Finding 555684 (2021-007)

Material Weakness Repeat Finding
Requirement
H
Questioned Costs
-
Year
2021
Accepted
2025-04-23
Audit: 354288
Organization: Island Health, Inc. (MA)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: The Center failed to review and approve expenditures within the grant's approved period of performance.
  • Impacted Requirements: Costs charged must be allowable and authorized during the specified budget period (2 CFR sections 200.308, 200.309, 200.403(h)).
  • Recommended Follow-Up: Establish written procedures to ensure all expenditures are reviewed for compliance with the grant's period of performance.

Finding Text

Finding 2021-007: Period of Performance - Material Weakness Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS26638 - 2020 and 2021, H8DCS35487 - 2020, H8CCS34364 - 2020, H8ECS38373 - 2020, and H8F40829 - 2021 Criteria A non-federal entity may charge only allowable costs incurred during the approved budget period of a federal award's period of performance that were authorized by the federal awarding agency or pass-through entity (2 CFR sections, 200.308, 200.309 and 200.403(h)). Condition There was no evidence of the Center's review and approval of the period of performance for expenditures during the year. Cause The Center did not have adequate controls to review period of performance to ensure all goods and services are appropriately included or excluded. Effect The Center may charge goods or services to the grant that are not within the grant's period of performance. Questioned Costs None. Context We selected 25 payroll transactions charged to the federal program to test controls over period of performance. Out of the 25 transactions tested, we noted 25 instances where there was no formal approval of the cost charged to the major program by evidence of a review signature on the labor reports. Additionally, we selected five nonpayroll transactions where all five instances did not have evidence of review. Identification of Repeat Finding Yes, see finding 2020-007. Recommendation The Center should develop written procedures to review all expenditures to ensure they are within the proper period of performance of the grant. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure there is formal evidence of approval over the period of performance for goods and services purchased under the grant.

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring Allowable Costs / Cost Principles HUD Housing Programs Material Weakness Period of Performance Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 555670 2021-003
    Material Weakness Repeat
  • 555671 2021-004
    Material Weakness Repeat
  • 555672 2021-005
    Material Weakness Repeat
  • 555673 2021-006
    Material Weakness Repeat
  • 555674 2021-007
    Material Weakness Repeat
  • 555675 2021-003
    Material Weakness Repeat
  • 555676 2021-004
    Material Weakness Repeat
  • 555677 2021-005
    Material Weakness Repeat
  • 555678 2021-006
    Material Weakness Repeat
  • 555679 2021-007
    Material Weakness Repeat
  • 555680 2021-003
    Material Weakness Repeat
  • 555681 2021-004
    Material Weakness Repeat
  • 555682 2021-005
    Material Weakness Repeat
  • 555683 2021-006
    Material Weakness Repeat
  • 1132112 2021-003
    Material Weakness Repeat
  • 1132113 2021-004
    Material Weakness Repeat
  • 1132114 2021-005
    Material Weakness Repeat
  • 1132115 2021-006
    Material Weakness Repeat
  • 1132116 2021-007
    Material Weakness Repeat
  • 1132117 2021-003
    Material Weakness Repeat
  • 1132118 2021-004
    Material Weakness Repeat
  • 1132119 2021-005
    Material Weakness Repeat
  • 1132120 2021-006
    Material Weakness Repeat
  • 1132121 2021-007
    Material Weakness Repeat
  • 1132122 2021-003
    Material Weakness Repeat
  • 1132123 2021-004
    Material Weakness Repeat
  • 1132124 2021-005
    Material Weakness Repeat
  • 1132125 2021-006
    Material Weakness Repeat
  • 1132126 2021-007
    Material Weakness 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 $1.03M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care $600,236
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $29,517
93.461 Covid-19-Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $12,720