Finding 1162708 (2025-002)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2025
Accepted
2025-11-19

AI Summary

  • Core Issue: The Organization failed to reconcile federal grant expenditures on time, leading to unrecorded revenue of about $224,564.
  • Impacted Requirements: Compliance with cash management regulations under 2 CFR 200.305(b)(1) was not met, risking lost federal funding.
  • Recommended Follow-Up: Implement timely reconciliations and draws for federal grants to ensure proper financial reporting and compliance.

Finding Text

Material Weakness Finding: 2025-002 Cash Management – Federal Grants Federal Programs: Department of Health and Human Services Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement Assistance Listing No. 93.912 Criteria: Cash Management, 2 CFR 200.305(b)(1) Condition: The Organization did not reconcile federal grant expenditures in a timely manner, resulting in a lack of draws of federal funds for which qualifying expenditures had been made prior to the end of the Organization’s financial statement year end. This resulted in unrecorded revenue and receivables of approximately $224,564 at March 31, 2025. Without proper reconciliations and timely draws of federal grant funds, the Organization could be impacted by lost federal funding. Cause: The Organization did not reconcile federal grant expenditures or make federal grant draws in a timely manner. Effect: The Organization failed to properly recognize federal grant revenue and receivables of $224,564. Questioned Costs: None Context/Sampling: Not applicable. Repeat Finding from Prior Year: No Recommendation: The Organization should ensure that qualifying expenditures are reconciled, recorded in the Organization’s financial statements, and drawn from the Payment Management System in a timely manner. Views of Responsible Officials: The Organization understands the importance of timely reconciliations of federal grant expenditures and timely draws of federal grant funds. The Organization will review its processes and procedures to ensure that federal grants are reconciled in a timely manner. Contact Person: Brian Morton, CFO Anticipated Date of Completion: November 30, 2025

Corrective Action Plan

In Finding 2025-002, it was reported that the Organization’s did not reconcile federal grant expenditures in a timely manner, resulting in a lack of draws of federal funds for which qualifying expenditures had been made prior to the end of the Organization’s financial statement year end. Management recognizes the importance of complying with federal grant guidelines. In response to Finding 2025-002, the Organization understands the importance of timely reconciliations of federal grant expenditures and timely draws of federal grant funds. The Organization will review its processes and procedures to ensure that federal grants are reconciled in a timely manner.

Categories

Cash Management Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $601,011
93.526 AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $497,265
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $350,931
93.516 AFFORDABLE CARE ACT (ACA) PUBLIC HEALTH TRAINING CENTERS PROGRAM $208,588
84.215J FULL SERVICE COMMUNITY SCHOOLS PROGRAM $152,401
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $146,561
23.002 APPALACHIAN AREA DEVELOPMENT $90,997
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $73,302
93.527 AFFORDABLE CARE ACT (ACA) GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $70,074
93.800 ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREENING $69,399
93.211 TELEHEALTH PROGRAMS $64,438
14.231 EMERGENCY SOLUTIONS GRANT PROGRAM $53,303
93.884 GRANTS FOR PRIMARY CARE TRAINING AND ENHANCEMENT $45,667
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $38,000
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $2,234
93.788 OPIOID STR $1,904