Finding 503561 (2022-004)

Significant Deficiency
Requirement
C
Questioned Costs
$1
Year
2022
Accepted
2024-10-23

AI Summary

  • Core Issue: KCHC did not adhere to its reimbursement policy, leading to questioned costs of $91,960.
  • Impacted Requirements: Noncompliance with cash management rules, specifically regarding drawdowns exceeding actual expenditures.
  • Recommended Follow-up: Ensure responsible personnel monitor drawdowns closely to align with actual allowable expenditures and comply with policy.

Finding Text

Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Criteria: In accordance with entity’s strict draw down policy, all grant drawdowns shall be on a reimbursement basis and drawn down on an as needed basis based on actual allowable expenditures in order to minimize/eliminate the time elapsing between the transfer of the Federal awards and the disbursement of the fund. Further, drawdowns may not be made to cover future expenditures. Condition: Of three SF-425 reports tested, for two (or 66%), cumulative expenditures reported were based on cumulative drawdowns for which amounts were higher than the cumulative expenditures per the underlying accounting records. As KCHC is on a strict reimbursement basis, the variance of $91,960 is questioned. Cause: KCHC did not follow its grant draw down reimbursement policy and monitoring controls over compliance with applicable cash management requirements. Effect: KCHC is in noncompliance with the cash management requirement and questioned costs of $91,960 result. Finding No. 2022-004, continued Federal Agency: U.S. Department of Health and Human Services AL Program: 93.224 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Federal Award No.: H8031624 and H8D36529 Area: Cash Management Questioned Costs: $91,960 Recommendation: Responsible personnel should monitor drawdowns based on actual allowable expenditures to substantiate compliance with its draw down policy. Views of Responsible Officials: Management agrees with the finding and has developed a plan to correct the finding. Refer to separate Corrective Action Plan.

Corrective Action Plan

Finding No. 2022-004 We agree and acknowledge the identified discrepancy in Finding No. 2022-004. However, we clarify that drawdowns were not higher than actual expenditures. The variance was due to timing differences between the reporting of cumulative expenditures on SF-425 reports and the figures in our accounting records. To address this, while the findings pertain to FY 2022, we have taken corrective actions that can be seen in FY 2025: 1. Change in Responsible Personnel: In FY 2025, we assigned a new team to manage the cash management process. This change brings greater accountability and expertise to ensure accurate alignment of federal grant drawdowns with actual recorded expenditures. 2. Enhanced Year-End Closing Procedure: In FY 2025, we introduced a robust year-end closing procedure to ensure that expenditures reported in our grant documents are aligned with actual allowable costs as per our accounting records. This process helps ensure consistency between our SF-425 reports and internal records. 3. Stricter Monitoring and Internal Controls: We have strengthened monitoring and internal controls in FY 2025 to ensure that future drawdowns strictly adhere to our reimbursement policy. This includes closer oversight of cumulative expenditures to prevent any variance between reported and actual expenditures. Implementation Timeline: These corrective actions, implemented in September 06, 2024, are designed to prevent similar issues from arising in future audits and ensure full compliance with federal grant reporting requirements. Responsible person: Arlene DeleonGuerrero, CFO

Categories

Questioned Costs Cash Management

Other Findings in this Audit

  • 503560 2022-003
    Significant Deficiency Repeat
  • 503562 2022-005
    Material Weakness Repeat
  • 503563 2022-006
    Material Weakness Repeat
  • 503564 2022-007
    Material Weakness Repeat
  • 503565 2022-003
    Significant Deficiency Repeat
  • 503566 2022-004
    Significant Deficiency
  • 503567 2022-005
    Material Weakness Repeat
  • 503568 2022-006
    Material Weakness Repeat
  • 503569 2022-007
    Material Weakness Repeat
  • 503570 2022-003
    Significant Deficiency Repeat
  • 503571 2022-004
    Significant Deficiency
  • 503572 2022-005
    Material Weakness Repeat
  • 503573 2022-006
    Material Weakness Repeat
  • 503574 2022-007
    Material Weakness Repeat
  • 1080002 2022-003
    Significant Deficiency Repeat
  • 1080003 2022-004
    Significant Deficiency
  • 1080004 2022-005
    Material Weakness Repeat
  • 1080005 2022-006
    Material Weakness Repeat
  • 1080006 2022-007
    Material Weakness Repeat
  • 1080007 2022-003
    Significant Deficiency Repeat
  • 1080008 2022-004
    Significant Deficiency
  • 1080009 2022-005
    Material Weakness Repeat
  • 1080010 2022-006
    Material Weakness Repeat
  • 1080011 2022-007
    Material Weakness Repeat
  • 1080012 2022-003
    Significant Deficiency Repeat
  • 1080013 2022-004
    Significant Deficiency
  • 1080014 2022-005
    Material Weakness Repeat
  • 1080015 2022-006
    Material Weakness Repeat
  • 1080016 2022-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $100,511
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $85,996