Finding 1157399 (2024-004)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
$1
Year
2024
Accepted
2025-09-30
Audit: 369664
Organization: Heart City Health Center, Inc. (IN)

AI Summary

  • Core Issue: The Organization drew cash before incurring expenses, violating federal cash management rules.
  • Impacted Requirements: Non-compliance with 45 CFR 75.305, which mandates reimbursement requests for only allowable and incurred costs.
  • Recommended Follow-Up: Management should improve their drawdown review process to ensure cash is only requested for incurred expenses.

Finding Text

2024-004 Information on the Federal Program: Assistance Listing Number 93.224/93.527; Health Center Program Cluster; Department of Health and Human Services; Federal Award No. H80CS08221 and H8LCS50906 Criteria Or Specific Requirement: Cash Management: 45 CFR 75.305 applies to these awards under the reimbursement method. Paragraph (b)(1) of that clause requires that the non-federal entity request reimbursement for (a) only allocable, allowable, and reasonable contract costs that have already been paid, or (b) if the non-federal entity is not delinquent in paying costs of contract performance in the ordinary course of business, costs incurred, but not necessarily paid. Condition: The Organization had two drawdowns (one for each H80CS08221 and H8LCS50906) during the fiscal year where cash was received before the expenses were incurred. Cause: The Organization made the draws to confirm they would have sufficient cash to pay employees timely. Effect or Potential Effect: Drawing funds prior to incurring the expense results in noncompliance with program requirements. Questioned Costs: None Context: Out of 23 drawdowns during the fiscal year, two of the drawdowns were received and included expenses that had yet to be incurred. Identification as a Repeat Finding, if Applicable: Not a repeat finding. Recommendation: We recommend management revisit their drawdown review and approval processes and controls. Management should confirm before drawing down cash that requests do not include expenses that have not been incurred. Views of Responsible Officials and Planned Corrective Actions: See separate auditee document for planned corrective action.

Corrective Action Plan

Findings Reported by Uniform Guidance – The following steps have been taken or will be taken to address Finding 2024-004: • Heart City Health Center, Inc. will refine and change controls that deal with tracking of when expenses are incurred to confirm that no drawdown receipt is received before then or in the incorrect grant period

Categories

Questioned Costs Cash Management

Other Findings in this Audit

  • 1157392 2024-003
    Material Weakness Repeat
  • 1157393 2024-003
    Material Weakness Repeat
  • 1157394 2024-003
    Material Weakness Repeat
  • 1157395 2024-003
    Material Weakness Repeat
  • 1157396 2024-004
    Material Weakness Repeat
  • 1157397 2024-004
    Material Weakness Repeat
  • 1157398 2024-004
    Material Weakness Repeat
  • 1157400 2024-005
    Material Weakness Repeat
  • 1157401 2024-005
    Material Weakness Repeat
  • 1157402 2024-005
    Material Weakness Repeat
  • 1157403 2024-005
    Material Weakness Repeat
  • 1157404 2024-006
    Material Weakness Repeat
  • 1157405 2024-006
    Material Weakness Repeat
  • 1157406 2024-006
    Material Weakness Repeat
  • 1157407 2024-006
    Material Weakness Repeat
  • 1157408 2024-007
    Material Weakness Repeat
  • 1157409 2024-008
    Material Weakness Repeat
  • 1157410 2024-009
    Material Weakness Repeat
  • 1157411 2024-010
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.526 Grants for Capital Development in Health Centers $644,584
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $391,151
93.527 Grants for New and Expanded Services Under the Health Center Program $31,209