Finding 1153166 (2025-004)

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

AI Summary

  • Core Issue: The Organization failed to provide supporting documentation for cash draws from the Payment Management System, indicating a systemic problem in cash management controls.
  • Impacted Requirements: Non-compliance with 2 CFR 200.305, which mandates minimizing the time between fund transfers and disbursements.
  • Recommended Follow-Up: Implement controls for detailed expenditure reports with documentation retention, and ensure qualified personnel review expenditures for compliance before draws.

Finding Text

2025-004 Cash Management (repeat of finding 2024-008) 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 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Title 2 CFR 200.305 requires that organizations “must minimize the time elapsing between the transfer of funds from the United States Treasury or the pass-through entity and the disbursement by the non-federal entity whether the payment is made by electronic funds transfer, or issuance or redemption of checks, warrants, or payment by other means.” Condition The Organization did not maintain supporting documentation for cash draws made from the Payment Management System (PMS). This finding appears to be a systemic problem. Cause The Organization’s internal controls over cash management and PMS draws does not include procedures for non-payroll expenditures. As a result, draws were made without supporting documentation. In addition, the Organization did not always maintain documentation of the payroll calculations supporting draws, as required by company policy. Effect The Organization may not have minimized the timing between draws from the PMS and the related payments for expenditures incurred as required. Questioned Costs None noted. Context Out of seven draws tested, the Organization was not able to provide any supporting documentation or expenditure detail to support two draws. Due to this, we were unable to verify the time elapsing between the funds transfer from the PMS system and the disbursement of funds. Recommendation We recommend the Organization implement controls requiring all draws from the PMS to be based on detailed reports of expenditures claimed for reimbursement and retain this documentation along with the supporting invoices and payroll reports supporting the expenditures to be paid or reimbursed. In addition, we recommend that the listing of expenditures be reviewed by qualified personnel to ensure that the expenditures claimed are allowable and cash payments for the expenditures are made before the date of the draw or within a reasonable time after the draw. 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

2025-004 Cash Management (repeat of finding 2024-008) 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 action. The CFO/Designee monitors expenses and prepares a detailed report of expenditures claimed for reimbursement and retains this documentation along with supporting invoices. A qualified, knowledgeable CFO will continue to ensure compliance with these requirements. Anticipated completion date: Corrective Action taken on April 1, 2025. Contact person responsible for corrective action: Allen Boyd, Director of Fiscal Operations

Categories

Cash Management Subrecipient Monitoring Material Weakness Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1153161 2025-002
    Material Weakness Repeat
  • 1153162 2025-002
    Material Weakness Repeat
  • 1153163 2025-003
    Material Weakness Repeat
  • 1153164 2025-003
    Material Weakness Repeat
  • 1153165 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