Finding 1175769 (2025-005)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2025
Accepted
2026-02-28

AI Summary

  • Core Issue: The Organization did not disburse program income before requesting additional funds, leading to a balance in deferred grant revenue.
  • Impacted Requirements: This violates cash management guidelines (45 CFR 75.305) and resulted in questioned costs of $46,093.
  • Recommended Follow-up: Improve internal controls for disbursing program income, provide staff training on federal drawdowns, and ensure ongoing oversight by the CEO.

Finding Text

Rural Healthcare Services Programs Assistance Listing Number 93.912 U.S. Department of Health and Human Services Award No. 6 UK9RH43497-03-02, September 1, 2023 – August 31, 2024 Award No. 4 UK9RH43497-04-05, September 1, 2024 – August 31, 2026 Criteria or specific requirement – Cash Management (45 CFR 75.305) Condition – Funds available from program income were not disbursed before the Organization requested additional drawdowns. Cause – The Organization was not appropriately with tracking and utilizing program income. Effect or potential effect – The Organization had a balance in deferred grant revenue at May 31, 2025, due to cumulative program income and drawdowns exceeding cumulative expenditures. Questioned costs – $46,093. Questioned costs was determined to be the balance in deferred grant revenue at May 31, 2025, which relates to Award No. 4 UK9RH43497-04-05. Context – The Organization began generating program income with the federal award during 2025. The Organization implemented a process of calculating program income earned consistent with its methodology for valuation of patient service revenue. Due to the complexity of the program income calculation, grant funds were drawn in advance of the completion of the calculation. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – The Organization should ensure its internal controls over compliance address the disbursement of program income prior to use of grant funds and conduct training of staff involved in drawdowns of federal awards. Views of responsible officials and planned corrective actions – Issues identified during the audit were indicative of an overall lack of controls and processes due to the change in Finance department staff and loss of knowledge. As of August 2025, program income is no longer being generated by the grant. The new CFO and Finance staff have also implemented processes and controls to ensure proper tracking and utilization of program income related to grants. The CEO will provide ongoing oversight to ensure processes and controls are being adhered to by the Finance Department.

Corrective Action Plan

2025-005: Funds available from program income were not disbursed before the Organization requested additional drawdowns. The Organization was not appropriately with tracking and utilizing program income. Responsible Persons: Karen R. White, CPA, Chief Executive Officer and Matthew Derryberry, Chief Financial Officer Completion Date: August 2025 Views of responsible officials and planned corrective actions: Issues identified during the audit were indicative of an overall lack of controls and processes due to the change in Finance department staff and loss of knowledge. As of August 2025, program income is no longer being generated by the grant. The new CFO and Finance staff have also implemented processes and controls to ensure proper tracking and utilization of program income related to grants. The CEO will provide ongoing oversight to ensure processes and controls are being adhered to by the Finance Department.

Categories

Cash Management Internal Control / Segregation of Duties Program Income

Other Findings in this Audit

  • 1175767 2025-003
    Material Weakness Repeat
  • 1175768 2025-004
    Material Weakness Repeat
  • 1175770 2025-006
    Material Weakness Repeat
  • 1175771 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) $5.11M
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $3.73M
10.768 BUSINESS AND INDUSTRY GUARANTEED LOANS $1.48M
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $453,418
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $223,443
93.778 MEDICAL ASSISTANCE PROGRAM $135,220
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $102,152
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $56,916
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $42,852
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $34,666
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $8,710