Finding 1226473 (2024-007)

Material Weakness Repeat Finding
Requirement
F
Questioned Costs
-
Year
2024
Accepted
2026-08-13

AI Summary

  • Core Issue: The Organization lacks proper documentation and controls for managing equipment and real property purchased with federal funds, leading to a material weakness in compliance.
  • Impacted Requirements: Non-compliance with 2 CFR regulations on safeguarding assets, maintaining property records, and obtaining prior written approval for capital expenditures.
  • Recommended Follow-Up: Strengthen recordkeeping, implement tracking processes for federal expenditures, conduct periodic reviews, and train staff on compliance requirements.

Finding Text

Finding 2024 – 007: Equipment and Real Property Management (Compliance; Internal Controls Over Compliance) (Repeat Finding: 2023-007) Material Weakness – 93.U01 Title V Criteria: Non-federal entities that acquire, manage, or dispose of equipment and real property purchased with federal funds are required to establish and maintain effective internal controls and inventory procedures to ensure proper management, safeguarding, and accountability of such assets. According to 2 CFR § 200.310–200.314, non-federal entities must adequately safeguard all assets and assure that they are used solely for authorized purposes. Specifically, 2 CFR § 200.313(d) requires that property records be maintained for equipment, a physical inventory be taken at least once every two years and reconciled to the property records, and that adequate maintenance procedures be implemented to keep the property in good condition. Additionally, 2 CFR § 200.407, 200.439, 200.313, and 200.311 require non-federal entities to obtain prior written approval from the federal awarding agency or pass-through entity before using federal funds to purchase or lease equipment (with a per-unit cost of $10,000 or more), land, or buildings. Condition: The Organization was unable to provide sufficient documentation to support compliance with federal equipment and real property management requirements for purchases made under the Title V program. The general ledger did not allow for sufficient identification of transactions related to the Title V program as all expenditures were recorded through journal entries without supporting transaction-level detail. Due to this limitation, we were unable to select equipment purchases for testing or verify if capital purchases were included in the Title V budget. The Organization also does not have an adequate system of controls established to identify, mark, record, or maintain equipment and real property purchased with federal funds, and no periodic physical inventory of such assets is being performed. Questioned Costs: None. Cause: The Organization did not maintain adequate financial records to demonstrate compliance with Uniform Guidance requirements. The lack of a complete and detailed general ledger further limited the ability to track and substantiate transactions. The Organization also does not have sufficiently established control policies and procedures to ensure that prior written approval is obtained for capital expenditures as required by federal regulations and the grant contract. Lastly, the Organization lacks established control policies for identifying, marking, recording, or maintaining equipment and real property, as well as for conducting periodic inventories. Effect: Without sufficient documentation, the Organization was unable to demonstrate compliance with federal equipment purchases, increasing the risk of noncompliance and potential disallowed costs. Additionally, these expenditures may be subject to repayment or further review by the granting agency. Also the Organization is not in compliance with federal requirements for prior written approval of capital expenditures and for equipment and real property management. As a result, there is an increased risk that federal funds may be used for unallowable purposes, and the Organization may be unable to distinguish federally funded property from other property or detect if such property is misplaced or stolen. Recommendation: We recommend that management strengthen documentation and recordkeeping procedures to ensure compliance with federal record retention requirements. The Organization should implement a standardized process for tracking federal grant expenditures, ensuring proper coding within the accounting system, conduct periodic internal reviews to verify completeness and accuracy of financial records, and provide training to finance staff on Uniform Guidance requirements for grant record retention and reporting. We further recommend that the Organization becomes familiar with the requirements of 2 CFR Part 200 and establishes appropriate internal control policies and procedures to ensure that prior written approval is obtained for all capital expenditures with federal funds. Lastly we recommend that the Organization implement procedures for maintaining property records, conducting periodic physical inventories, and ensuring all staff are trained on these requirements. Views of Responsible Officials: See the corrective action plan that accompanies the schedule of findings and questioned costs.

Corrective Action Plan

Finding2024-007:Equipment and Real Property Management (Title V, CFDA 93.U01) Material Weakness (Repeat Finding: 2023-007) Condition: The Organization lacked a system to identify, mark, record, or maintain equipment and real property purchased with federalfunds; no periodic physical inventory was performed; and there was no process to obtain prior written approval for capital expenditures of $10,000 or more, as required by 2 CFR §200.310 through §200.314 and §200.407. Corrective Action: • Establish a property/equipment ledger recording description, acquisition cost, funding source, acquisition date, location, and disposition for all federally funded equipment and real property. • Implement a physical inventory at least once every two years, reconciled to the property ledger, per 2 CFR §200.313(d). • Implement a prior-written-approvalworkflow requiring awarding agency/pass-through approval before purchasing or leasing equipment ($10,000+ per unit), land, or buildings with federal funds. • Apply the GLrestructuring from Finding 2024-003 so capital purchases under Title V are individually identifiable. Responsible Party: Chief Financial Officer Anticipated Completion Date: Property ledger established concurrent with the Blackbaud implementation, kickoff August 13, 2026; complete by March 31, 2027; first physical inventory completed by June 30, 2027

Categories

Equipment & Real Property Management

Other Findings in this Audit

  • 1226464 2024-003
    Material Weakness Repeat
  • 1226465 2024-003
    Material Weakness Repeat
  • 1226466 2024-004
    Material Weakness Repeat
  • 1226467 2024-004
    Material Weakness Repeat
  • 1226468 2024-005
    Material Weakness Repeat
  • 1226469 2024-005
    Material Weakness Repeat
  • 1226470 2024-006
    Material Weakness Repeat
  • 1226471 2024-006
    Material Weakness Repeat
  • 1226472 2024-007
    Material Weakness Repeat
  • 1226474 2024-008
    Material Weakness Repeat
  • 1226475 2024-008
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.U01 TITLE V, URBAN INDIAN HEALTH SERVICES $3.17M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $431,850
93.653 INDIAN HEALTH SERVICE DOMESTIC VIOLENCE PREVENTION PROGRAMS $240,383
93.933 DEMONSTRATION PROJECTS FOR INDIAN HEALTH $208,333
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $150,078
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $87,942
93.318 PROTECTING AND IMPROVING HEALTH GLOBALLY: BUILDING AND STRENGTHENING PUBLIC HEALTH IMPACT, SYSTEMS, CAPACITY AND SECURITY $30,465
93.800 ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREENING $20,000
93.217 FAMILY PLANNING SERVICES $5,694