Finding 497026 (2023-002)

Significant Deficiency
Requirement
L
Questioned Costs
$1
Year
2023
Accepted
2024-09-17

AI Summary

  • Core Issue: The Center submitted expense reimbursement requests that exceeded actual expenses by $199,099 due to errors in allocation and finance department turnover.
  • Impacted Requirements: Compliance with 2 CFR Section 200.302, which mandates accurate financial disclosures and proper record-keeping for federal awards.
  • Recommended Follow-Up: Implement stronger internal controls and additional review processes for expense reimbursements to ensure accuracy before submission.

Finding Text

Assistance Listing Number: 93.224 U.S. Department of Health and Human Services, Consolidated Health Centers Cluster: Community Health Centers; COVID-19 American Rescue Plan Act Funding for Health Centers Finding Type: Significant Deficiency Criteria: The 2 CFR Section 200.302 requires that nonfederal entities receiving federal awards present accurate, current, and complete disclosure of the financial results of each federal award or program. The entity is required to maintain records, supported by source documentation, that identify adequately the source of funds for federally funded programs. Condition/Context: For 1 of the Center’s 92 expense reimbursement request draw-downs for the year ended March 31, 2023, the reimbursement request included more expenses than the amount of respective expenses incurred. Cause: During the year, the Center experienced turnover within the finance department and expense reimbursement requests were inadvertently completed incorrectly using incorrect allocations percentages and information. Effect: As a result of the incorrect expense reimbursements, the Center received reimbursement payments in excess of related expenses incurred totaling $199,099 for the year ended March 31, 2023. Questioned Costs: $199,099 Recommendation: The Center should implement a more robust process and related internal controls surrounding the expense reimbursement requests to ensure that the submitted requests agree to the respective costs incurred and supported. Views of Responsible Officials: Due to extenuating circumstances, including turnover in the finance department, the reimbursement requests were not properly reviewed and agreed to supporting documentation. However, although the expense reimbursement requests exceeded the respective incurred expenses in the identified requests above, the Center consistently incurs allowable expenses that qualify to be reimbursed in excess of total grant payments received and is working to remediate the issue. Planned Implementation of Corrective Action: Additional preventative internal control procedures will be implemented, including and additional level of review of the reimbursement request prior to submission. These procedures and internal controls have been implemented as of the date of this report. Person responsible for Corrective Action: Chief Executive Officer.

Corrective Action Plan

The finding arose due to conditions created as a result of turnover experienced by the Center within the finance department, expense reimbursement requests were inadvertently completed incorrectly using incorrect allocation percentages and information. Additional preventative internal control procedures will be implemented, including an additional level of review of the reimbursement request prior to submission.

Categories

Questioned Costs Allowable Costs / Cost Principles Cash Management Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 497027 2023-002
    Significant Deficiency
  • 497028 2023-002
    Significant Deficiency
  • 497029 2023-002
    Significant Deficiency
  • 497030 2023-002
    Significant Deficiency
  • 497031 2023-002
    Significant Deficiency
  • 1073468 2023-002
    Significant Deficiency
  • 1073469 2023-002
    Significant Deficiency
  • 1073470 2023-002
    Significant Deficiency
  • 1073471 2023-002
    Significant Deficiency
  • 1073472 2023-002
    Significant Deficiency
  • 1073473 2023-002
    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 $797,389
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $697,792
93.917 Hiv Care Formula Grants $652,705
93.247 Advanced Nursing Education Grant Program $380,179
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $121,706
93.217 Family Planning_services $116,615
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $58,000
93.940 Hiv Prevention Activities_health Department Based $35,976
93.043 Special Programs for the Aging_title Iii, Part D_disease Prevention and Health Promotion Services $6,284