Finding 1228460 (2024-010)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2024
Accepted
2026-08-31
Audit: 410112
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, indicating a material weakness in internal controls.
  • Impacted Requirements: Costs charged to federal funds must comply with federal guidelines, but 11 out of 21 transactions lacked necessary documentation.
  • Recommended Follow-Up: Management should establish procedures to ensure all invoices and approvals are properly maintained and that all claimed costs meet 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 11 of the 21 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 10 invoices provided, 8 invoices lacked evidence of review or approval. Cause Staff turnover in the Finance Department coupled with inadequate controls to ensure that the 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 $59,287. Repeat Finding Yes (2023-010). 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. 2024-010: 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 Material Weakness

Other Findings in this Audit

  • 1228438 2024-006
    Material Weakness Repeat
  • 1228439 2024-007
    Material Weakness Repeat
  • 1228440 2024-008
    Material Weakness Repeat
  • 1228441 2024-009
    Material Weakness Repeat
  • 1228442 2024-010
    Material Weakness Repeat
  • 1228443 2024-011
    Material Weakness Repeat
  • 1228444 2024-006
    Material Weakness Repeat
  • 1228445 2024-007
    Material Weakness Repeat
  • 1228446 2024-008
    Material Weakness Repeat
  • 1228447 2024-009
    Material Weakness Repeat
  • 1228448 2024-010
    Material Weakness Repeat
  • 1228449 2024-011
    Material Weakness Repeat
  • 1228450 2024-006
    Material Weakness Repeat
  • 1228451 2024-007
    Material Weakness Repeat
  • 1228452 2024-008
    Material Weakness Repeat
  • 1228453 2024-009
    Material Weakness Repeat
  • 1228454 2024-010
    Material Weakness Repeat
  • 1228455 2024-011
    Material Weakness Repeat
  • 1228456 2024-006
    Material Weakness Repeat
  • 1228457 2024-007
    Material Weakness Repeat
  • 1228458 2024-008
    Material Weakness Repeat
  • 1228459 2024-009
    Material Weakness Repeat
  • 1228461 2024-011
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $1.34M
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $2,616