Finding 1217317 (2021-007)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2021
Accepted
2026-06-10
Audit: 403489
Auditor: DZA PLLC

AI Summary

  • Core Issue: The Organization failed to keep proper documentation for expenses related to federal grant draws, leading to potential overclaims.
  • Impacted Requirements: Compliance with 2 CFR 200.403 was not met, as expenses were not individually identifiable and reviews were not documented.
  • Recommended Follow-Up: Implement controls for documenting expenses, ensure draws occur only after costs are incurred, and establish formal review procedures for draw requests.

Finding Text

2021-007 Cash Management Program Information Federal Agency U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers 21H8FCS41567C6, H8C35204, H8D36710, H7CHA37307 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Title 2 CFR 200.403 requires that organizations costs “be adequately documented” before making draws upon federal grants, including the requirement that expenses be individually identifiable. Organizations must also ensure that appropriate review over federal grants is documented. Condition The Organization did not retain appropriately documented support for individually identifiable expenses when making draws on federal grants, and did not maintain appropriate documentation proving review took place. Context This finding appears to be a systemic problem. Of five selections, three did not have appropriate supporting documentation for the related draw, and five did not have appropriate support documenting review taking place. Of the five selections, three were taken in advance of sufficient expenditures being incurred, rather the expenditures were incurred after the draws were made with no procedures to ensure the time is minimized between the draw and the related expenditures. Cause The Organization did not have policies and procedures in place to ensure the keeping of records or procedures sufficient to address the requirements. Effect The Organization may have claimed federal draws in excess of incurred expenses, and if they exist, incorrect expenses may not have been detected. The Organization drew upon federal monies prior to incurring the related expenses. Questioned Costs None noted. Recommendation We recommend the Organization implement controls requiring that individually identifiable expenses be recorded as support for federal grant draws, that all draws have appropriate evidence of review documented, and that draws be made only after related expenditures have been incurred. View of responsible officials and planned corrective action The Organization acknowledges the material weakness related to insufficient documentation supporting federal grant drawdowns. As noted in prior responses, these conditions were influenced by staffing limitations and the absence of formalized procedures. Corrective Actions • Drawdown Support and Timing: Processes have been implemented to ensure all drawdowns are supported by adequately documented, individually identifiable expenditures and are made only after costs have been incurred. • Documentation Standards: Standard requirements are now in place to maintain complete supporting documentation for each draw, including linkage to underlying expenses. • Review and Approval Controls: Formal review procedures have been established, requiring documented evidence of supervisory review and approval prior to submission of draw requests. Management has already demonstrated improved tracking and reconciliation practices to support expenditures prior to drawdowns.

Corrective Action Plan

2021-007 Cash Management Corrective action planned: Drawdown Support and Timing: Processes have been implemented to ensure all drawdowns are supported by adequately documented, individually identifiable expenditures and are made only after costs have been incurred. Documentation Standards: Standard requirements are now in place to maintain complete supporting documentation for each draw, including linkage to underlying expenses. Review and Approval Controls: Formal review procedures have been established, requiring documented evidence of supervisory review and approval prior to submission of draw requests. Anticipated completion date: Completed in 2022 Contact person responsible for corrective action: Angela Treptow, Interim Finance Director

Categories

Allowable Costs / Cost Principles Cash Management Material Weakness Significant Deficiency

Other Findings in this Audit

  • 1217314 2021-006
    Material Weakness Repeat
  • 1217315 2021-007
    Material Weakness Repeat
  • 1217316 2021-006
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $1.80M
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $487,983
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $63,000
93.498 PROVIDER RELIEF FUND AND AMERICAN RESCUE PLAN (ARP) RURAL DISTRIBUTION $36,739
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $18,100
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $1,304