Finding 555255 (2023-004)

Material Weakness Repeat Finding
Requirement
ABCHI
Questioned Costs
$1
Year
2023
Accepted
2025-04-16
Audit: 353876
Organization: Community Health Service, Inc. (MN)

AI Summary

  • Core Issue: The Organization failed to provide adequate documentation for payroll expenditures and federal reimbursement drawdowns, leading to material noncompliance.
  • Impacted Requirements: This finding violates federal regulations requiring effective internal controls over compliance and documentation retention.
  • Recommended Follow-Up: Implement procedures to ensure all supporting documentation is maintained for drawdown requests to prevent future issues.

Finding Text

U.S. Department of Health and Human Services Health Center Program Cluster- Health Center Program, Assistance Listing No. 93.224 Compliance Requirements: Activities Allowed or Unallowed, Allowable Costs, Cash Management, Period of Performance, and Procurement, Suspension and Debarment Type of Finding - Material Noncompliance and Material Weakness in Internal Control over Compliance (Repeat Finding) Condition – The Organization was unable to provide adequate supporting documentation for certain payroll expenditures and drawdowns of federal reimbursement grants. Criteria - Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires that a non Federal entity must establish and maintain internal controls to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Cause – Due to inadequate controls over document retainage and the changing of third-party payroll providers, the Organization did not have internal controls in place to ensure proper documentation was maintained to support internal controls over the payroll disbursement process involving federal grant funds and for certain drawdowns of these funds. Effect – Material noncompliance with document retainage and support existed and expenditures for reimbursed costs could have potentially been unallowable. Questioned Costs – $2,119,816 (unsupported) Context/Sampling – In a non-statistical sample of 60 out of a population of more than 250, the Organization was not able to provide adequate supporting documentation for 55 selections to ensure controls were in place over their payroll disbursement process. Additionally, in the testing of all 79 drawdowns, 42 of the selections tested lacked adequate documentation to support the eligible payroll or non-payroll related expenditures. Recommendation - We recommend the Organization implement procedures to ensure its supporting documentation is maintained for all drawdown requests submitted. Management Response to Findings – Management concurs with the finding.

Categories

Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles Cash Management

Other Findings in this Audit

  • 555251 2023-004
    Material Weakness Repeat
  • 555252 2023-005
    Significant Deficiency Repeat
  • 555253 2023-004
    Material Weakness Repeat
  • 555254 2023-005
    Significant Deficiency Repeat
  • 555256 2023-005
    Significant Deficiency Repeat
  • 555257 2023-004
    Material Weakness Repeat
  • 555258 2023-005
    Significant Deficiency Repeat
  • 555259 2023-004
    Material Weakness Repeat
  • 555260 2023-005
    Significant Deficiency Repeat
  • 555261 2023-004
    Material Weakness Repeat
  • 555262 2023-005
    Significant Deficiency Repeat
  • 1131693 2023-004
    Material Weakness Repeat
  • 1131694 2023-005
    Significant Deficiency Repeat
  • 1131695 2023-004
    Material Weakness Repeat
  • 1131696 2023-005
    Significant Deficiency Repeat
  • 1131697 2023-004
    Material Weakness Repeat
  • 1131698 2023-005
    Significant Deficiency Repeat
  • 1131699 2023-004
    Material Weakness Repeat
  • 1131700 2023-005
    Significant Deficiency Repeat
  • 1131701 2023-004
    Material Weakness Repeat
  • 1131702 2023-005
    Significant Deficiency Repeat
  • 1131703 2023-004
    Material Weakness Repeat
  • 1131704 2023-005
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $152,237