Finding 588351 (2023-004)

Significant Deficiency
Requirement
A
Questioned Costs
-
Year
2023
Accepted
2024-02-06

AI Summary

  • Core Issue: Inconsistent review and approval of expenditures by the Foundation led to potential noncompliance with federal guidelines.
  • Impacted Requirements: Monthly Financial Status Reports (FSRs) and timesheets were not consistently reviewed, risking unallowable costs.
  • Recommended Follow-Up: Ensure all federal expenditures are reviewed by knowledgeable staff to prevent noncompliance and protect federal funding.

Finding Text

2023-004 Allowable Costs: Improve Processes Over Review and Approval of Expenditures. Federal Program Information: Activities to Support State, Tribal, Local and Territorial Health Department Response to Public Health or Healthcare Crises (Assistance Listing #93.391) Condition and Criteria: The Foundation’s internal processes state that the monthly Financial Status Reports (“FSRs”) submitted to the Foundation by subrecipients should be reviewed by an individual familiar with the program to ensure costs are allowable and all supporting documentation has been submitted prior to entry of transaction into QuickBooks, and that all timesheets should be approved prior to allocation of time to programs prior to entry into QuickBooks. However, these processes were not followed consistently throughout the year. Prior Year Audit Finding: N/A Cause and Effect: There were several instances in which the monthly FSRs submitted to the Foundation by subrecipients were not properly reviewed and authorized by the Foundation prior to payment to subrecipients. Additionally, there was one instance noted for which the time sheet was not properly approved prior to entry. If these expenditures are not allowable, this could result in noncompliance with federal allowable costs guidelines, and could result in the loss of federal funding. Context: This represents a systemic problem. Questioned Costs: None. Recommendation: All costs related to expenditures of federal funds should be reviewed and approved by an individual familiar with the program requirements. This will ensure costs are allowable, and the Foundation is not at risk of noncompliance, which could result in the loss of federal funding. Management’s Response: Going forward, management will have someone who is knowledgeable of federal activity review and approve all federal expenditures and allocations, including those relating to subrecipient FSRs. A new CFO was hired during FY24, who will be reviewing all internal controls and processes for needed updates, as well as monitor activities to prevent any unauthorized transactions or potential unallowable costs.

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 11907 2023-002
    Significant Deficiency
  • 11908 2023-003
    -
  • 11909 2023-004
    Significant Deficiency
  • 588349 2023-002
    Significant Deficiency
  • 588350 2023-003
    -

Programs in Audit

ALN Program Name Expenditures
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $2.06M
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $63,727
93.155 Rural Health Research Centers $10,000