Finding 1153164 (2025-003)

Material Weakness Repeat Finding
Requirement
H
Questioned Costs
$1
Year
2025
Accepted
2025-09-16
Audit: 366393
Organization: Outpatient Medical Center, Inc. (LA)
Auditor: Dzapllc

AI Summary

  • Core Issue: The Organization claimed federal expenditures for goods and services outside the approved budget periods, violating Title 2 CFR 200.403.
  • Impacted Requirements: Non-compliance with GAAP and accrual accounting principles led to potential allocation of unallowable costs totaling $194,142.
  • Recommended Follow-Up: Limit expenditure approvals to personnel with a basic understanding of GAAP and budget period requirements to prevent future issues.

Finding Text

2025-003 Period of Performance (repeat of finding 2024-005) Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS00513, H8FCS41684, H8GC48547, H8LCS51197 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Title 2 CFR 200.403(h) requires that costs be incurred in the approved budget period for the applicable awards and Title 2 CFR 200.403(e) requires that those costs be determined according to generally accepted accounting principles (GAAP). Condition The Organization’s federal expenditures include costs for goods and/or services outside of the approved budget periods for the awards. Cause The Organization’s internal controls over compliance did not include consideration of when the goods were received or services were performed compared to the budget periods for the awards. Lack of understanding of GAAP and the requirements of accrual basis accounting allowed expenditures outside of the applicable budget periods to be claimed as current federal expenditures. Effect The Organization may allocate unallowable costs to the federal awards. Questioned Costs $194,142 (of which $61,155 was previously reported in finding 2025-002 above). Context In a sample of forty transactions, we noted five included expenditures for goods or services that were not provided in the current period. $117,887 of expenditures charged to the program were for goods or services related to future periods. $76,255 of expenditures charged to the program were for goods or services related to previous periods. Recommendation We recommend management personnel authorized to approve expenditures of federal awards be limited to those who have a basic understanding of GAAP and the relationship between the accrual basis of accounting and the period of performance requirements. Views of responsible officials and planned corrective action Management is in agreement with this finding and will take corrective action as outlined below.

Corrective Action Plan

2025-003 Period of Performance (repeat of finding 2024-005) Corrective action planned: Beginning April 1, 2025, when the organization was made aware of this finding in last year’s audit, OMC took immediate corrective actions. The CFO/Designee will monitor expenses, and a separate prepaid schedule has been developed to track future period expenses. OMC’s current CFO/Designee has a basic understanding of GAAP. All coding will be reviewed and approved by an authorized, knowledgeable CFO/Designee. Anticipated completion date: Corrective Action taken on April 1, 2025. Contact person responsible for corrective action: Allen Boyd, Director of Fiscal Operations

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1153161 2025-002
    Material Weakness Repeat
  • 1153162 2025-002
    Material Weakness Repeat
  • 1153163 2025-003
    Material Weakness Repeat
  • 1153165 2025-004
    Material Weakness Repeat
  • 1153166 2025-004
    Material Weakness Repeat
  • 1153167 2025-005
    Material Weakness Repeat
  • 1153168 2025-005
    Material Weakness 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) $1.24M
93.526 Grants for Capital Development in Health Centers $573,583