Finding 1240538 (2025-003)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2025
Accepted
2026-10-15
Audit: 414983
Auditor: BDO USA PC

AI Summary

  • Core Issue: Inadequate documentation for non-payroll costs charged to federal grants, leading to potential misallocation of funds.
  • Impacted Requirements: Failure to comply with 2 CFR 200.302 regarding tracking and supporting expenditures for federal awards.
  • Recommended Follow-up: Implement formal internal controls to ensure all non-payroll expenditures are properly documented and verified against actual costs before charging to federal awards.

Finding Text

Finding 2025-003: Allowable Costs and Internal Controls Identification of the Federal Program - US Department of Health and Human Services 93.778 Grants to States for Medicaid Criteria - In accordance with 2 CFR 200.302(a) all recipient and subrecipient financial management systems must be sufficient to permit tracking expenditures to establish that funds have been used in accordance with Federal statues, regulations, and the terms and conditions of the Federal award. 2 CFR 200.302(b)(3) further clarifies that records must contain information necessary to identify Federal awards, authorizations, financial obligations, unobligated balances, as well as assets, expenditures, income, and interest. Condition - We noted during our testing of non-payroll direct cost that 8 out of 16 expenditures, totaling $4,907, did not have adequate supporting documentation, and were charged to the respective grants based on budgeted costs and allocations. These exceptions included 2 sample selections, totaling $4,345, that were submitted for reimbursement under another federal grant. The total federal portion of the invoice charged under another grant in 2025 was $20,908. Cause - Due to a lack of formal internal control policies and procedures, the Organization did not maintain sufficient and appropriate evidence of non-payroll expenditures incurred and applied to the program. Effect - Charges to Federal awards for non-payroll related costs may not reflect actual expenditures incurred and allocated to specific programs, even though the charges are not in excess of amounts approved for the grant period. Questioned Costs Known questioned costs: $21,371 Likely questioned costs: $25,753 Context - We selected 16 non-payroll transactions charged to the federal program to test controls over allowable costs. Total federal non-payroll costs under these awards total $47,124. We noted during our testing of non-payroll direct cost that 8 out of 16 expenditures, totaling $4,807, did not have adequate supporting documentation, and were charged to the respective grants based on budgeted costs and allocations. For 4 of the 8 exceptions noted, totaling $150, we noted the Organization was unable to demonstrate that the invoice provided related to the sample selection. For 2 out of the 8 exceptions noted, totaling $313, we noted the Organization was unable to provide documentation supporting the expenditure was incurred. For 2 out of the 8 exceptions noted, totaling $4,345, the Organization provided an invoice that was reimbursed by another federal grant. The total federal portion of the invoice charged under another grant in 2025 was $20,908. Repeat Finding – No Recommendation - We recommend the Organization implement internal controls and policies to ensure actual non-payroll expenditures charged to each federal award are properly tracked and supported. This may include maintaining a detailed listing of invoices and other supporting documentation that substantiates the actual allowable costs charged to each award. Management should review and verify this documentation for accuracy and completeness on a timely basis. View of Responsible Officials - Management will strengthen controls over non-payroll expenditures charged to federal awards to ensure costs are based on actual expenditures, adequate support, allowability under the applicable award, and not charged to or reimbursed by another federal award.

Corrective Action Plan

Identifying Number: Finding 2025-003 - Allowable Costs and Internal Controls Corrective Actions Taken or Planned: No non-payroll expenditure will be charged to a federal award without documented review and approval of the supporting invoice, grant coding, allowability, and confirmation that the expenditure has not been charged to another federal award. Supporting documentation and evidence of approval will be maintained with the grant expenditure records to provide a clear audit trail from source documentation to the general ledger and applicable federal award. Person(s) Responsible: Essence Montgomery, CFO; Abdul Hadi, Director of Financial Accounting; and Rushikesh Patel, Accounting Manager Anticipated Completion Date: October 1, 2026 Management Oversight & Next Steps: Management will communicate these control requirements to accounting personnel and responsible departments and incorporate them into current accounting policies and procedures. Documentation supporting the performance of each control will be retained as part of applicable workpapers and made available for management review and future audit testing.

Categories

Allowable Costs / Cost Principles Subrecipient Monitoring Cash Management

Other Findings in this Audit

  • 1240536 2025-001
    Material Weakness Repeat
  • 1240537 2025-002
    Material Weakness Repeat
  • 1240539 2025-004
    Material Weakness Repeat
  • 1240540 2025-001
    Material Weakness Repeat
  • 1240541 2025-001
    Material Weakness Repeat
  • 1240542 2025-001
    Material Weakness Repeat
  • 1240543 2025-001
    Material Weakness Repeat
  • 1240544 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $10.79M
14.267 CONTINUUM OF CARE PROGRAM $1.08M
93.778 GRANTS TO STATES FOR MEDICAID $929,974
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $755,357
93.530 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PAYMENT $448,644
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $413,194
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $191,706
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $173,887
84.126 REHABILITATION SERVICES VOCATIONAL REHABILITATION GRANTS TO STATES $109,816
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $91,938
93.366 STATE ACTIONS TO IMPROVE ORAL HEALTH OUTCOMES AND PARTNER ACTIONS TO IMPROVE ORAL HEALTH OUTCOMES $54,628
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $13,919
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $11,950
84.187 SUPPORTED EMPLOYMENT SERVICES FOR INDIVIDUALS WITH THE MOST SIGNIFICANT DISABILITIES $4,150