Finding 1140123 (2024-001)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-06-03
Audit: 357973
Organization: Wilmington Community Clinic (CA)

AI Summary

  • Core Issue: The Clinic included nonfederal grants and out-of-performance period expenses in the SEFA, leading to inaccuracies.
  • Impacted Requirements: Compliance with Uniform Guidance Sections 2 CFR 200.302(b) and 2 CFR 200.510(b) was not met, risking improper federal program assessments.
  • Recommended Follow-Up: Enhance internal controls for SEFA preparation, implement monthly reconciliations, and ensure staff retraining for accurate reporting.

Finding Text

Criteria: The auditee must prepare the Schedule of Expenditures of Federal Awards (SEFA) for the period under audit in accordance with the Uniform Guidance Sections 2 CFR 200.302(b) and 2 CFR 200.510(b). Condition: During our audit of the SEFA submitted by the Clinic, we noted that the Clinic inadvertently included nonfederal grants in the SEFA. Further, the Clinic inaccurately included out-of-performance period expenses in its SEFA due to inaccurate identification of the grant period during the SEFA preparation. The Clinic corrected the SEFA after the errors were brought to their attention. Cause: Wilmington was short-staffed and dealt with time constraints in the preparation and review of the SEFA. Effect: Inaccurate SEFA can lead to improper risk assessment and incorrect identification of major federal programs subject to audit. Revisions of the SEFA were necessary to ensure the completeness and accuracy of the federal expenditures reported. Questioned Costs: None. Recommendation: We recommend that the Clinic revisit its internal control processes over the preparation and review of the SEFA in conjunction with its other federal reporting requirements to ensure that the SEFA and all federal reports for internal and external purposes are accurate and complete. Views of responsible officials and planned corrective actions: The Clinic will be seeking professional consultation and guidance on a process to support and enforce monthly reconciliations of the amounts submitted for the grant with the amounts booked within the system, using appropriate grant-tracking schedules. Relevant staff will be retrained, and a monthly review will be completed by an appropriate professional and submitted to the Chief Executive Officer (CEO). Personnel responsible for implementation: Deborah Lerner, CEO and Board of Directors Date of implementation: July 1, 2025

Categories

Reporting

Other Findings in this Audit

  • 563669 2024-001
    Significant Deficiency
  • 563670 2024-002
    Significant Deficiency
  • 563671 2024-003
    Significant Deficiency
  • 563672 2024-001
    Significant Deficiency
  • 563673 2024-002
    Significant Deficiency
  • 563674 2024-003
    Significant Deficiency
  • 563675 2024-001
    Significant Deficiency
  • 563676 2024-002
    Significant Deficiency
  • 563677 2024-003
    Significant Deficiency
  • 563678 2024-001
    Significant Deficiency
  • 563679 2024-002
    Significant Deficiency
  • 563680 2024-003
    Significant Deficiency
  • 563681 2024-001
    Significant Deficiency
  • 563682 2024-002
    Significant Deficiency
  • 563683 2024-003
    Significant Deficiency
  • 1140111 2024-001
    Significant Deficiency
  • 1140112 2024-002
    Significant Deficiency
  • 1140113 2024-003
    Significant Deficiency
  • 1140114 2024-001
    Significant Deficiency
  • 1140115 2024-002
    Significant Deficiency
  • 1140116 2024-003
    Significant Deficiency
  • 1140117 2024-001
    Significant Deficiency
  • 1140118 2024-002
    Significant Deficiency
  • 1140119 2024-003
    Significant Deficiency
  • 1140120 2024-001
    Significant Deficiency
  • 1140121 2024-002
    Significant Deficiency
  • 1140122 2024-003
    Significant Deficiency
  • 1140124 2024-002
    Significant Deficiency
  • 1140125 2024-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $666,701
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $218,214
93.527 Grants for New and Expanded Services Under the Health Center Program $37,436
93.217 Family Planning Services $34,298
93.493 Congressional Directives $30,909
93.526 Grants for Capital Development in Health Centers $13,788