Finding 499446 (2024-004)

Material Weakness
Requirement
B
Questioned Costs
$1
Year
2024
Accepted
2024-09-30
Audit: 322303
Organization: Outpatient Medical Center, Inc. (LA)
Auditor: Dza PLLC

AI Summary

  • Core Issue: The Organization charged costs to federal grants that were not necessary or reasonable, including excessive salaries and duplicate claims.
  • Impacted Requirements: Violations of Title 2 CFR Part 200 regarding allowable costs and lack of sufficient documentation for expenditures.
  • Recommended Follow-Up: Implement a tracking system for federal expenditures and maintain proper documentation to ensure compliance and prevent future issues.

Finding Text

2024-004 Allowable Costs/Cost Principles Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS00513, H8FCS41684, H8GC48547, H8LCS51197 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Title 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards Subpart E sets for the specific cost principles to be followed when expending federal funds. Condition The Organization charged expenditures that were not necessary and reasonable for performance of the award to the federal grants. The Organization charged salaries in excess of the federal limits to grants. The Organization claimed the same expenditure for reimbursement under multiple grants. The Organization did not maintain sufficient supporting records for all of the expenditures reimbursed with federal awards. This finding appears to be a systemic problem Cause The Organization’s internal controls did not include proper review of transactions charged to federal programs to ensure that the goods or services received were necessary for the performance of the award, and that the transactions were supported by the appropriate documentation. In addition, expenditures were not properly tracked by grant, which allowed for the same costs to be charged to multiple awards. Effect The Organization may allocate unallowable costs to the federal awards. Questioned Costs $534,222 Context In a sample of sixty invoices tested, eight were found to be for expenditures that were not consistent with the allowable cost principles. We identified $283,128 of expenditures that were not necessary for the performance of the award due to the goods or services not yet being provided. In addition, we identified $56,685 of expenditures for which the Organization could not provide supporting documentation, $152,678 of salaries that were charged to multiple programs and $38,021 of expenditures that were either recorded multiple times or were already charged to another program. In addition, one employee had $3,710 of wages in excess of the federal thresholds charged to federal programs. Recommendation We recommend the Organization implement a system to track and document all expenditures of federal awards in the financial management system and that supporting documentation for all federal expenditures, whether payroll or procurement transactions, be maintained. In addition, we recommend the Organization implement controls sufficient to monitor the system to ensure it is properly designed and effective. Views of responsible officials and planned corrective action Management is in agreement with this finding and will take corrective action as outlined below.

Corrective Action Plan

2024-004 Allowable Costs/Cost Principles Corrective action planned: The Fiscal Supervisor and/or the Director of Fiscal Operations will review expenditures before payment and will ensure that goods and/or services have been received before expenditure is posted into the accounting records. OMC clerical and other staff will be trained on expenditure coding, based on the current year’s budget. Financial reports for each grant cost center will be reviewed each month and reconciled to the cash disbursements shown in the Payment Management System. Anticipated completion date: 11-30-24 Contact person responsible for corrective action: Cathy Liles, Director of Fiscal Operations

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 499447 2024-004
    Material Weakness
  • 499448 2024-004
    Material Weakness
  • 499449 2024-004
    Material Weakness
  • 499450 2024-005
    Material Weakness
  • 499451 2024-005
    Material Weakness
  • 499452 2024-005
    Material Weakness
  • 499453 2024-005
    Material Weakness
  • 499454 2024-006
    Material Weakness
  • 499455 2024-006
    Material Weakness
  • 499456 2024-006
    Material Weakness
  • 499457 2024-006
    Material Weakness
  • 499458 2024-007
    Material Weakness Repeat
  • 499459 2024-007
    Material Weakness Repeat
  • 499460 2024-007
    Material Weakness Repeat
  • 499461 2024-007
    Material Weakness Repeat
  • 499462 2024-008
    Material Weakness
  • 499463 2024-008
    Material Weakness
  • 499464 2024-008
    Material Weakness
  • 499465 2024-008
    Material Weakness
  • 1075888 2024-004
    Material Weakness
  • 1075889 2024-004
    Material Weakness
  • 1075890 2024-004
    Material Weakness
  • 1075891 2024-004
    Material Weakness
  • 1075892 2024-005
    Material Weakness
  • 1075893 2024-005
    Material Weakness
  • 1075894 2024-005
    Material Weakness
  • 1075895 2024-005
    Material Weakness
  • 1075896 2024-006
    Material Weakness
  • 1075897 2024-006
    Material Weakness
  • 1075898 2024-006
    Material Weakness
  • 1075899 2024-006
    Material Weakness
  • 1075900 2024-007
    Material Weakness Repeat
  • 1075901 2024-007
    Material Weakness Repeat
  • 1075902 2024-007
    Material Weakness Repeat
  • 1075903 2024-007
    Material Weakness Repeat
  • 1075904 2024-008
    Material Weakness
  • 1075905 2024-008
    Material Weakness
  • 1075906 2024-008
    Material Weakness
  • 1075907 2024-008
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $598,681
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $122,157
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $15,473