Finding 1228433 (2023-007)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2026-08-31
Audit: 410104
Organization: Sayre Health Center (PA)
Auditor: CBIZ CPAS PC

AI Summary

  • Core Issue: The Health Center failed to submit required reports on time, indicating a material weakness in internal controls over compliance.
  • Impacted Requirements: Reports such as the Data Collection Form, SF-424A, and others were submitted late, violating Uniform Guidance and grant agreements.
  • Recommended Follow-Up: Management should establish procedures for timely filing of federal reports and implement a formal review process before submission.

Finding Text

Reporting - Inadequate System to Ensure Timely Filing and Review of Required Reports – Material Weakness in Internal Control Over Compliance U.S. Department of Health and Human Services: Health Center Program and American Rescue Plan Act Funding for Health Centers, ALN 93.224; Ending HIV Epidemic – Primary Care HIV Prevention, ALN 93.527. Criteria In accordance with the Uniform Guidance, the audit package and Data Collection Form must be submitted within 30 days after receipt of the auditors’ report or nine months after the end of the fiscal year, whichever comes first. Additionally, in accordance with the grant agreement, the Health Center must submit a final detailed SF-424A and line-item narrative of both Federal and non-Federal costs incurred for the completed activities supported with Quality Improvement Award (QIA) funding within 90 days of the Budget End Date. The grant agreements also require the timely submission of the Interim Report, Annual Uniform Data System (UDS) Report, and Federal Financial Report (FFR) by the specified due dates. Condition and Context The Data Collection Form for the year ended June 30, 2023, was not submitted to the Federal Audit Clearinghouse by the due date of March 31, 2024. The Health Center was unable to locate Form SF-424A and Interim report for FY 2021 Ending the HIV Epidemic - Primary Care HIV Prevention program and the submission of these reports. Additionally, three of the six required federal reports selected for testing were submitted after the deadlines prescribed by the applicable grant agreements and federal requirements. Specifically, we noted one SF-424A, one Federal Financial Report (FFR), and one Annual Uniform Data System (UDS) Report that were submitted after the due dates prescribed by the applicable grant agreements and federal requirements. Cause Staff turnover in the Finance Department coupled with inadequate controls to ensure that general ledger accounts were reconciled properly and in a timely manner throughout the year. Effect and Potential Effect The Health Center was not in compliance with the requirements of the Uniform Guidance and the federal awards, which can hamper management’s ability to monitor the federal awards on a timely basis, fulfilling its responsibilities. Questioned Costs None. Repeat Finding Yes (2022-006). Recommendation We recommend that management implement procedures to ensure that all federal reports are filed by the required due dates. We also recommend that management implement a process of formally documenting the review and approval of reports prior to submission. Views of Responsible Officials and Planned Corrective Action See corrective action plan.

Corrective Action Plan

Finding No. 2023-007: Inadequate System to Ensure Timely Filing and Review of Required Reports As the previous employees responsible for these functions did not perform them effectively, the organization now has such in place, whereas the timely filing and review of required reports (e.g., Federal Financial Report (FFRs)) are now expected to be filed according to the prescribed deadline(s).

Categories

Reporting

Other Findings in this Audit

  • 1228420 2023-006
    Material Weakness Repeat
  • 1228421 2023-007
    Material Weakness Repeat
  • 1228422 2023-008
    Material Weakness Repeat
  • 1228423 2023-009
    Material Weakness Repeat
  • 1228424 2023-010
    Material Weakness Repeat
  • 1228425 2023-011
    Material Weakness Repeat
  • 1228426 2023-006
    Material Weakness Repeat
  • 1228427 2023-007
    Material Weakness Repeat
  • 1228428 2023-008
    Material Weakness Repeat
  • 1228429 2023-009
    Material Weakness Repeat
  • 1228430 2023-010
    Material Weakness Repeat
  • 1228431 2023-011
    Material Weakness Repeat
  • 1228432 2023-006
    Material Weakness Repeat
  • 1228434 2023-008
    Material Weakness Repeat
  • 1228435 2023-009
    Material Weakness Repeat
  • 1228436 2023-010
    Material Weakness Repeat
  • 1228437 2023-011
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $372,357
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $322,035