Finding 59293 (2022-002)

Significant Deficiency
Requirement
B
Questioned Costs
-
Year
2022
Accepted
2023-03-28

AI Summary

  • Core Issue: There was a significant deficiency in internal controls regarding the review of expenses for federal grant drawdowns, leading to instances of double counting.
  • Impacted Requirements: Accounting principles require proper internal controls to ensure accurate recording and processing of financial data.
  • Recommended Follow-Up: Assign a knowledgeable employee to review expenses for federal grants, ensuring no double counting occurs, and provide training to enhance staff accounting skills.

Finding Text

2022-002 ? Lack of review of underlying expenses supporting federal grant drawdowns/revenue. Finding type ? Significant deficiency in internal control related to the audit of the major federal awards program. Criteria ? Accounting principles generally accepted in the United States require internal controls over recording, processing and summarizing accounting data. Condition ? During our testing of the federal awards drawdowns schedule, which is the supporting client schedule for the schedule of expenditures of federal awards, it was determined that certain expense charges were supporting two different drawdowns or were double counted within the same drawdown for HRSA supplemental grants. In all cases, management was able to identify unassigned eligible expenses (i.e. not already allocated to a grant) that they in turn used to support one of the drawdowns; thereby, curing the double counting of certain expenses. As such, no noncompliance was identified. Cause ? In recent years, the Coalition has operated with a shortage of Accounting staff. They made hires in current and prior year that have cured this shortage; however, there appears to be a training and experience gap that needs to be addressed. Effect ? For the certain expenses that were double counted, management reclassed unassigned eligible expenses to support one of the drawdowns. As a result, no noncompliance was identified. We performed a sensitivity analysis on the untested HRSA supplemental drawdowns to ensure that there were enough available eligible unassigned expenses to cover any further double counting of expenses. As a result, no potential noncompliance was identified. Recommendation ? We recommend that an employee with suitable knowledge and skill review the underlying expenses supporting federal grants drawdowns/revenue to ensure that no expenses are supporting more than one drawdown or being double counted within the same drawdown. This employee should be someone other than the employee who prepared the drawdown. Additionally, we recommend external and on-the-job training of staff to further develop their financial accounting acumen. View of Responsible Officials ? The Coalition agrees with the finding as documented above and our recommendation.

Corrective Action Plan

March 17, 2023 Department of Health and Human Services: Martinsville Henry County Coalition for Health and Wellness respectfully submits the following corrective action plan for the year ended June 30, 2022. Independent public accounting firm: Foti, Flynn, Lowen & Co., Roanoke, VA Audit period: Year ended June 30, 2022 The findings from the year ended June 30, 2022 Schedule of Findings and Questions Costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDING ? MAJOR FEDERAL AWARD PROGRAMS AUDIT ? Significant Deficiency Finding No. 2022-002: Lack of review of underlying expenses supporting federal grant drawdowns/revenue. Recommendation: Martinsville Henry County Coalition for Health and Wellness should assign an employee with suitable knowledge and skill to review the underlying expenses supporting federal grants drawdowns/revenue to ensure that no expenses are supporting more than one drawdown or being double counted within the same drawdown. This employee should be someone other than the employee who prepared the drawdown. Additionally, we should provide external and on-the-job training of staff to further develop their financial accounting acumen. Action Taken: We concur with the recommendations and are in the process of implementing the recommendations.

Categories

Internal Control / Segregation of Duties Cash Management Reporting Significant Deficiency

Other Findings in this Audit

  • 59294 2022-002
    Significant Deficiency
  • 59295 2022-002
    Significant Deficiency
  • 59296 2022-002
    Significant Deficiency
  • 59297 2022-002
    Significant Deficiency
  • 59298 2022-002
    Significant Deficiency
  • 635735 2022-002
    Significant Deficiency
  • 635736 2022-002
    Significant Deficiency
  • 635737 2022-002
    Significant Deficiency
  • 635738 2022-002
    Significant Deficiency
  • 635739 2022-002
    Significant Deficiency
  • 635740 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $304,020
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $10,907