Finding 1168362 (2025-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-01-08

AI Summary

  • Core Issue: LBUCC failed to document management's review of the Federal Financial Reports (SF-425) before submission, despite timely filings.
  • Impacted Requirements: This lack of documentation violates 2 CFR § 200.327 and the federal award terms, increasing the risk of inaccurate financial reporting.
  • Recommended Follow-Up: Establish a formal review process for SF-425 submissions and ensure that evidence of this review is documented and retained.

Finding Text

Item 2025-004 - Reporting - U.S. Department of Health and Human Services, Health Center Program Cluster (Assistance Listing Number 93.224/93.527) Notice of Award Number 6 H80CS00505-23-04, 6 H2ECS45602-02-04, 1 H8LCS50772-01-00 and 6 H8HCS46163-03-01 - (Significant Deficiency) Criteria: In accordance with 2 CFR § 200.327 and the terms and conditions of the federal award, LBUCC is required to submit accurate and timely Federal Financial Reports (SF-425) that reflect cumulative expenditures, unobligated balances, and program income. These reports must align with the underlying accounting records and be supported by documentation evidencing management's review and approval prior to submission. Statement of Condition: LBUCC did not maintain documentation evidencing management's review of the Federal Financial Report (SF-425) prior to submission. Although the reports were submitted timely, there were no indication of formal review procedures to validate the accuracy, completeness, or consistency of reported financial data with the accounting records. Cause: Lack of policies and procedures in relation to the review of the Federal Financial Report by a knowledgeable individual who is not the preparer thereof. Effect: In the absence of documented review, there is an increased risk of inaccurate financial reporting, which could lead to misstated expenditures and noncompliance with federal reporting requirements. Questioned Costs: None Context: All four annual Federal Financial Report (SF-425) tested had no evidence of review prior to submission. However, there was adequate support for the reports and the reports agreed to the underlying records. Identification as a Repeat Finding: This is not a repeat finding. Recommendation: We recommend that LBUCC establish and implement a formal review process over the Federal Financial Report (SF-425); we also recommend that evidence of the review be documented and approval be kept on file. Management Response: Management agrees with the finding and will be implementing formal review procedures including documented evidence of review and approval prior to submission.

Corrective Action Plan

Significant Deficiency Item 2025-004 - Reporting - U.S. Department of Health and Human Services, Health Center Program Cluster (Assistance Listing Number 93.224/93.527) Notice of Award Number 6 HB0CS00505-23-04, 6 H2ECS45602-02-04, 1 HBLCS50772-01-00 and 6 HBHCS46163-03-01 LBUCC did not maintain documentation evidencing management's review of the Federal Financial Report (SF-425) prior to submission. Although the reports were submitted timely, there were no indication of formal review procedures to validate the accuracy, completeness, or consistency of reported financial data with the accounting records. Recommendation: We recommend that LBUCC establish and implement a formal review process over the Federal Financial Report (SF-425); we also recommend that evidence of the review be documented and approval be kept on file. Action Taken: Process in place where Director of Accounting will prepare the Federal Financial Report (SF-425) and the Chief Financial Officer will review and document approval which will be kept on file. Effectivity Date: Process was implemented 12/1/2025

Categories

Reporting

Other Findings in this Audit

  • 1168351 2025-001
    Material Weakness Repeat
  • 1168352 2025-001
    Material Weakness Repeat
  • 1168353 2025-001
    Material Weakness Repeat
  • 1168354 2025-002
    Material Weakness Repeat
  • 1168355 2025-002
    Material Weakness Repeat
  • 1168356 2025-002
    Material Weakness Repeat
  • 1168357 2025-003
    Material Weakness Repeat
  • 1168358 2025-003
    Material Weakness Repeat
  • 1168359 2025-003
    Material Weakness Repeat
  • 1168360 2025-004
    Material Weakness Repeat
  • 1168361 2025-004
    Material Weakness Repeat
  • 1168363 2025-005
    Material Weakness Repeat
  • 1168364 2025-005
    Material Weakness Repeat
  • 1168365 2025-005
    Material Weakness Repeat
  • 1168366 2025-006
    Material Weakness Repeat
  • 1168367 2025-006
    Material Weakness Repeat
  • 1168368 2025-006
    Material Weakness Repeat
  • 1168369 2025-007
    Material Weakness Repeat
  • 1168370 2025-007
    Material Weakness Repeat
  • 1168371 2025-007
    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) $6.32M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $993,718
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $690,594
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $626,094
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $62,444
32.006 COVID-19 TELEHEALTH PROGRAM $309