Finding 1203105 (2025-002)

Material Weakness Repeat Finding
Requirement
A
Questioned Costs
-
Year
2025
Accepted
2026-03-30

AI Summary

  • Core Issue: The Organization charged the same expense to the grant twice, leading to potential overcharges.
  • Impacted Requirements: Internal controls must ensure accurate tracking of expenses to prevent noncompliance with federal regulations.
  • Recommended Follow-Up: Establish a thorough review process for all expenses before submitting drawdown requests to ensure accuracy and compliance.

Finding Text

Allowable Activities and Costs Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Health Center Cluster - Behavioral Health Expansion Grant Assistance Listing Number: 93.224 and 93.527 Federal Award Identification Number: H8NCS54238-01-00 Award Periods: September 1, 2024 – August 31, 2025 Type of Finding: Immaterial noncompliance and significant deficiency in internal control over compliance Criteria: A grantee's system of internal control should include processes to review after-the-fact interim charges made to a federal award based on budget estimates. 45 CFR 75.430(i)(1). Condition: During the testing of expenses charged to the grant, it was noted that the same expense was charged to the grant as part of two separate grant draws. Questioned Costs: $7,629. Context: The above condition impacted one (1) of sixty (60) transactions selected for testing. However, subsequent to year end and prior to the close of the grant period, the Organization identified the overdraw and corrected the error by reducing amounts requested in a subsequent draw. Cause: The Organization had inconsistent methods for tracking general disbursements charged to the grant and did not implement procedures to verify whether expenditures had already been included in prior draw requests. Effect: The Organization may inadvertently overcharge the grant for general disbursements which could result in noncompliance with federal grant requirements. Repeat Finding: No. Recommendation: We recommend the Organization implement a comprehensive and thorough process to review all payroll and non-payroll expenses charged to the grant prior to submitting the drawdown request to HRSA and implement a consistent process for identifying the specific expenses being charged to each grant.

Corrective Action Plan

Allowable Activities and Costs Allowable Activities and Costs Health Center Cluster - Behavioral Health Expansion – Assistance Listing No. 93.224 and 93.527 Recommendation: We recommend the Organization implement a comprehensive and thorough process to review all payroll and non-payroll expenses charged to the grant prior to submitting the drawdown request to HRSA and implement a consistent process for identifying the specific expenses being charged to each grant in order to avoid a cost being allocated more than one. Action taken in response to finding: The process has been changed as of August 1, 2025 before the end of the grant period of performance and will continue forward. Name(s) of the contact person(s) responsible for corrective action: John Robinson, CFO Planned completion date for corrective action plan: August 1, 2025

Categories

Cash Management Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1203106 2025-003
    Material Weakness Repeat
  • 1203107 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $1.80M
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $276,096
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $79,960
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $25,000