Finding 588218 (2023-002)

Material Weakness
Requirement
C
Questioned Costs
-
Year
2023
Accepted
2024-02-05
Audit: 15605
Organization: Hcc Network (MO)
Auditor: Forvis LLP

AI Summary

  • Core Issue: Internal controls over cash management were ineffective, leading to early cash draws before actual expenditures.
  • Impacted Requirements: Non-compliance with cash management criteria (45 CFR 75.305) resulted in deferred grant revenue.
  • Recommended Follow-Up: Implement procedures to ensure cash draws occur no earlier than three days before allowable expenditures are disbursed.

Finding Text

Grants for Capital Development in Health Centers – CFDA No. 93.526 U.S. Department of Health and Human Services Award No. 6 C8ECS44310-01-05 Program Year 2023 Criteria or Specific Requirement – Cash Management (45 CFR 75.305) Condition – The Organization’s internal controls over the grant budget and cash drawdown process were not operating effectively to ensure allowed expenditures were incurred prior to drawdown. Questioned cost – None Context – Grant funds were drawn down prior to disbursements of expenditures within the grant period for six draws during the fiscal year ended June 30, 2023. Effect – Grant funds were drawn down sooner than administratively necessary. The final six draws were not earned as of the end of the grant period and are reflected as deferred grant revenue. A budget modification was subsequently approved by the HRSA and the deferred grant revenues were subsequently obligated and expended. Cause – The Organization’s initial grant budget was not in compliance with the grant requirements and required a budget modification subsequent to when the Organization had already completed cash draws. Identification as a repeat finding, if applicable – Is not a repeat finding. Recommendation – The Organization should ensure procedures are followed to prevent cash draws from being drawn down sooner than three days prior to disbursement of allowable expenditures.

Categories

Cash Management

Other Findings in this Audit

  • 11773 2023-001
    Significant Deficiency Repeat
  • 11774 2023-001
    Significant Deficiency Repeat
  • 11775 2023-001
    Significant Deficiency Repeat
  • 11776 2023-002
    Material Weakness
  • 588215 2023-001
    Significant Deficiency Repeat
  • 588216 2023-001
    Significant Deficiency Repeat
  • 588217 2023-001
    Significant Deficiency 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 $2.07M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.76M
93.493 Congressional Directives $1.24M
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $843,894
10.766 Community Facilities Loans and Grants $477,299
32.006 Covid-19 Telehealth Program $285,872
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $223,122
93.778 Medical Assistance Program $144,860
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $107,114
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $103,876
93.322 Csels Partnership: Strengthening Public Health Laboratories $100,000
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $54,566
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $16,966
93.800 Organized Approaches to Increase Colorectal Cancer Screening $13,967
93.969 Pphf Geriatric Education Centers $8,000
21.027 Coronavirus State and Local Fiscal Recovery Funds $1,050