Finding 1224543 (2025-002)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2025
Accepted
2026-07-23

AI Summary

  • Core Issue: The Organization failed to provide documentation for timely disbursement of federal funds, violating cash management requirements.
  • Impacted Requirements: Non-compliance with 2 CFR §200.305, which mandates minimizing the time between federal fund transfers and disbursements.
  • Recommended Follow-Up: Implement formal policies for cash drawdowns to ensure funds are only drawn as needed, and enhance internal controls for better compliance.

Finding Text

Information on the federal program – Assistance Listing Number 93.224/93.527; Health Center Program Cluster; Department of Health and Human Services Criteria or specific requirement – Per 2 CFR §200.305, non-federal entities must minimize the time between the transfer of federal funds from the U.S. Treasury and the disbursement of those funds for program purposes. Advance payments must be limited to the minimum amounts needed and timed to be in accordance with the entity’s actual, immediate cash requirements. Condition – During our testing of cash management, we were unable to obtain supporting documentation for one of the draws selected for testing to verify that the time between the transfer and disbursement of funds was minimized. Further, we noted the Organization does not have a formal policy for federal cash drawdowns. Cause – The Organization did not have a formal policy or sufficient internal controls in place surrounding cash management and the draw process. Effect or potential effect – Drawing funds in advance of immediate cash needs could result in noncompliance with federal requirements. Questioned costs – None Context – Out of a population of 11 draws, a sample of 2 draws were selected for testing, and 1 draw was not supportable by underlying documentation. The sample was not statistically valid. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – We recommend the Organization implement formal policies and procedures to ensure that federal funds are drawn only to meet immediate cash needs (generally within a few days of disbursement). Views of responsible officials and planned corrective actions – Management has implemented enhanced cash management and grant monitoring procedures, including strengthened review of draw requests, improved documentation requirements, and closer reconciliation of grant expenditures to amounts drawn. In addition, the Organization is undertaking process improvements to streamline grant accounting and reporting activities, improve the timeliness of expense recognition, and enhance overall oversight of federal awards. Management expects these actions will strengthen compliance with federal cash management requirements and reduce the risk of future occurrences.

Corrective Action Plan

Finding Number: 2025-002 Planned Corrective Action: Management has implemented enhanced cash management and grant monitoring procedures, including strengthened review of draw requests, improved documentation requirements, and closer reconciliation of grant expenditures to amounts drawn. In addition, the Organization is undertaking process improvements to streamline grant accounting and reporting activities, improve the timeliness of expense recognition, and enhance overall oversight of federal awards. Management expects these actions will strengthen compliance with federal cash management requirements and reduce the risk of future occurrences. Anticipated Completion Date: 12/31/2026 Responsible Contact Person: Alison Roca, Chief Financial Officer

Categories

Cash Management Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1224542 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $4.03M
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $1.32M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $1.13M
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $966,430
93.676 UNACCOMPANIED ALIEN CHILDREN PROGRAM $800,140
93.043 SPECIAL PROGRAMS FOR THE AGING, TITLE III, PART D, DISEASE PREVENTION AND HEALTH PROMOTION SERVICES $555,569
93.778 GRANTS TO STATES FOR MEDICAID $315,721
93.236 GRANTS TO STATES TO SUPPORT ORAL HEALTH WORKFORCE ACTIVITIES $264,717
93.788 OPIOID STR $240,575
16.588 VIOLENCE AGAINST WOMEN FORMULA GRANTS $115,020
93.217 FAMILY PLANNING SERVICES $97,344
93.368 21ST CENTURY CURES ACT - PRECISION MEDICINE INITIATIVE $90,842
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $79,316
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $57,851
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $49,987
93.185 IMMUNIZATION RESEARCH, DEMONSTRATION, PUBLIC INFORMATION AND EDUCATION TRAINING AND CLINICAL SKILLS IMPROVEMENT PROJECTS $48,995
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $33,429
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $32,576
93.504 FAMILY TO FAMILY HEALTH INFORMATION CENTERS $12,776