Finding 392307 (2021-003)

Material Weakness
Requirement
AB
Questioned Costs
-
Year
2021
Accepted
2024-04-04

AI Summary

  • Core Issue: The Family Practice lacks a financial management system and internal controls to ensure compliance with federal grant requirements.
  • Impacted Requirements: Failure to meet standards for financial management and internal controls as outlined in 45 CFR Part 75, leading to potential noncompliance.
  • Recommended Follow-Up: Implement robust controls and procedures to maintain accurate documentation and support for all grant-related reports.

Finding Text

2021-003 Allowable and Unallowable Activities and Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Provider Relief Fund Assistance Listing Numbers: 93.498 Award Period: January 1, 2020 through June 30, 2021 Type of Finding: • Material Weakness in Internal Control over Compliance • Material Noncompliance (Modified Opinion) Criteria or specific requirement: According to § 75.302 Financial management and standards for financial management systems of 45 CFR Part 75, the non-federal entity’s financial management systems, including records documenting compliance with federal statutes, regulations, and the terms and conditions of the federal award, must be sufficient to permit the preparation of reports required by general and program-specific terms and conditions. Further, the financial management system of each non-federal entity must provide accurate, current, and complete disclosure of the financial results of each federal award or program in accordance with the reporting requirements. According to § 75.303 Internal controls of 45 CFR Part 75, the non-federal entity must establish and maintain effective internal control over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition: We noted the Family Practice lacked a financial management system and the internal control system to demonstrate compliance with requirements related to allowable and unallowable activities and allowable costs. Questioned costs: Unknown Context: The Family Practice incurred and allocated expenses for reimbursement by the grant but was unable to provide adequate detail for selection and testing of the source documentation required by the auditor to verify compliance. Cause: Management oversight. The Family Practiced lacked established internal controls and procedures over financial grant management to ensure submitted reports are complete, agree to supporting records and documentation, and are properly maintained in the files of the Family Practice. Effect: Inability to support compliance with the grant and a potential loss of federal funding Recommendation: We recommend the Family Practice design controls and procedures to ensure submitted reports and the documentation used to prepare the reports are properly maintained in the files of the Family Practice. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

2021-003 Material Weakness - Allowable and Unallowable Activities and Allowable Costs Recommendation: We recommend the Family Practice design controls and procedures to ensure submitted reports and the documentation used to prepare the reports are properly maintained in the files of the Family Practice. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Family Practice designed controls and procedures to ensure submitted reports and the documentation used to prepare the reports are properly maintained in the files of the Family Practice. The CEO and CFO roles have been separated into two distinct positions. Separating the roles has significantly strengthened internal controls. Furthermore, a controller has been hired to prepare the reports and maintain appropriate and complete supporting documentation, which will then be reviewed by the CFO and CEO before submission. Name(s) of the contact person(s) responsible for corrective action: Amanda Blodgett, CEO Planned completion date for corrective action plan: December 31, 2024

Categories

Allowable Costs / Cost Principles Internal Control / Segregation of Duties Cash Management Material Weakness Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 392308 2021-004
    Significant Deficiency
  • 392309 2021-004
    Significant Deficiency
  • 392310 2021-004
    Significant Deficiency
  • 392311 2021-004
    Significant Deficiency
  • 392312 2021-004
    Significant Deficiency
  • 392313 2021-005
    Material Weakness
  • 392314 2021-006
    Significant Deficiency
  • 392315 2021-006
    Significant Deficiency
  • 392316 2021-006
    Significant Deficiency
  • 392317 2021-006
    Significant Deficiency
  • 392318 2021-006
    Significant Deficiency
  • 968749 2021-003
    Material Weakness
  • 968750 2021-004
    Significant Deficiency
  • 968751 2021-004
    Significant Deficiency
  • 968752 2021-004
    Significant Deficiency
  • 968753 2021-004
    Significant Deficiency
  • 968754 2021-004
    Significant Deficiency
  • 968755 2021-005
    Material Weakness
  • 968756 2021-006
    Significant Deficiency
  • 968757 2021-006
    Significant Deficiency
  • 968758 2021-006
    Significant Deficiency
  • 968759 2021-006
    Significant Deficiency
  • 968760 2021-006
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.98M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $689,072
93.224 Covid-19 American Rescue Plan (arp) Act Funding for Health Centers $659,183
93.498 Provider Relief Fund $652,143
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $149,087
93.224 Covid-19 Expanding Capacity for Coronavirus Testing (ect) $118,350
93.224 Covid-19 Health Center Coronavirus Aid, Relief, and Economic Security (cares) Act Funding $48,998
93.994 Maternal and Child Health Services Block Grant to the States $2,356