Finding 1173298 (2023-003)

Material Weakness Repeat Finding
Requirement
ABH
Questioned Costs
-
Year
2023
Accepted
2026-02-11

AI Summary

  • Core Issue: The Organization's records for Title V expenditures lack sufficient detail, making it impossible to verify compliance with federal requirements.
  • Impacted Requirements: Compliance with Uniform Guidance 2 CFR § 200.302 and 2 CFR § 200.333 regarding documentation and recordkeeping for federal funds.
  • Recommended Follow-Up: Improve documentation practices, implement a standardized tracking process for federal grants, conduct regular internal reviews, and train staff on compliance requirements.

Finding Text

Finding 2023 – 003: Activities Allowed and Unallowed, Allowable Costs, Period of Performance (Compliance; Internal Controls Over Compliance) (Repeat Finding: 2021-003 and 2022-003) Material Weakness – 93.U01 Title V Criteria: Per Uniform Guidance 2 CFR § 200.302 and 2 CFR § 200.333, entities must maintain records that adequately identify the source and application of federal funds and retain documentation to support compliance with program requirements. Condition: The Organization’s general ledger did not allow for sufficient identification of transactions related to the major program, Title V. Title V expenditures were recorded through journal entries without supporting transaction-level detail. Because of this, the population of expenditures could not be tied to individual transactions, and pulling samples from this population would not provide a reasonable basis for drawing conclusions about the population tested. As a result, we were unable to select transactions for testing or perform the necessary audit procedures to assess compliance with federal requirements. Questioned Costs: Unable to determine due to scope limitation. Cause: Staff turnover and the Organization’s recordkeeping practices did not ensure sufficient documentation was maintained to support federal compliance. Effect: Due to the lack of adequate documentation, we were unable to obtain sufficient, appropriate audit evidence to form an opinion on the Organization’s compliance with these requirements. Consequently, a disclaimed opinion on compliance was issued for this major program. Additionally, these expenditures may be subject to repayment or further review by the granting agency. Recommendation: We recommend that management strengthen documentation and recordkeeping procedures to ensure compliance with federal record retention requirements. The Organization should implement a standardized process for tracking federal grant expenditures, ensuring proper coding within the accounting system, conduct periodic internal reviews to verify completeness and accuracy of financial records, and provide training to finance staff on Uniform Guidance requirements for grant record retention and reporting. Views of Responsible Officials: See the corrective action plan that accompanies the schedule of findings and questioned costs.

Corrective Action Plan

2023 – 003: Activities Allowed and Unallowed, Allowable Costs, Period of Performance (Compliance; Internal Controls Over Compliance) (Repeat Finding: 2021-003 and 2022-003) Material Weakness – 93.U01 Title V Condition: The Organization’s general ledger did not allow for sufficient identification of transactions related to the major program, Title V. Title V expenditures were recorded through journal entries without supporting transaction-level detail. Because of this, the population of expenditures could not be tied to individual transactions, and pulling samples from this population would not provide a reasonable basis for drawing conclusions about the population tested. As a result, we were unable to select transactions for testing or perform the necessary audit procedures to assess compliance with federal requirements. Corrective Action Plan: As of October 1, 2024, the start of FY25, QuickBooks has been the only software used, and Revenue and Disbursements are being classed by Fund. General ledgers are reconciled monthly. Management is strengthening documentation and recordkeeping procedures to ensure compliance with federal record retention requirements, including improved tracking of Title V expenditures and retention of transaction-level support.

Categories

Allowable Costs / Cost Principles Material Weakness Period of Performance Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1173297 2023-003
    Material Weakness Repeat
  • 1173299 2023-004
    Material Weakness Repeat
  • 1173300 2023-004
    Material Weakness Repeat
  • 1173301 2023-005
    Material Weakness Repeat
  • 1173302 2023-005
    Material Weakness Repeat
  • 1173303 2023-006
    Material Weakness Repeat
  • 1173304 2023-006
    Material Weakness Repeat
  • 1173305 2023-007
    Material Weakness Repeat
  • 1173306 2023-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.U01 TITLE V, URBAN INDIAN HEALTH SERVICES $4.83M
93.237 SPECIAL DIABETES PROGRAM FOR INDIANS DIABETES PREVENTION AND TREATMENT PROJECTS $639,675
93.933 DEMONSTRATION PROJECTS FOR INDIAN HEALTH $491,571
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $20,308
93.800 ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREENING $13,837
93.217 FAMILY PLANNING SERVICES $541