Finding 499464 (2024-008)

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

AI Summary

  • Core Issue: Cash draws were made without proper documentation, violating compliance requirements.
  • Impacted Requirements: Failure to minimize the time between fund transfers and disbursements as mandated by Title 2 CFR 200.305.
  • Recommended Follow-Up: Implement controls for documentation of all draws and ensure timely payments for expenditures; have qualified personnel review claims.

Finding Text

2024-008 Cash Management 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 200.305 requires that organizations “must minimize the time elapsing between the transfer of funds from the United States Treasury or the pass-through entity and the disbursement by the non-federal entity whether the payment is made by electronic funds transfer, or issuance or redemption of checks, warrants, or payment by other means.” Condition Cash draws were made without support of approved documentation. Supporting documentation for other draws included invoices for expenditures that were dated several months after the draw was made. This finding appears to be a systemic problem Cause The Organization’s internal controls over cash management and PMS draws does not include procedures for non-payroll expenditures. As a result, draws were made without supporting documentation. In addition, the Organization did not always maintain documentation of the payroll calculations supporting draws, as required by company policy. Effect The Organization may not have minimized the timing between draws from the PMS and the related payments for expenditures incurred as required. Questioned Costs Indeterminable. Context Out of thirteen draws tested, the Organization was not able to provide supporting documentation for one draw and support for two additional draws included expenses that were not incurred within a reasonable time after the draw. Recommendation We recommend the Organization implement controls requiring all draws from the Payment Management System (PMS) to be based on detailed reports of expenditures claimed for reimbursement and retain this documentation along with the supporting invoices and payroll reports supporting the expenditures. In addition, we recommend that the listing of expenditures be reviewed by qualified personnel to ensure that the expenditures claimed are allowable and cash payments for the expenditures are made before the date of the draw or within a reasonable time after the draw. Views of responsible officials and planned corrective action Management is in agreement with this finding and will take corrective action as outlined below.

Categories

Questioned Costs Cash Management Subrecipient Monitoring Material Weakness Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 499446 2024-004
    Material Weakness
  • 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
  • 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