Finding 1222720 (2024-008)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2024
Accepted
2026-07-01

AI Summary

  • Core Issue: NACA failed to maintain cost reimbursement reports, leading to a material weakness in internal controls and noncompliance with federal requirements.
  • Impacted Requirements: Non-compliance with 2 CFR § 200.302(a) and § 200.334, which mandate accurate financial management and retention of records for three years.
  • Recommended Follow-Up: NACA should establish a centralized recordkeeping system and conduct regular reviews to ensure all financial reports are retained and organized.

Finding Text

Finding Number: 2024-008 Cash Management Cost reimbursement reports not maintained – Material weakness in internal controls, material noncompliance Assistance Listing Number: 93.193 Program Title: Urban Indian Health Services Federal Agency: U.S. Department of Health and Human Services Award Number: H722IHS0128-22-00 Pass-Through Entity: Indian Health Services Criteria: The Uniform Guidance at 2 CFR § 200.302(a) requires non-Federal entities to maintain financial management systems that provide accurate, current, and complete disclosure of financial results. Additionally, 2 CFR § 200.334 requires retention of financial records, including reports submitted to the grantor, for a period of three years. Condition: As a result of auditor testing, it was found that NACA did not retain copies of cost reimbursement reports submitted to the grantor for the Urban Health Clinic/Substance Abuse Prevention and Title V contracts. As a result, auditors were unable to verify amounts reported or reconcile reported amounts to NACA’s accounting records. Also, NACA did not have internal controls in place to ensure that copies of cost reimbursement reports submitted to the grantor for the Urban Health Clinic/Substance Abuse Prevention and Title V contracts were maintained for internal records. Cause: NACA lacked procedures to ensure that financial reports submitted for reimbursement were retained in accordance with Federal record retention requirements. Effect: Failure to retain cost reimbursement reports increases the risk of noncompliance with Federal requirements and limits NACA’s ability to support amounts requested for reimbursement. This also impacts transparency and auditability of financial activity. Recommendation: We recommend that NACA implement a process to ensure all cost reimbursement reports are retained and properly organized. This should include establishing a centralized recordkeeping system and periodic review procedures to confirm completeness of financial reporting documentation. Views of responsible officials: NACA concurs with the recommendation.

Corrective Action Plan

Finding 2024-008: Cash Management – Material Weakness Condition: As a result of the audit procedures, it was noted that the Organization did not retain copies of cost reimbursement reports submitted to the grantor for the Urban Health Clinic, Substance Abuse Prevention, and Title V programs. Corrective Action: Management is implementing a formal process to retain all cost reimbursement reports submitted to grantors in accordance with Federal record retention requirements. NACA is also hiring and training a Grant Director to strengthen oversight of grant reporting, reimbursement processes, and documentation requirements. This will include establishing a centralized and organized filing system, to ensure all submitted reimbursement reports are maintained and accessible. As part of the monthly reimbursement and grant reporting process, staff will ensure that copies of all submissions are saved and reconciled to the accounting records. A review step will also be added to confirm that all required documentation has been retained and properly organized prior to final submission. Management will continue to evaluate and adjust processes as needed to ensure compliance and completeness. Name of Person Responsible: Walter McCullough, CFO and finance staff Anticipated Date of Completion: May 31, 2026

Categories

Cash Management Subrecipient Monitoring Material Weakness Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1222701 2024-006
    Material Weakness Repeat
  • 1222702 2024-006
    Material Weakness Repeat
  • 1222703 2024-006
    Material Weakness Repeat
  • 1222704 2024-006
    Material Weakness Repeat
  • 1222705 2024-006
    Material Weakness Repeat
  • 1222706 2024-006
    Material Weakness Repeat
  • 1222707 2024-006
    Material Weakness Repeat
  • 1222708 2024-006
    Material Weakness Repeat
  • 1222709 2024-007
    Material Weakness Repeat
  • 1222710 2024-007
    Material Weakness Repeat
  • 1222711 2024-007
    Material Weakness Repeat
  • 1222712 2024-007
    Material Weakness Repeat
  • 1222713 2024-007
    Material Weakness Repeat
  • 1222714 2024-007
    Material Weakness Repeat
  • 1222715 2024-007
    Material Weakness Repeat
  • 1222716 2024-007
    Material Weakness Repeat
  • 1222717 2024-008
    Material Weakness Repeat
  • 1222718 2024-008
    Material Weakness Repeat
  • 1222719 2024-008
    Material Weakness Repeat
  • 1222721 2024-009
    Material Weakness Repeat
  • 1222722 2024-009
    Material Weakness Repeat
  • 1222723 2024-009
    Material Weakness Repeat
  • 1222724 2024-009
    Material Weakness Repeat
  • 1222725 2024-009
    Material Weakness Repeat
  • 1222726 2024-009
    Material Weakness Repeat
  • 1222727 2024-009
    Material Weakness Repeat
  • 1222728 2024-009
    Material Weakness Repeat
  • 1222729 2024-005
    Material Weakness Repeat
  • 1222730 2024-005
    Material Weakness Repeat
  • 1222731 2024-005
    Material Weakness Repeat
  • 1222732 2024-005
    Material Weakness Repeat
  • 1222733 2024-005
    Material Weakness Repeat
  • 1222734 2024-005
    Material Weakness Repeat
  • 1222735 2024-005
    Material Weakness Repeat
  • 1222736 2024-005
    Material Weakness Repeat
  • 1222737 2024-005
    Material Weakness Repeat
  • 1222738 2024-005
    Material Weakness Repeat
  • 1222739 2024-005
    Material Weakness Repeat
  • 1222740 2024-005
    Material Weakness Repeat
  • 1222741 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.193 URBAN INDIAN HEALTH SERVICES $2.13M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $621,141
93.479 GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY $427,188
93.237 SPECIAL DIABETES PROGRAM FOR INDIANS DIABETES PREVENTION AND TREATMENT PROJECTS $326,377
93.762 A COMPREHENSIVE APPROACH TO GOOD HEALTH AND WELLNESS IN INDIAN COUNTY €“ FINANCED SOLELY BY PREVENTION AND PUBLIC HEALTH $50,935