Finding 1156551 (2024-004)

Material Weakness Repeat Finding
Requirement
BCL
Questioned Costs
-
Year
2024
Accepted
2025-09-30

AI Summary

  • Core Issue: ACHD lacks adequate internal controls over compliance with federal requirements, particularly regarding indirect costs, cash management, and reporting.
  • Impacted Requirements: Compliance with Uniform Guidance mandates effective internal controls for federal awards, which are currently not in place.
  • Recommended Follow-up: Implement a policy for independent review and approval of reimbursement requests and performance reports before submission to the grantor, ensuring documentation of these reviews.

Finding Text

Finding No. 2024-004 – Indirect Costs, Cash Management, and Reporting Federal Agency: U.S. Department of Agriculture U.S. Department of Health and Human Services Federal Program: Special Supplement Nutrition Program for Women, Infants, and Children Collaboration with Academia to Strengthen Public Health Assistance Listing No.: 10.557 93.967 Federal Award Identification No. and Year: 238DC000M2003 (2023) 3MO700804-2023, 3MO700704-2024 5NE11OE00072-02-00 (2023) 1NE11OE000072-01 | 6NE11OE000072-01 (2023) Pass-through Agency: Food Research and Action Center Missouri Department of Health and Senior Services Pass-through No.: V5KQJY61BB96 ERS04524018 | ERS04525001 DH2400055278 | DH240054229 Award Period: May 1, 2023 through September 30, 2025 August 1, 2023 through November 30, 2027 Type of Finding: Significant Deficiency in Internal Control Criteria or Specific Requirement: Non-federal entities are required by Uniform Guidance to establish and maintain effective internal control over compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition: During our audit, we identified that ACHD did not establish adequate internal control over compliance with federal allowable activities/costs (specifically indirect costs), cash management, or reporting requirements as mandated by Uniform Guidance. Questioned Costs: None Context: We noted that reimbursement requests and performance reports, prior to being submitted to the grantor, are not reviewed and approved by someone other than the preparer. Effect: Lack of internal control over compliance could result in noncompliance with federal allowable activities/costs (specifically indirect costs), cash management, or reporting requirements, potentially leading to penalties or loss of federal funding. Cause: ACHD does not have an internal control policy in place that requires reimbursement requests and performance reports to be reviewed and approved by someone other than the preparer prior to being submitted to the grantor. Recommendation: ACHD should ensure that reimbursement requests and performance reports are reviewed and approved by someone other than the preparer prior to being submitted to the grantor and that reviews and approvals are documented.

Corrective Action Plan

Views of Responsible Officials and Planned Corrective Action: To the extent possible, monitoring of federal compliance information by management and the board of trustees will continue at ACHD. When possible with limited staff, ACHD will conduct a documented review of reimbursement requests and performance reports.

Categories

Cash Management Reporting Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1156546 2024-003
    Material Weakness Repeat
  • 1156547 2024-004
    Material Weakness Repeat
  • 1156548 2024-003
    Material Weakness Repeat
  • 1156549 2024-004
    Material Weakness Repeat
  • 1156550 2024-004
    Material Weakness Repeat
  • 1156552 2024-005
    Material Weakness Repeat
  • 1156553 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $252,841
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $156,377
93.917 Hiv Care Formula Grants $140,881
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $103,476
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $67,908
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $51,598
93.268 Immunization Cooperative Agreements $38,595
93.767 Children's Health Insurance Program $28,857
93.069 Public Health Emergency Preparedness $17,381
93.940 Hiv Prevention Activities Health Department Based $14,586
93.994 Maternal and Child Health Services Block Grant to the States $8,737
93.000 Children and Youth with Special Healthcare Needs $5,296
93.778 Medical Assistance Program $4,137
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $3,227
93.575 Child Care and Development Block Grant $2,849