Finding 49592 (2022-003)

Significant Deficiency Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-02-26
Audit: 42385
Organization: Taos Health Systems, Inc. (NM)

AI Summary

  • Core Issue: The Organization is not complying with federal reporting requirements for grants, specifically regarding indirect costs and timely submissions.
  • Impacted Requirements: Non-compliance with 2 CFR Part 200, including financial management systems and internal controls, affects accurate reporting and could lead to funding delays.
  • Recommended Follow-Up: Provide training for staff on federal financial report completion and FFATA requirements to ensure future compliance and timely submissions.

Finding Text

Criteria or specific requirement: According to ?200.302 Financial management of 2 CFR Part 200, 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 ?200.303 Internal controls of 2 CFR Part 200, 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 Organization is not in compliance with requirements related to the reporting of grants. Questioned costs: None Context: During our testing, we noted the following exceptions: ? The Organization did not complete the indirect costs section of the annual Federal Financial Report submitted during the fiscal year. Auditor noted a total of $74,062 was drawn in indirect costs for fiscal year 2022. ? The Organization is not reporting the action in FSRS no later than the last day of the month following the month in which the subaward/subaward amendment obligation was made or the subcontract award/subcontract modification was made. Cause: The Organization lacks established internal controls and procedures over financial grant management to ensure submitted reports are complete, agree to supporting spreadsheets, submitted timely, and properly maintained in the files of the Organization. Effect: The auditor noted instances of noncompliance. Noncompliance can result in delayed reimbursement of eligible Federal expenditures or potential loss of Federal funding. Repeat Finding: Yes ? 2021-003 Recommendation: ? We recommend the Organization review the instructions for completion of the federal financial reports with training provided to the program staff preparing and reviewing the federal financial reports to ensure submitted reports are complete and timely. ? Specific to special reports for FFATA, we recommend the Organization provide training on the requirements to those employees responsible for reporting the action in FSRS. Views of responsible officials: The Organization was unaware of the FFATA reporting requirement. The Organization will register and submit the FFATA. Also, the Organization failed to report the indirect costs on the FFR. The Organization has notified the responsible parties to avoid future occurrences. The FFR?s have been completed to report indirect costs separately in fiscal year 2023. The FFATA was submitted in fiscal year 2023 and will be updated yearly.

Corrective Action Plan

Rural Health Care Services Outreach, Rural health Network Development and Small Health Care Provider Quality Improvement ? AL No. 93.912 Recommendation: Our auditors had the following recommendation related to FFATA reporting: ? They recommended the Organization review the instructions for completion of the federal financial reports with training provided to the program staff preparing and reviewing the federal financial reports to ensure submitted reports are complete and timely. ? Specific to special reports for FFATA, they recommended the Organization provide training on the requirements to those employees responsible for reporting the action in FSRS. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Management?s response: The Organization was unaware of the FFATA reporting requirement. The Organization will register and submit the FFATA. Also, the Organization failed to report the indirect costs on the FFR. The Organization has notified the responsible parties to avoid future occurrences. The FFR?s have been completed to report indirect costs separately in fiscal year 2023. The FFATA was submitted in fiscal year 2023 and will be updated yearly. Name(s) of the contact person(s) responsible for corrective action: Connie Prewitt, Interim CFO Planned completion date for corrective action plan: Will implement in fiscal year 2023.

Categories

Reporting

Other Findings in this Audit

  • 49590 2022-001
    Significant Deficiency Repeat
  • 49591 2022-002
    Significant Deficiency Repeat
  • 49593 2022-004
    Significant Deficiency Repeat
  • 49594 2022-005
    Material Weakness
  • 626032 2022-001
    Significant Deficiency Repeat
  • 626033 2022-002
    Significant Deficiency Repeat
  • 626034 2022-003
    Significant Deficiency Repeat
  • 626035 2022-004
    Significant Deficiency Repeat
  • 626036 2022-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19: Provider Relief Fund - Phase 1 $5.55M
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $762,292
93.461 Covid-19: Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and for the Covid-19 Coverage Assistance Funds $239,661
93.110 Maternal and Child Health Federal Consolidated Programs $202,375
95.001 High Intensity Drug Trafficking Areas Program $152,915
93.778 Medical Assistance Program $76,615
93.276 Drug-Free Communities Support Program Grants $6,989
93.799 Cara Act - Comprehensive Addiction and Recovery Act of 2016 $6,680