Finding 1179023 (2023-007)

Material Weakness Repeat Finding
Requirement
AB
Questioned Costs
-
Year
2023
Accepted
2026-03-12

AI Summary

  • Core Issue: Discrepancies between the Schedule of Expenditures of Federal Awards (SEFA) and grant expense records prevented testing of expenditures for compliance with cost principles.
  • Impacted Requirements: Costs must be allowable, allocable, reasonable, and well-documented as per Uniform Guidance (2 CFR Part 200, Subpart E).
  • Recommended Follow-Up: Strengthen internal controls by accurately tracking expenditures, maintaining supporting documentation, and implementing supervisory reviews for compliance.

Finding Text

Federal Agency: U. S. Department of Health and Human Services Cluster: Health Centers Clusters AL No.: 93.224 Program Title: Community Health Centers Area: Allowable Costs/Cost Principles Repeat Finding from Prior Audit? Yes Finding Type: Material Weakness in Internal Control over Compliance Questioned Cost: Unable to be determined due to discrepancies between the Schedule of Expenditures of Federal Awards and the grant expense schedule, which prevented the identification of a complete and accurate population of expenditures for testing. Criteria: Under Uniform Guidance (2 CFR Part 200, Subpart E), costs charged to federal awards must be allowable, allocable, reasonable, and adequately documented. Nonfederal entities must maintain sufficient records to support expenditures charged to federal programs. Condition: No expenditure selections were tested for cost principle compliance. The auditors were unable to identify a reliable population of expenditures for this program due to discrepancies between the SEFA and the underlying grant expense records. Cause: The SEFA for AL No. 93.224 did not reconcile to the grant expense records, and supporting documentation for program-specific expenditures was not sufficiently available. In addition, the absence of a formal turnover of accounting and grant records following personnel changes limited the availability of information necessary to identify a complete and accurate population for testing. Effect: Because no expenditures were tested, the auditors were unable to determine whether costs charged to AL No. 93.224 complied with applicable cost principles. This increases the risk that unallowable or unsupported costs may have been charged to the program and weakens internal controls over compliance with federal cost requirements. Recommendation: Kagman Community Health Center, Inc. should strengthen internal controls over federal cost compliance by: 1. Ensuring that expenditures charged to each federal program are accurately tracked, documented, and reconciled to the SEFA and accounting records. 2. Maintaining adequate supporting documentation to substantiate allowability, allocability, and reasonableness of costs charged to federal programs. 3. Implementing supervisory review procedures to ensure program-specific expenditures are complete, accurate, and available for audit review. Views of the Officials: Kagman Community Health Center, Inc.’s response is documented in the corrective action plan.

Corrective Action Plan

Corrective Action Plan Action Item Responsible Party Monitoring Implement a formal reconciliation process to ensure federal grant expenditures recorded in the general ledger reconcile to the SEFA prior to year-end reporting. CFO / Finance Department Documented reconciliation Establish a standardized grant expenditure tracking schedule for each federal award to ensure costs charged to the program are properly supported and traceable to accounting records. CFO / Grants Accounting Periodic internal review Maintain supporting documentation (invoices, payroll allocations, grant records) in a centralized electronic filing system for accessibility and audit readiness. CFO / Accounting Staff Ongoing monitoring In FY 2026, management developed and implemented a formal Records Retention Policy to ensure that accounting records, supporting documentation, and organizational records are properly maintained and retained in accordance with applicable regulatory and audit requirements. CFO Reviewed by management Conduct periodic internal reviews of grant expenditures to verify compliance with federal cost principles and ensure adequate supporting documentation. CFO / Finance Management Quarterly review ________________________________________ Management Response Management would like to clarify that the HRSA Health Center Program (No. 93.224) was inadvertently affected by this finding. The organization maintained a SEFA schedule for the HRSA Section 330 program grant; however, because the overall SEFA schedule did not fully reconcile to the general ledger, the auditors were unable to rely on the population of expenditures for testing. As a result, detailed testing samples could not be provided during the audit. Management is strengthening reconciliation procedures to ensure that the SEFA fully reconciles to the general ledger and supporting grant expense schedules prior to audit to support accurate reporting and facilitate audit testing. ________________________________________ Responsible Official: Chief Financial Officer Expected Completion Date: FY 2026

Categories

Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

  • 1179022 2023-006
    Material Weakness Repeat
  • 1179024 2023-008
    Material Weakness Repeat
  • 1179025 2023-009
    Material Weakness Repeat
  • 1179026 2023-010
    Material Weakness Repeat
  • 1179027 2023-011
    Material Weakness Repeat
  • 1179028 2023-011
    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) $2.49M
93.225 NATIONAL RESEARCH SERVICE AWARDS HEALTH SERVICES RESEARCH TRAINING $139,026
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $72,668