Finding 555973 (2024-004)

Significant Deficiency
Requirement
AB
Questioned Costs
$1
Year
2024
Accepted
2025-04-25

AI Summary

  • Core Issue: Unallowable advertising costs of $1,685 were charged to a federal grant, violating cost principles.
  • Impacted Requirements: Activities allowed or unallowed and allowable costs must comply with federal regulations (45 CFR 75.403 and 45 CFR 75.421).
  • Recommended Follow-Up: Implement a process for invoice approval by knowledgeable personnel to ensure proper grant segment assignment and eliminate manual tracking errors.

Finding Text

Health Center Program Cluster – Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 4 C14CS39926-01-06, September 1, 2020 – November 30, 2023 Award No. 4 H8FCS40544-01-03, April 1, 2021 – March 31, 2024 Award No. 1 H2ECS45559-01-01, May 1, 2022 – April 30, 2023 Award No. 6 H8HCS44994-02-02, September 1, 2022 – August 31, 2023 Award No. 4 H8GCS48199-01-01, December 1, 2022 – December 31, 2023 Award No. 6 H2ECS45559-02-03, May 1, 2023 – April 30, 2025 Award No. 1 H8LCS51638-01-00, September 1, 2023 – August 31, 2024 Award No. 5 H8HCS44994-03-00, September 1, 2023 – August 31, 2024 Award No. 6 H2ECS50103-01-02, September 1, 2023 – August 31, 2024 Criteria or Specific Requirement – Activities Allowed or Unallowed and Allowable Costs/Cost Principles (45 CFR 75.403 and 45 CR 75.421) Condition – Advertising costs unrelated to the performance of the Federal award were charged to grant. Questioned Costs – $1,685. Questioned costs were determined as the value of errors found in the sample of direct, non-payroll grant expenditures. Questioned costs by federal award identification number are: • Assistance Listing No. 93.224 Award No. 6 H8HCS44994-02-02 – $1,685 Context – A sample of 25 expenditures were tested out of a population of 289 direct, non-payroll grant expenditures. Samples were not, and were not intended to be, statistically valid. A portion of two expenditures included in the sample were charged to the wrong grant. Advertising costs charged to the grant were not necessary for the performance of the Federal award. Additionally, the Organization’s internal controls over tracking grant expenditures includes both tracking within the general ledger system and on manual spreadsheets, which are utilized to support grant drawdowns. Inconsistencies between the two tracking systems were identified through both a reconciliation of Federal awards received and expended within the general ledger system and sampling referenced above. Effect – The Organization charged unallowable advertising costs to the grant. Cause – The Organization’s accounts payable process did not identify the difference in allowability of costs when invoices included advertising services for multiple grants. The Organization’s internal control over compliance involves duplicative effort tracking grant expenditures and routine allocation of expenditures after-the-fact to correct the assignment of grant segments to expenses in the general ledger system. Identification as a repeat finding, if applicable – Not a repeat finding Recommendation – The Organization should implement a process of obtaining approval of the grant segment assignment upon receipt of each invoice by an individual with knowledge of compliance requirements and the HRSA-approved grant budget, but distinct from the requestor of the expense. With increased oversight of grant segment assignments at the time of recording grant expenditures, the Organization should eliminate manual tracking of grant expenditures via spreadsheet and reduce the risk of double-dipping due to prevalence of manual journal entries to assign grant segments to expenditures. Views of responsible officials and planned corrective actions – Education regarding coding of invoices to grants and only picking up current balances due has been done to both grant project directors and accounts payable. Going forward, we will ensure no balances are duplicated and grant directors can ensure the balances charged to their grants as appropriate and approved. Recommendation – The Organization should implement a process of obtaining approval of the grant segment assignment upon receipt of each invoice by an individual with knowledge of compliance requirements and the HRSA-approved grant budget, but distinct from the requestor of the expense. With increased oversight of grant segment assignments at the time of recording grant expenditures, the Organization should eliminate manual tracking of grant expenditures via spreadsheet and reduce the risk of double-dipping due to prevalence of manual journal entries to assign grant segments to expenditures. Views of responsible officials and planned corrective actions –

Categories

Questioned Costs Allowable Costs / Cost Principles Internal Control / Segregation of Duties

Other Findings in this Audit

  • 555967 2024-002
    Significant Deficiency
  • 555968 2024-002
    Significant Deficiency
  • 555969 2024-002
    Significant Deficiency
  • 555970 2024-002
    Significant Deficiency
  • 555971 2024-003
    Significant Deficiency
  • 555972 2024-004
    Significant Deficiency
  • 555974 2024-004
    Significant Deficiency
  • 555975 2024-004
    Significant Deficiency
  • 555976 2024-005
    Material Weakness
  • 1132409 2024-002
    Significant Deficiency
  • 1132410 2024-002
    Significant Deficiency
  • 1132411 2024-002
    Significant Deficiency
  • 1132412 2024-002
    Significant Deficiency
  • 1132413 2024-003
    Significant Deficiency
  • 1132414 2024-004
    Significant Deficiency
  • 1132415 2024-004
    Significant Deficiency
  • 1132416 2024-004
    Significant Deficiency
  • 1132417 2024-004
    Significant Deficiency
  • 1132418 2024-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $3.99M
10.768 Business and Industry Guaranteed Loans $1.54M
93.224 Community Health Centers $1.50M
21.027 Coronavirus State and Local Fiscal Recovery Funds $432,041
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $172,181
93.526 Fip Verification $171,880
93.778 Medical Assistance Program $134,633
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $110,403
93.268 Immunization Cooperative Agreements $94,705
14.218 Community Development Block Grants/entitlement Grants $39,650
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $29,214
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $14,287
10.766 Community Facilities Loans and Grants $10,471
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $5,052
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $424