Finding 522424 (2024-001)

Material Weakness
Requirement
A
Questioned Costs
$1
Year
2024
Accepted
2025-02-07
Audit: 341716
Organization: Axis Health System (CO)

AI Summary

  • Core Issue: Inconsistent application of cost principles led to $880,535 in questioned costs related to federal grant expenditures.
  • Impacted Requirements: The Organization failed to adhere to Uniform Guidance for documenting and applying cost principles for federal funds.
  • Recommended Follow-up: Coordinate with HRSA to assess the allowability of questioned expenditures and implement stronger internal controls to ensure compliance.

Finding Text

Finding: Allowable Activities and Allowable Costs Federal Assistance Listing No. 93.527 Affordable Care Act (ACA) Grants for New and Expanded Services Under the Health Center Program Cluster Award #: 1 Q8VCS45450-01-00, Award year: March 1, 2022 – February 29, 2024 U.S. Department of Health and Human Services, Health Resources and Services Administration Criteria: Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Subpart E – Cost Principles; General Provision – Policy Guide (2 CFR 200.400): The application of cost principles is based on the fundamental premises that: The accounting practices of the recipient and subrecipient must be consistent with these cost principles and support the accumulation of costs as required by these cost principles, including maintaining adequate documentation to support costs charged to the federal award. Condition: During our review of expenditures of federal funds under the Health Center Program Cluster, certain cost principles were not consistently applied to all expenses. The Organization received a grant for the purpose of expanding electronic health record systems, which ended in February of 2024; however the contracted vendor had not completed work for which the grant funds had been appropriated within the 120 day grant close out period. Questioned Costs: $880,535. Questioned costs were related to a single grant within the Health Center Program cluster. The value was determined based on the two vendor invoices paid to the vendor at the end of the grant period but prior to work performed. Context: We tested a sample of 24 expenditures out of a population of 230 expenditures recorded to the grant for $1,906,159 of the total expenditures $5,711,364 and noted the above issue. A non-statistical sampling methodology was used to select the sample. Effect: The Organization did not consistently cost principles under Uniform Guidance. Costs were incurred using federal funds prior to services rendered. Cause: The Organization did not have adequate internal controls in place to ensure cost principles under Uniform Guidance were consistently applied. Identification as a repeat finding: Not applicable. Recommendation: The Organization should coordinate with HRSA to determine allowability of expenditures incurred. The Organization should add internal controls to monitor that cost principles under Uniform Guidance are consistently applied. Views of responsible officials: The Organization agrees with the finding. See separate report for planned corrective actions.

Corrective Action Plan

CORRECTIVE ACTION PLAN FISCAL YEAR OF FINDING: June 30, 2024 AUDITOR FINDING: 2024‐001 Finding: Allowable Costs and Allowable Activities Certain cost principles were not consistently applied to all expenses. The Organization received a grant for the purpose of expanding electronic health record systems, which ended in February of 2024; however, the contracted vendor had not completed work for which the grant funds had been appropriated within the 120 day grant close out period. The Organization did not have adequate internal controls in place to ensure cost principles under Uniform Guidance were consistently applied. The Organization should coordinate with HRSA to determine allowability of expenditures incurred. The Organization should add internal controls to monitor that cost principles under Uniform Guidance are consistently applied. PLANNED ACTION: The project period for the HRSA Optimizing Virtual Care (OVC) grant ended on February 28, 2024. The project in question relied heavily on a contract agreement to implement a new Electronic Health Record (EHR) system. The original timeline called for implementation to be complete by January 1, 2024, well within the project period. Due to unforeseen circumstances, the EHR launch date was delayed several times until a confirmed completion date of January 28, 2025 was established. The project scope was fully defined by the contract in place and that contract was paid in full prior to the end of the project period with the OVC funds. The organization has worked with HRSA to determine the best course of action. In addition, training was conducted with the responsible staff to ensure adequate knowledge of federal contract compliance requirements and the appropriate application of “no‐cost extension” requests. Modifications to the internal control procedures regarding federal grant expenditures are under review and will be updated no later than January 31, 2025. RESPONSIBLE PARTY: Ryan Pierce, VP of Finance COMPLETION DATE: January 31, 2025

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1098866 2024-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program $3.94M
93.527 Grants for New and Expanded Services Under the Health Center Program $1.78M
93.958 Block Grants for Community Mental Health Services $747,244
93.959 Block Grants for Prevention and Treatment of Substance Abuse $385,992
32.006 Covid-19 Telehealth Program $300,027
93.696 Certified Community Behavioral Health Clinic Expansion Grants $255,669
14.228 Community Development Block Grants $224,278
84.126 Rehabilitation Services Vocational Rehabilitation Grants to States $134,636
93.575 Child Care and Development Block Grant $92,455
93.788 Opioid Str $49,488
93.069 Public Health Emergency Preparedness $41,300
93.217 Family Planning Services $35,199
93.526 Grants for Capital Development in Health Centers $7,357