Finding 33790 (2022-002)

Material Weakness
Requirement
AB
Questioned Costs
$1
Year
2022
Accepted
2023-02-23

AI Summary

  • Core Issue: Grant funds were misused for nonallowable expenses, totaling $1,047,063, due to a clerical error in selecting the wrong grant during the drawdown process.
  • Impacted Requirements: The organization violated the allowable costs criteria outlined in the grant agreement, specifically regarding salary reimbursements which were not permitted under this award.
  • Recommended Follow-Up: Management should enhance grants management procedures to ensure correct drawdowns and compliance with expenditure guidelines, including staff training and internal reviews.

Finding Text

Grants for Capital Development in Health Centers - Assistance Listing No. 93.526 U.S. Department of Health and Human Services Award Criteria or Specific Requirement - Activities Allowed/Unallowed and Cost Principles (45 CFR 75.403) Condition - The Organization did not use grant funds under this award for allowable costs as defined within the grant agreement. Questioned Costs - $1,047,063 Context - The Organization drew down grant funds under this award and used the funds for expenditure reimbursement for salaries and wages which is not an allowable expenditure under the award. The drawdown had originally been intended to be requested under a different award in which reimbursement for salary and wages expenditures was allowable. The error in drawdown of funds had not been noted by management until the auditor notified them of the error which was identified during financial statement audit testing. Management requested a transfer of funds from the Grants for Capital Development in Health Centers award to the appropriate award which was approved and completed by HRSA. Effect - Grant funds were used for nonallowable expenses as defined within the grant agreement. Cause - The Organization did not identify the incorrect grant award had been selected during the drawdown process. Identification as a Repeat Finding - Not a repeat finding Recommendation - Management should solidify grants management procedures, specifically regarding drawdowns of grant funds and review of expenditures allowed and unallowed per the terms of the grant agreement. Views of Responsible Officials and Planned Corrective Actions - During our fiscal year 2022 audit, the Organization drew down grant funds under this award and spent them on expenditures that were not allowable. This was a clerical error as finance staff thought they were drawing down funds under the Community Health Center grant instead of this capital grant. The draw was used to pay salaries instead of capital items that this grant was intended for. We have self-reported this issue to HRSA and have been approved to transfer these funds to the appropriate award so they could be spent properly. Although controls are in place to help prevent these types of errors to occur and were effective for the Organization?s other Federal awards, they were not effective for this award. We have reviewed our grant drawdown procedures and have discussed this error internally with finance staff and provided training as appropriate. Our audit partner has discussed this issue with the Organization?s Chief Executive Officer (CEO) and the Board of Directors. A robust discussion occurred in our February board meeting about this issue, how it occurred and what measures need to be taken to help prevent this type of error in the future. At this time, all corrective actions have been taken. We are currently without a Chief Financial Officer but K. Brooks Miller, CEO supervised these corrections and took responsibility to make sure these corrective actions were taken.

Corrective Action Plan

February 21, 2023 To Whom It May Concern: RE: Grants for Capital Development in Health Centers Assistance Listing # 93.526, Finding 2022-002 Corrective Action Plan During our fiscal year 2022 audit, the Organization drew down grant funds under this award and spent them on expenditures that were not allowable. This was a clerical error as finance staff thought they were drawing down funds under the Community Health Center grant instead of this capital grant. The draw was used to pay salaries instead of capital items that this grant was intended for. We have self-reported this issue to HRSA and have been approved to transfer these funds to the appropriate award so they could be spent properly. Although controls are in place to help prevent these types of errors to occur and were effective for the Organization?s other Federal awards, they were not effective for this award. We have reviewed our grant drawdown procedures and have discussed this error internally with finance staff and provided training as appropriate. Our audit partner has discussed this issue with the Organization?s Chief Executive Officer (CEO) and the Board of Directors. A robust discussion occurred in our February board meeting about this issue, how it occurred and what measures need to be taken to help prevent this type of error in the future. At this time, all corrective actions have been taken. We are currently without a Chief Financial Officer but K. Brooks Miller, CEO supervised these corrections and took responsibility to make sure these corrective actions were taken.

Categories

Questioned Costs Allowable Costs / Cost Principles Cash Management

Other Findings in this Audit

  • 610232 2022-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Covid-19 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $11.70M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $4.75M
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $2.21M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.55M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $1.05M
93.884 Grants for Primary Care Training and Enhancement $203,554
93.778 Medical Assistance Program $187,404
93.268 Immunization Cooperative Agreements $127,529
32.006 Covid-19 Telehealth Program $19,223
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $14,114
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $11,578
93.566 Refugee and Entrant Assistance_state Administered Programs $6,593
21.019 Covid-19 Coronavirus Relief Fund $6,244