Finding 516747 (2024-002)

Significant Deficiency
Requirement
P
Questioned Costs
-
Year
2024
Accepted
2024-12-24

AI Summary

  • Core Issue: The Health Center lacked adequate controls to ensure the Schedule of Expenditures of Federal Awards (SEFA) accurately included all qualifying expenditures, leading to a significant increase of $4.8 million in reported federal funds.
  • Impacted Requirements: Compliance with the Uniform Guidance (2 CFR 200) was not met, specifically regarding the accurate preparation and reporting of federal award expenditures.
  • Recommended Follow-Up: Implement a year-round review process to ensure SEFA compliance, provide staff training, and thoroughly review grant agreements before audits.

Finding Text

Finding 2024-002 Preparation of the Schedule Expenditures of Federal Awards -Significant Deficiency in Internal Control over Compliance Program: U.S. Department of Treasury Coronavirus State and Local Fiscal Recovery Funds ALN 21.027 Award year: 2022, 2023 Criteria: The Uniform Guidance (2 CFR 200) Section 200.510 requires an auditee to “prepare a schedule of expenditures of Federal awards (SEFA) for the period covered by the auditee’s financial statements [that]….at a minimum shall…list individual Federal programs by Federal agency…[and] provide total Federal awards expended for each individual Federal program and the Assistance Listing Number (ALN) number or other identifying number when the ALN information is not available.” In accordance with Uniform Guidance, the Organization is required to maintain a structure of internal control to ensure compliance with applicable reporting requirements. Condition/Cause: The Health Center did not have sufficient controls to ensure the SEFA included all expenditures that qualified as an expenditure of a federal award during the period. Effect: The total expenditures presented per the preliminary SEFA increased by $4,800,000 related to ALN #21.027, Coronavirus State and Local Fiscal Recovery Funds, which resulted in an additional major program. No changes to the other financial statements were needed and the final SEFA was corrected to reflect the change. Questioned Costs: Not applicable. Context: Factors contributing to the condition included the high volume of activity related to new COVID-19 programs and the lack of understanding that the related payments represented grant expenditures from a Federal source that were required to be reported on the SEFA as opposed to grant payments from a non-federal source. Repeat Finding: Not applicable. Recommendation: We recommend the Health Center develop and implement a review process through the year to ensure compliance with SEFA reporting requirements as outlined in the Uniform Guidance. Views of Responsible Officials: Processes will be put in place to compile the SEFA, provide adequete training to staff, and perform a related review prior to audit. In addition, grant agreements will be thoroughly reviewed.

Corrective Action Plan

Finding Reference Number: 2024-002. Corrective Action: Sea Mar will train its accounting and finance staff to recognize the difference between a state and local grant and a federal grant by learning how to read and interpret the provisions of the gran and determine whether this is a federal or state and local grant. The training will be conducted by the CFO and Controller of Sea Mar, and staff members will have to acknowledge they understand by signing acknowledgement forms stating they received the training and understand the differences. Staff will also be instructed not to rely on the name of grant because many times the name of the grant is not indicative of the agency that is funding the grant. Controls will also be developed to ensure the SEFA captures all the appropriate information and during the contract review process it will be noted whether grants are federal or not. Name of Contact Person: Dustin Greer, CFO, DustinGreer@seamarchc.org Projected Completion Date: 3/31/2025

Categories

Reporting

Other Findings in this Audit

  • 516743 2024-001
    Significant Deficiency
  • 516744 2024-001
    Significant Deficiency
  • 516745 2024-001
    Significant Deficiency
  • 516746 2024-001
    Significant Deficiency
  • 516748 2024-003
    Significant Deficiency
  • 1093185 2024-001
    Significant Deficiency
  • 1093186 2024-001
    Significant Deficiency
  • 1093187 2024-001
    Significant Deficiency
  • 1093188 2024-001
    Significant Deficiency
  • 1093189 2024-002
    Significant Deficiency
  • 1093190 2024-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.415 Rural Rental Housing Loans (beginning of Year Balance) $5.89M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $5.49M
21.027 Covid 19 Coronavirus State and Local Fiscal Recovery Funds $4.80M
93.224 Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care $2.12M
10.405 Farm Labor Housing Loans and Grants (beginning of Year Balance) $1.50M
14.195 Project-Based Rental Assistance (pbra) $1.03M
93.525 State Planning and Establishment Grants for the Affordable Care Act (aca) Exchanges $937,128
93.247 Advanced Education Nursing Grant Program $764,072
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $559,971
10.427 Rural Rental Assistance Payments $521,971
93.527 Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care $189,049
93.530 Teaching Health Center Graduate Medical Education Payment $124,413
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $120,152
93.276 Drug-Free Communities Support Program Grants $106,020
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $88,460
93.344 Research, Monitoring and Outcomes Definitions for Vaccine Safety $80,303
14.267 Continuum of Care Program - Supportive Housing Program $62,748
10.558 Child and Adult Care Food Program $43,426
10.555 National School Breakfast and Lunch Program $28,632
93.261 Scaling the National Diabetes Prevention Program to Priority Populations $26,325
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $26,250
93.778 Medical Assistance Program $4,968