Finding 1182677 (2025-002)

Material Weakness Repeat Finding
Requirement
CGH
Questioned Costs
-
Year
2025
Accepted
2026-03-25
Audit: 394112
Organization: Uc Healthcare System (OH)

AI Summary

  • Core Issue: UC Health did not have effective internal controls to ensure eligibility for the full cash draw down, leading to an overstatement of federal expenditures.
  • Impacted Requirements: Compliance with Section 200.303 of Title 2 U.S. Code of Federal Regulations, which mandates effective internal controls over federal awards.
  • Recommended Follow-Up: Management should enhance internal controls and documentation processes to ensure compliance with grant requirements before cash draw downs.

Finding Text

Finding 2025-002 – C. Cash Management, G. Matching, H. Period of Performance Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Assistance Listing: 93.493, Congressional Directives Award Period: July 1, 2024 through June 30, 2025 Criteria or specific requirement (including statutory, regulatory or other citation): Section 200.303 of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) states the following regarding internal control: “The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Condition: UC Health did not appropriately design and execute internal controls to verify they were eligible for the full balance of the cash draw down made during the year under audit, which ultimately resulted in an inappropriate expenditure balance reported on the original schedule of expenditures of federal awards (SEFA). Cause: The controls designed by UC Health over the reimbursement drawdown process verified that utilized expenses related to the grant project and had been incurred as of the drawdown request date. However, they were not designed sufficiently to determine if all expenses utilized were incurred during the grant period or to identify the Federal Percentage Share requirement in the Notice of Award, which stated that draw downs “should be done in the same proportion as the grant is to total project costs in the approved budget.” As a result, the SEFA originally reported an inappropriate expenditure total under the award. Effect or potential effect: The absence of control aspects to ensure all grant criteria were satisfied prior to requesting a cash draw down, including consideration of the grant period and matching requirements (such as the Federal Percentage Share), resulted in the draw down of funds for which UC Health was not yet fully eligible. This resulted in an overstatement of federal expenditures on the original SEFA.. Questioned costs: $45,910 Context: A single grant draw down was made during the year under audit. At the time of the draw down request, UC Health had incurred $2,224,794 of costs on the project for which the grant was received. As the project budget submitted in the grant application computed a 51.1% Federal Percentage Share, UC Health was eligible to drawn down just $1,136,870 at the time the request was made (computed as $2,224,794 multiplied by 51.1%). However, the drawdown was made in the amount of $1,182,779, resulting in $45,910 of funds drawn for which UC Health was not eligible as of the drawdown date, with this balance reported as questioned costs. UC Health did not identify the excess draw down or refund the excess amount during the year ended June 30, 2025. However, as of June 30, 2025, additional costs had been incurred by UC Health on the federally funded project which would have made UC Health eligible to draw down the excess $45,910, as well as additional funding in the year under audit. The draw down request also included $690,002 of expenditures incurred prior to the start of the grant period. While these expenditures were not permitted to be federally reimbursed, they were permissible to be considered as part of the non-federally funded cost incurred by UC Health. As such, these expenditures are included in the $2,224,794 of project costs incurred as of the cash draw down date and did not result in additional questioned costs. Identification as a repeat finding, if applicable: Not applicable. Recommendation: Management should enhance their internal control processes to include a complete review of grant requirements, as well as formal documentation supporting UC Health’s compliance with these requirements, in advance of requesting a cash draw down under a federal award. Views of responsible officials: Management agrees with the finding and will update policies and procedures to ensure that sufficient reviews are completed and documentation prepared prior to completed future cash draw downs under a federal award.

Corrective Action Plan

Corrective Action Plan Federal Award Findings and Questioned Costs For the Fiscal Year Ended June 30, 2025 Finding 2025-002 – C. Cash Management, G. Matching, H. Period of Performance Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Federal Program: 93.493, Congressional Directives Award Period: July 1, 2024 through June 30, 2025 Summary of finding: UC Health did not appropriately design and execute internal controls to verify they were eligible for the full balance of the cash draw down made during the year under audit, which ultimately resulted in an inappropriate expenditure balance reported on the original schedule of expenditures of federal awards (SEFA). Planned corrective action: Management agrees with this finding. Federal awards for capital projects are infrequent for UC Health. However, management acknowledges the importance of adhering to the terms of the award. Responsibilities to validate and confirm the accuracy of amounts billed for each federal award will transition to the Finance staff. The Finance staff will request and review the federal award agreement and related documents and highlight the terms and conditions needed to timely and accurately request cash draws and report on the cost incurred related to the award. Request for cash draws will be validated by the Vice President and Controller to review the support, ensure the requirements are met for the expenditures, and confirm the terms are being met prior to submission. Anticipated completion date: April 1, 2026 Responsible contact person: Michael Wiedeman, Vice President and Controller

Categories

Cash Management Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1182676 2025-001
    Material Weakness Repeat
  • 1182678 2025-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $2.56M
93.493 CONGRESSIONAL DIRECTIVES $1.69M