Finding 1157408 (2024-007)

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

AI Summary

  • Core Issue: Unallowable costs of $258,558 were submitted for reimbursement under federal grant funding.
  • Impacted Requirements: The Organization failed to maintain effective internal controls as required by 45 CFR 75.303, leading to noncompliance with grant terms.
  • Recommended Follow-Up: Ensure all program requirements are clearly understood and strictly adhere to approved budgets moving forward.

Finding Text

2024-007 Information on the Federal Program: Assistance Listing Number 93.526; Grants for Capital Development in Health Centers; Department of Health and Human Services; Federal Award No. C8ECS44299 Criteria Or Specific Requirement: Activities Allowed/Unallowed and Cost Principles; As stated in 45 CFR 75.303, the non-federal entity (i.e., the Organization) must establish 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 terms and conditions of the federal award. Condition: It was communicated by Health Resources and Services Administration (HRSA) who administers and monitors grant funding programs that there were costs submitted for reimbursement that were not allowable. Cause: The Organization started the approved capital project for this grant program and there were unforeseen asbestos removal costs that were required to be removed before start of work that were not included in the approved budget. Effect or Potential Effect: Questioned costs and noncompliance with the grant program. Questioned Costs: $258,558 Context: There was a total of $644,584 in grant funding awarded for construction costs under an approved construction plan where costs not approved were drawn on the grant funding. Identification as a Repeat Finding, if Applicable: Not a repeat finding Recommendation: Ensure that program requirements are fully understood and budgets approved are being followed. 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 2024-007: • Heart City Health Center, Inc. will continue to improvement knowledge and understanding of grant requirements as / if new funding is received to avoid allocating unallowed expenses to the grant reimbursement • Heart City Health Center, Inc. started the discussion with HRSA on this funding and will continue to work with them on this funding

Categories

Questioned Costs Allowable Costs / Cost Principles Cash Management Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

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
  • 1157399 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
  • 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