns.

Finding Text

Health Center Program Cluster – Assistance Listing No. 93.224 U.S. Department of Health and Human Services Award No. 4 H8FCS40544-01-03, April 1, 2021 – March 31, 2024 Criteria or specific requirement – Cash Management (45 CFR 75.305) Condition – The Organization’s internal controls over compliance were not able to prevent an advance drawdown. Cause – The Organization obtained a drawdown for a deposit for a project that was ultimately suspended beyond the period of performance. When the project was paused, the Organization was unable to identify sufficient eligible expenditures incurred within the audit period and disbursed before the drawdown date. Effect or potential effect – Due to reallocation of grant expenditures, the Organization may earn interest on the advance drawdown. Questioned costs – None Context – Because of a change in the timeline for estimated completion of a project included in the HRSA-approved grant budget to outside the period of performance, other grant expenditures were identified. The Organization was not able to identify sufficient eligible expenditures incurred within the audit period and disbursed before the drawdown date. Management identified the need to contact the grantor for guidance and alert auditors to noncompliance resulting from the resulting advance drawdown. Management also calculated the amount of interest earned on advance draws to ensure none needed to be returned. The entire population of drawdowns was tested to quantify the impact of the advance drawdown and calculate interest earned on advance drawdowns. Interest earned on the advance drawdown was less than $500. Identification as a repeat finding, if applicable – Not a repeat finding Recommendation – The Organization should continue monitoring projects funded by grants in an attempt to prevent advance drawdowns. Views of responsible officials and planned corrective actions – Management agrees that we did end up having a pause in a project that we had previously drawn grant funds on to cover. However, when this was realized, we did have additional allowable expenditures available to reallocate that draw down over to that had incurred within the audit period, it was just after the date of the original drawdown and caused the timing issue. The pause on the project was unknown at the time of the original draw, so this would have been very difficult to know ahead of time.

Categories

Cash Management Period of Performance

Other Findings in this Audit

  • 555967 2024-002
    Significant Deficiency
  • 555968 2024-002
    Significant Deficiency
  • 555969 2024-002
    Significant Deficiency
  • 555970 2024-002
    Significant Deficiency
  • 555971 2024-003
    Significant Deficiency
  • 555972 2024-004
    Significant Deficiency
  • 555973 2024-004
    Significant Deficiency
  • 555974 2024-004
    Significant Deficiency
  • 555975 2024-004
    Significant Deficiency
  • 555976 2024-005
    Material Weakness
  • 1132410 2024-002
    Significant Deficiency
  • 1132411 2024-002
    Significant Deficiency
  • 1132412 2024-002
    Significant Deficiency
  • 1132413 2024-003
    Significant Deficiency
  • 1132414 2024-004
    Significant Deficiency
  • 1132415 2024-004
    Significant Deficiency
  • 1132416 2024-004
    Significant Deficiency
  • 1132417 2024-004
    Significant Deficiency
  • 1132418 2024-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $3.99M
10.768 Business and Industry Guaranteed Loans $1.54M
93.224 Community Health Centers $1.50M
21.027 Coronavirus State and Local Fiscal Recovery Funds $432,041
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $172,181
93.526 Fip Verification $171,880
93.778 Medical Assistance Program $134,633
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $110,403
93.268 Immunization Cooperative Agreements $94,705
14.218 Community Development Block Grants/entitlement Grants $39,650
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $29,214
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $14,287
10.766 Community Facilities Loans and Grants $10,471
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $5,052
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $424