Finding 1218832 (2025-003)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2025
Accepted
2026-06-25

AI Summary

  • Core Issue: The organization lacks proper management review and approval for cash drawdowns, which is a significant deficiency in cash management.
  • Impacted Requirements: This finding violates federal guidelines under §200.305 and 2 CFR 200.302 and 200.303 regarding the management of federal funds.
  • Recommended Follow-Up: Establish written procedures for reviewing and approving all drawdowns to ensure accuracy and compliance.

Finding Text

Finding 2025.003: Cash Management - Significant Deficiency Name of Federal Agency: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program Grants for New and Expanded Services under the Health Center Program COVID-19 - Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS11299 - 2024 and 2025, Q8MCS49109 - 2024, H2ECS45512 - 2024 and H8LCS51634 - 2024 Criteria In accordance with §200.305, Federal Payment, grantees and subgrantees that receive grant funds are responsible for maintaining controls regarding the management of federal program funds under the Uniform Guidance in 2 CFR 200.302 and 200.303. Condition The Organization's drawdowns did not illustrate review and approval by management. Cause The Organization did not have adequate controls to ensure drawdowns were properly approved and such approval is documented. Effect or Potential Effect The condition may lead to inaccurate or improper drawdowns. Questioned Costs None. Context We selected 7 drawdowns for testing of cash management. We noted there was no formal approval or evidence of review for all 7 drawdowns. Identification of Repeat Finding Not a repeat finding. Recommendation The Organization should develop written procedures to review all drawdowns that occur in order to ensure accuracy. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure there is formal evidence of review being performed.

Corrective Action Plan

Item 2025.003 - Cash Management Recommendation The Organization should develop written procedures to review all drawdowns that occur in order to ensure accuracy. Repeat Finding Not a repeat finding. Action Taken The Health Center has engaged Cambire Consulting, a grant and contracts consulting firm. A drawdown policy will be established for the July 2026 Board Meeting for approval.

Categories

Cash Management Significant Deficiency

Other Findings in this Audit

  • 1218824 2025-001
    Material Weakness Repeat
  • 1218825 2025-002
    Material Weakness Repeat
  • 1218826 2025-003
    Material Weakness Repeat
  • 1218827 2025-001
    Material Weakness Repeat
  • 1218828 2025-002
    Material Weakness Repeat
  • 1218829 2025-003
    Material Weakness Repeat
  • 1218830 2025-001
    Material Weakness Repeat
  • 1218831 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $3.88M
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $463,530
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $460,832
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $207,294
93.217 FAMILY PLANNING SERVICES $107,993
93.247 ADVANCED NURSING EDUCATION WORKFORCE GRANT PROGRAM $104,743
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA — RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $54,282
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $17,603
93.988 COOPERATIVE AGREEMENTS FOR DIABETES CONTROL PROGRAMS $10,000
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $5,967