Finding 561495 (2022-005)

Material Weakness
Requirement
C
Questioned Costs
-
Year
2022
Accepted
2025-05-23
Audit: 357068
Organization: Sayre Health Center (PA)
Auditor: Cbiz CPAS PC

AI Summary

  • Core Issue: Lack of management oversight over drawdown requests leads to a material weakness in internal controls.
  • Impacted Requirements: Drawdowns for federal awards must be supported by relevant documentation and management approval.
  • Recommended Follow-Up: Implement procedures for retaining supporting documents and ensure all drawdown requests are reviewed and approved before submission.

Finding Text

Cash Management - Lack of Management Oversight over Drawdown Requests – Material Weakness in Internal Control over Financial Reporting Criteria Drawdowns for Federal awards should be properly supported with relevant forms and reports to substantiate the costs incurred and evidence management review and approval. Condition and Context In connection with our cash management testing, the Health Center’s management was able to provide cost center reports generated from the accounting system which supported the $2,344,620 charged to the health center grants during the year. However, the Health Center was unable to provide documentation to support individual draws made during the year. Thus, we were unable to determine that individual draw requests were based on actual costs incurred on an interim basis throughout the year. Cause Significant turnover in the Finance department and the records to support grant drawdowns were not maintained. Effect While we were able to determine that the draws in total for the year were based on actual costs incurred, the lack of retention of supporting documentation resulted in our inability to specifically determine that individual draws were properly determined throughout the year. Noncompliance with laws, rules and regulations could impact the Health Center’s ability to monitor grant information timely. Questioned Cost None. We recommend that management establish procedures to ensure that documents supporting all drawdown requests are properly retained. Such requests should also be reviewed and approved prior to the request being made, with this approval documented and retained. Views of Responsible Officials and Planned Corrective Action See corrective action plan.

Categories

Cash Management Internal Control / Segregation of Duties Material Weakness Reporting

Other Findings in this Audit

  • 561487 2022-005
    Material Weakness
  • 561488 2022-006
    Material Weakness
  • 561489 2022-007
    Material Weakness
  • 561490 2022-008
    Material Weakness
  • 561491 2022-005
    Material Weakness
  • 561492 2022-006
    Material Weakness
  • 561493 2022-007
    Material Weakness
  • 561494 2022-008
    Material Weakness
  • 561496 2022-006
    Material Weakness
  • 561497 2022-007
    Material Weakness
  • 561498 2022-008
    Material Weakness
  • 1137929 2022-005
    Material Weakness
  • 1137930 2022-006
    Material Weakness
  • 1137931 2022-007
    Material Weakness
  • 1137932 2022-008
    Material Weakness
  • 1137933 2022-005
    Material Weakness
  • 1137934 2022-006
    Material Weakness
  • 1137935 2022-007
    Material Weakness
  • 1137936 2022-008
    Material Weakness
  • 1137937 2022-005
    Material Weakness
  • 1137938 2022-006
    Material Weakness
  • 1137939 2022-007
    Material Weakness
  • 1137940 2022-008
    Material Weakness

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) $512,128
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $347,656
93.527 Grants for New and Expanded Services Under the Health Center Program $246,813