Finding 1228436 (2023-010)

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

AI Summary

  • Core Issue: Lack of management oversight has led to missing invoices and approvals for cash disbursements, raising concerns about compliance with federal funding requirements.
  • Impacted Requirements: Costs charged to federal funds must comply with 45 CFR Part 75, Subpart E, and other federal guidelines; failure to do so risks questioned costs totaling $86,905.
  • Recommended Follow-Up: Management should establish procedures to ensure all invoices and approvals are properly maintained and verify that all claimed costs are allowable under federal regulations.

Finding Text

Allowable Costs - Lack of Management Oversight to Ensure Retention of Cash Disbursement and Expenses Approval – 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 costs charged to federal funds must comply with the cost principles of 45 CFR Part 75, Subpart E, and any other requirements or restrictions on the use of federal funding. Condition and Context During disbursement testing, we noted that the Health Center was unable to provide supporting invoices for 9 of the 15 transactions selected for testing. In addition, 3 transactions lacked evidence of payment, such as canceled checks, bank statements, or other proof of disbursement. Of the 6 invoices provided, 1 invoice lacked evidence of review or approval, and 2 invoices related to expenditures that were determined to be unallowable under the applicable grant requirements. Cause Staff turnover in the Finance Department coupled with inadequate controls to ensure that the that invoices and related approvals are adequately maintained and supported. Effect and Potential Effect We were unable to determine whether the expenses charged to the federal award were accurate, allowable, and properly allocated, leading to potentially inaccurate information being charged through the awards. Questioned Costs $86,905. Repeat Finding No. Recommendation We recommend that management implement procedures to ensure that invoices and related approvals are adequately maintained and supported. We also recommend that management implement procedures to ensure that all costs claimed under federal grants are allowable in accordance with federal regulations. Views of Responsible Officials and Planned Corrective Action See corrective action plan.

Corrective Action Plan

Finding No. 2023-010: Lack of Management Oversight to Ensure Retention of Cash Disbursements and Expenses Approval The Health Center has moved to a cloud portal for submitting and processing invoices for approval and payment as well for maintaining vendor files. Under the cloud portal, any requests for payments cannot be processed without an invoice and or any other sufficient supporting documents. Approvals of invoices is now also reflected in the portal to indicate readiness for payment. The Health Center does not anticipate to charge expenses to the awards that are not in accordance with budgeted amounts as submitted to its funding sources.

Categories

Allowable Costs / Cost Principles Internal Control / Segregation of Duties

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
  • 1228433 2023-007
    Material Weakness Repeat
  • 1228434 2023-008
    Material Weakness Repeat
  • 1228435 2023-009
    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