Finding 1211147 (2023-003)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2023
Accepted
2026-04-30
Audit: 400354
Organization: Carestl Health (MO)

AI Summary

  • Core Issue: Insufficient documentation prevented verification of allowable activities for federal programs 93.224, 93.225, 93.493, and 93.527.
  • Impacted Requirements: Noncompliance with 2 CFR 200.303 and 2 CFR 200.302 regarding internal controls and financial management.
  • Recommended Follow-Up: Improve recordkeeping practices and implement formal documentation procedures to ensure compliance and support for audit purposes.

Finding Text

Finding 2022-02 – Inability to Support Allowable Activities Program Number: 93.224, 93.225, 93.493, 93.527 Type of Finding: Internal Control, Compliance and Material Weakness Condition During our audit of compliance with federal requirements, we were unable to perform sufficient testing of allowable activities due to a significant lack of supporting documentation. Management was unable to provide adequate evidence demonstrating that expenditures and program activities were conducted in accordance with the terms and conditions of the federal award. Specifically: ▪ Documentation supporting program activities was not maintained or not provided upon request ▪ Only general ledger entries and limited journal supports were made available ▪ Supporting evidence of programmatic execution (e.g., participant records, activity reports, eligibility documentation, or service delivery evidence) was largely absent ▪ As a result, we could not determine whether expenditures were incurred for authorized program purposes This lack of documentation prevented us from verifying that funds were used for allowable activities under the federal program. Criteria Under 2 CFR 200.303 (Internal Controls) and 2 CFR 200.302 (Financial Management), nonfederal entities must maintain effective internal control over federal awards and provide accurate, current, and complete disclosure of financial results, supported by records that adequately demonstrate compliance. Additionally, program-specific requirements require that expenditures be incurred only for activities that are allowable and aligned with the objectives of the federal award. Cause These deficiencies appear to result from inadequate recordkeeping practices, lack of formal documentation requirements, and insufficient oversight of program-level activities. Management did not implement procedures to ensure that programmatic and financial documentation was retained and accessible for audit purposes. Effect Due to the absence of adequate documentation: ▪ We were unable to determine whether expenditures were used for allowable program activities

Corrective Action Plan

"Recommendation We recommend that management: ▪ Implement formal procedures to ensure complete documentation of all program activities ▪ Maintain records demonstrating that activities are authorized and aligned with program objectives ▪ Establish centralized recordkeeping and retention policies ▪ Perform ongoing monitoring and review of program activities ▪ Train staff on federal compliance requirements and documentation expectations"

Categories

Internal Control / Segregation of Duties Allowable Costs / Cost Principles Eligibility Material Weakness Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1211145 2023-001
    Material Weakness Repeat
  • 1211146 2023-002
    Material Weakness Repeat
  • 1211148 2023-004
    Material Weakness Repeat
  • 1211149 2023-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $5.74M
93.493 CONGRESSIONAL DIRECTIVES $36,461
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $17,970