Finding 50932 (2022-002)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2022
Accepted
2023-08-27

AI Summary

  • Core Issue: The Organization used a provisional indirect cost rate (IDCR) throughout the grant period, despite receiving a final IDCR that reduced the rate.
  • Impacted Requirements: The failure to reconcile eligible expenses with the final IDCR may lead to overstated expenditures and potential noncompliance with federal regulations.
  • Recommended Follow-Up: Establish a process to update and reconcile indirect costs whenever there is a change in the approved IDCR during grant periods.

Finding Text

2022 ? 002 Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/22 ? 12/31/22, 4/1/21 ? 3/31/23 Type of Finding: ? Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200 states the non-Federal entity may utilize a federally agreed upon indirect cost rate (IDCR) in identifying eligible expenditures under a federal grant. A provisional IDCR may be issued, but billing reconciliation should be done when a final IDCR agreement is issued. Condition: During our testing, we noted the Organization used its provisional federal IDCR for the whole period, but a final IDCR agreement was received in September 2022 reducing the IDCR for the whole grant period. Eligible expenses and drawdowns were not reconciled for change in IDCR after the change. Questioned costs: None Context: While the IDCR decreased during the year, the Organization had sufficient other eligible expenditures to make up for the difference in IDCR used compared to the final IDCR. The Organization just missed the process of reallocating expenses in the system to make up for the drop in indirect expenses. For the grant impacted, subsequent to year-end more eligible expenditures have already been identified than would be needed with the revised rated to utilize the full grant. Cause: While the Organization had a process in place to make sure the approved IDCR was setup in the system to calculate indirect costs at the start of the grant, there was not a process in place to revise that IDCR in the event the provisional rate was finalized. Effect: Without a process to properly update and reconcile indirect costs in the event of an IDCR change, the Organization risks overstating total eligible expenditures and noncompliance with grant requirements. Repeat finding: No Recommendation: We recommend the Organization develop a process to address changes in the approved IDCR midway through grant periods where grant expenditures are reconciled to the new IDCR, and additional direct expenditures identified, if needed. Views of responsible officials: There is no disagreement with the audit finding.

Categories

Cash Management Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 50928 2022-002
    Significant Deficiency
  • 50929 2022-003
    Significant Deficiency Repeat
  • 50930 2022-002
    Significant Deficiency
  • 50931 2022-003
    Significant Deficiency Repeat
  • 50933 2022-003
    Significant Deficiency Repeat
  • 627370 2022-002
    Significant Deficiency
  • 627371 2022-003
    Significant Deficiency Repeat
  • 627372 2022-002
    Significant Deficiency
  • 627373 2022-003
    Significant Deficiency Repeat
  • 627374 2022-002
    Significant Deficiency
  • 627375 2022-003
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $998,581
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $677,574
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $634,604
93.933 Demonstration Projects for Indian Health $422,732
93.788 Opioid Str $374,503
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $284,765
93.959 Block Grants for Prevention and Treatment of Substance Abuse $279,666
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $202,972
16.582 Crime Victim Assistance/discretionary Grants $158,533
93.136 Injury Prevention and Control Research and State and Community Based Programs $130,997
93.479 Good Health and Wellness in Indian Country (a) $125,963
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $95,114
93.917 Hiv Care Formula Grants $46,147
93.914 Hiv Emergency Relief Project Grants $17,300
93.279 Drug Abuse and Addiction Research Programs $15,706
93.800 Organized Approaches to Increase Colorectal Cancer Screening $12,465
93.976 Primary Care Medicine and Dentistry Clinician Educator Career Development Awards $10,183
93.137 Community Programs to Improve Minority Health Grant Program $7,375
93.738 Pphf: Racial and Ethnic Approaches to Community Health Program Financed Solely by Public Prevention and Health Funds $6,518
93.958 Block Grants for Community Mental Health Services $6,200