Finding 1222728 (2024-009)

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

AI Summary

  • Core Issue: NACA failed to maintain adequate documentation for performance reports related to the Title V program, leading to a material weakness in internal controls.
  • Impacted Requirements: This situation violates the Uniform Guidance at 2 CFR § 200.302(a), which mandates accurate financial management and proper documentation for Federal awards.
  • Recommended Follow-Up: NACA should enhance internal controls by creating procedures for retaining supporting documentation and implementing a review process for report accuracy.

Finding Text

Finding Number: 2024-009 Reporting Performance 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 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 for each Federal award. In addition, non-Federal entities must ensure required programmatic (performance) reports are supported by appropriate documentation. Condition: As a result of auditor testing, it was found that NACA did not maintain adequate supporting documentation for performance-related reports submitted to the grantor for the Title V program. Cause: During the year ended December 31, 2024, NACA had limited administrative resources and lacked formal procedures to ensure that performance reporting documentation was retained and properly organized. Effect: Without sufficient supporting documentation, NACA is at increased risk of noncompliance with Federal reporting requirements, and there is reduced transparency and accountability over reported program performance. Recommendation: We recommend that NACA strengthen internal controls over performance reporting by implementing procedures to retain supporting documentation for all submitted reports and establishing a review process to ensure completeness and accuracy. Views of responsible officials: NACA concurs with the recommendation.

Corrective Action Plan

Finding 2024-009: Reporting – Material Weakness Condition: As a result of the audit procedures, it was noted that the Organization did not maintain copies of performance-related reports submitted to the grantor for the Title V program. Corrective Action: Management is implementing a formal process to retain all supporting documentation for performance-related reports submitted to grantors in accordance with Federal requirements. NACA is also hiring and training a Grant Director to strengthen oversight of grant reporting, compliance, and documentation requirements. As part of the monthly and grant reporting process, staff will ensure that copies of all submissions are saved. A review step will also be added to confirm that all required documentation has been retained 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

Subrecipient Monitoring Material Weakness Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

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
  • 1222720 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
  • 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