Finding 1241298 (2026-001)

Material Weakness Repeat Finding
Requirement
H
Questioned Costs
-
Year
2026
Accepted
2026-10-28
Audit: 415424
Organization: Clinica Sierra Vista (CA)
Auditor: DZA PLLC

AI Summary

  • Core Issue: The organization included salary costs in federal program expenditures that were incurred outside the approved budget periods.
  • Impacted Requirements: This violates Title 2 CFR 200.403(h) regarding budget periods and Title 2 CFR 200.403(e) related to GAAP cost determination.
  • Recommended Follow-Up: Management should enhance controls to ensure all expenditures, especially salaries, are verified to fall within the budget period of the award.

Finding Text

2026-001 Period of Performance Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 Health Center Program Cluster Award Numbers H80CS00540‐24‐08 Criteria [ ] Compliance Finding [X] Significant Deficiency [ ] Material Weakness Title 2 CFR 200.403(h) requires that costs be incurred in the approved budget period for the applicable awards and Title 2 CFR 200.403(e) requires that those costs be determined according to GAAP. Condition The Organization’s expenditures allocated to the federal program included costs for salaries outside of the approved budget periods for the awards. This finding appears to be an isolated incident. Cause The Organization’s internal controls over compliance did not identify certain payroll expenditures from the prior accounting period and remove them from the listing of expenditures eligible for reimbursement in the current period. Effect Including out-of-period costs in the expenditures eligible for reimbursement increases the risk of noncompliance with the period of performance requirements. The Organization may allocate salaries outside of the grant period to the federal awards. Questioned Costs None noted. Context In a sample of 25 transactions tested, we noted three transactions that related to salaries for services provided outside of the budget period of the award. However, follow-up procedures indicate that there were sufficient eligible expenditures to cover the total funding received during the period. Recommendation We recommend management implement controls to verify that all expenditures allocated to federal programs, including salaries and wages, were incurred in the budget period of the award. Views of responsible officials and planned corrective action Management concurs with Finding 2026-001. Management acknowledges that while the incident was isolated and sufficient total eligible expenditures existed to support the funding received, the review process of the payroll expenses failed to identify and remove the expenses from the current budget period of the award. See corrective action outlined on page 39.

Corrective Action Plan

2026-001 Period of Performance Corrective action planned: The organization will implement an additional step to review personnel cost categories that may have the potential of including out-of-period costs (e.g., performance bonus payments, contractual lump sum payments) and verify that these expenses are allocated to the correct award cycle. If out-of-period transactions are identified, the organization will ensure that these expenses are allocated to unrestricted general operating funds. Anticipated completion date: October 2026 Contact person responsible for corrective action: Harjeet Sidhu, Chief Financial Officer

Categories

Allowable Costs / Cost Principles Cash Management Material Weakness Period of Performance Significant Deficiency

Other Findings in this Audit

  • 1241299 2026-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $22.75M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $9.83M
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $537,130
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $382,691
93.917 HIV CARE FORMULA GRANTS $230,586
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $222,569
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $197,067
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $63,500