Finding 1147983 (2024-005)

Material Weakness
Requirement
C
Questioned Costs
-
Year
2024
Accepted
2025-07-17
Audit: 362500
Organization: Tca Health, Inc. (IL)

AI Summary

  • Core Issue: There is a material weakness in internal controls over compliance, specifically regarding the timely documentation for independent review and approval of fund drawdowns.
  • Impacted Requirements: Non-compliance with 2 CFR 200.305(b)(1) and 2 CFR 200.303, which require effective internal controls and timely fund management procedures.
  • Recommended Follow-Up: Develop a contingency plan for turnover in finance personnel, ensuring any changes to internal controls are documented and supported.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Center Program Cluster Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS00109-22; H80CS00109-23 Award Period: May 1, 2023 – April 30, 2024; May 1, 2024 – April 30, 2025 Type of Finding: Material Weakness in Internal Control over Compliance Criteria or specific requirement: 2 CFR 200.305(b)(1) requires that recipients of federal funds maintain both written procedures that minimize the time elapsing between the transfer of funds from the Federal agency and the disbursement of funds by the recipient, and financial management systems that meet the standards for fund control and accountability. Furthermore, 2 CFR 200.303 indicates the non-Federal entity must: (a) Establish, document and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: The Organization did not maintain timely documentation to support an independent review and approval of the drawdowns prior the drawdown occurring. Questioned costs: None Context: This condition occurred in two (2) of six (6) transactions selected for testing. Cause: Turnover in key positions within the finance department. Effect: Drawdowns may occur for the incorrect amount, for the wrong period and for costs that may not have been incurred as of yet. Repeat Finding: No. Recommendation: We recommend management consider developing a contingency plan for when there is turnover in key personnel involved with the drawdown process of federal grants. As part of this plan, if changes need to occur to the primary internal control over drawdowns, those changes should be documented with supporting documentation retained for the revised internal control. Views of responsible officials: There is no disagreement with this finding.

Categories

Cash Management Material Weakness Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 571538 2024-002
    Material Weakness Repeat
  • 571539 2024-003
    Material Weakness
  • 571540 2024-004
    Significant Deficiency
  • 571541 2024-005
    Material Weakness
  • 1147980 2024-002
    Material Weakness Repeat
  • 1147981 2024-003
    Material Weakness
  • 1147982 2024-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.41M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $521,372
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $236,489
14.218 Community Development Block Grants/entitlement Grants $225,897
93.558 Temporary Assistance for Needy Families $220,799
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $211,818
93.495 Community Health Workers for Public Health Response and Resilient $104,175
93.322 Csels Partnership: Strengthening Public Health Laboratories $97,450
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $54,214
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $26,194
93.136 Injury Prevention and Control Research and State and Community Based Programs $4,552
10.572 Wic Farmers' Market Nutrition Program (fmnp) $988