Finding 1218062 (2024-003)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2024
Accepted
2026-06-22
Audit: 404217
Organization: Community Health Service, Inc. (MN)

AI Summary

  • Core Issue: There is a significant lack of alignment between payroll expenditures and drawdown requests, leading to potential overstatements or understatements.
  • Impacted Requirements: Compliance with 2 CFR §200.305 is at risk due to inadequate internal controls over cash management and drawdown accuracy.
  • Recommended Follow-Up: Implement a formal reconciliation process for each drawdown, enhance supervisory reviews, and ensure all requests are backed by detailed payroll reports.

Finding Text

2024-003: U.S. Department of Health and Human Services Health Center Program Cluster- Health Center Program, Assistance Listing No. 93.224 Compliance Requirements: Cash Management Type of Finding - Material Noncompliance and Material Weakness in Internal Control over Compliance Condition – During our testing of grant drawdowns, we noted that the payroll expenditure support provided for individual drawdowns did not consistently agree to the amounts requested. Specifically, on a sample-by-sample basis, certain drawdowns were either overstated or understated when compared to the underlying payroll expenditures incurred for the respective period. While the aggregate payroll expenditures tested did reconcile to the total drawdown activity, the lack of alignment at the individual draw level indicates that draw requests were not consistently calculated based on contemporaneous, actual expenditures incurred at the time of each request. Criteria - In accordance with 2 CFR §200.305 (Payment), non-federal entities must minimize the time elapsing between the transfer of funds from the federal government and disbursement for program purposes. Additionally, entities are required to establish and maintain effective internal controls over compliance to ensure that drawdowns are based on actual, allowable expenditures and reflect immediate cash needs. Federal guidance further requires that amounts reported through drawdown systems agree to underlying accounting records. Cause – The Center does not have adequate internal controls in place to ensure that individual drawdown requests are supported by detailed, contemporaneous expenditure data. Specifically: there is no formal reconciliation process performed at the individual draw level between payroll expenditures and requested amounts prior to submission. Drawdowns appear to be based on cumulative or estimated balances, rather than actual expenditures incurred for the specific draw period. Review controls over the preparation and approval of draw requests are not sufficiently granular to detect discrepancies at the transaction level. Effect – Federal funds may not have been drawn in alignment with immediate cash needs at the time of each request. There is an increased risk of: temporary overdraws, which could result in excess federal cash on hand and potential interest liability. Underdraws, which could impact cash flow and program operations. Although total drawdowns reconciled in the aggregate, the lack of precision at the individual draw level indicates a systemic control deficiency that could lead to material noncompliance if not corrected. Questioned Costs – None Recommendation - We recommend that management strengthen internal controls over cash management by: Implementing a formal reconciliation process at the time of each drawdown, comparing: Actual payroll expenditures incurred for the draw period; the specific amount requested; requiring all draw requests to be supported by detailed, contemporaneous payroll reports; enhancing supervisory review procedures to ensure that each draw is individually supported and accurate, rather than relying on aggregate reconciliation; establishing documented procedures to ensure compliance with 2 CFR §200.305 requirements for timing and accuracy of federal cash draws Management Response to Findings – Management concurs with the finding.

Corrective Action Plan

Type: Material Weakness in Internal Control Over Compliance Corrective Actions: - Implement reconciliation of each drawdown to actual expenditures. - Require detailed supporting documentation. - Establish supervisory approval process. Responsible Parties: Chief Executive Officer and Chief Financial Officer

Categories

Cash Management Internal Control / Segregation of Duties Material Weakness Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1218053 2024-003
    Material Weakness Repeat
  • 1218054 2024-004
    Material Weakness Repeat
  • 1218055 2024-005
    Material Weakness Repeat
  • 1218056 2024-003
    Material Weakness Repeat
  • 1218057 2024-004
    Material Weakness Repeat
  • 1218058 2024-005
    Material Weakness Repeat
  • 1218059 2024-003
    Material Weakness Repeat
  • 1218060 2024-004
    Material Weakness Repeat
  • 1218061 2024-005
    Material Weakness Repeat
  • 1218063 2024-004
    Material Weakness Repeat
  • 1218064 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $1.30M
16.575 CRIME VICTIM ASSISTANCE $34,466
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $16,216