Finding 1144460 (2023-004)

Material Weakness Repeat Finding
Requirement
ABCHI
Questioned Costs
$1
Year
2023
Accepted
2025-06-27
Audit: 360384
Organization: Community Health Service, Inc. (MN)

AI Summary

  • Core Issue: The Organization failed to provide sufficient documentation for payroll expenses and federal grant drawdowns, leading to material noncompliance.
  • Impacted Requirements: This finding violates federal regulations requiring proper internal controls and documentation for allowable costs and cash management.
  • Recommended Follow-Up: Implement procedures to ensure all supporting documentation is maintained for drawdown requests to prevent future compliance issues.

Finding Text

U.S. Department of Health and Human Services Health Center Program Cluster- Health Center Program, Assistance Listing No. 93.224 Compliance Requirements: Activities Allowed or Unallowed, Allowable Costs, Cash Management, Period of Performance, and Procurement, Suspension and Debarment Type of Finding - Material Noncompliance and Material Weakness in Internal Control over Compliance (Repeat Finding) Condition – The Organization was unable to provide adequate supporting documentation for certain payroll expenditures and drawdowns of federal reimbursement grants. Criteria - Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires that a non Federal entity must establish and maintain internal controls to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Cause – Due to inadequate controls over document retainage and the changing of third-party payroll providers, the Organization did not have internal controls in place to ensure proper documentation was maintained to support internal controls over the payroll disbursement process involving federal grant funds and for certain drawdowns of these funds. Effect – Material noncompliance with document retainage and support existed and expenditures for reimbursed costs could have potentially been unallowable. Questioned Costs – $49,769 (unsupported) Context/Sampling – In a non-statistical sample of 60 out of a population of more than 250, the Organization was not able to provide adequate supporting documentation for 55 selections to ensure controls were in place over their payroll disbursement process. Additionally, in the testing of all 79 drawdowns, 2 of the selections tested lacked adequate documentation to support the eligible payroll or non-payroll related expenditures. Recommendation - We recommend the Organization implement procedures to ensure its supporting documentation is maintained for all drawdown requests submitted. Management Response to Findings – Management concurs with the finding.

Categories

Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles Cash Management

Other Findings in this Audit

  • 568012 2023-004
    Material Weakness Repeat
  • 568013 2023-005
    Significant Deficiency Repeat
  • 568014 2023-004
    Material Weakness Repeat
  • 568015 2023-005
    Significant Deficiency Repeat
  • 568016 2023-004
    Material Weakness Repeat
  • 568017 2023-005
    Significant Deficiency Repeat
  • 568018 2023-004
    Material Weakness Repeat
  • 568019 2023-005
    Significant Deficiency Repeat
  • 568020 2023-004
    Material Weakness Repeat
  • 568021 2023-005
    Significant Deficiency Repeat
  • 568022 2023-004
    Material Weakness Repeat
  • 568023 2023-005
    Significant Deficiency Repeat
  • 1144454 2023-004
    Material Weakness Repeat
  • 1144455 2023-005
    Significant Deficiency Repeat
  • 1144456 2023-004
    Material Weakness Repeat
  • 1144457 2023-005
    Significant Deficiency Repeat
  • 1144458 2023-004
    Material Weakness Repeat
  • 1144459 2023-005
    Significant Deficiency Repeat
  • 1144461 2023-005
    Significant Deficiency Repeat
  • 1144462 2023-004
    Material Weakness Repeat
  • 1144463 2023-005
    Significant Deficiency Repeat
  • 1144464 2023-004
    Material Weakness Repeat
  • 1144465 2023-005
    Significant Deficiency Repeat

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) $152,237