Finding 601289 (2022-003)

Significant Deficiency
Requirement
J
Questioned Costs
-
Year
2022
Accepted
2023-03-29
Audit: 22190
Auditor: Kpmg

AI Summary

  • Core Issue: Regional One Health did not effectively review program income before submitting it to the granting agency, risking noncompliance with federal requirements.
  • Impacted Requirements: Compliance with 2 CFR section 280 and related federal program income regulations was not adequately ensured.
  • Recommended Follow-Up: Management should implement and document a thorough review process for program income to confirm compliance with grant provisions.

Finding Text

Finding 2022-003 Management?s review of program income Federal Programs: HIV Emergency Relief Project Grants CFDA No.: 93.914 Federal Agency: U.S. Department of Health and Human Services Federal Award Years: CFDA 93.914 ? March 1, 2021 ? February 28, 2022 March 1, 2022 ? February 28, 2023 Criteria Per 2 CFR section 280 (and as clarified by Health Resources and Services Administration Program Clarification Notice 15-03), program income, which is defined as all income directly generated by the supported activity, should be added to the federal award by the grantee, and subjected to the same terms, conditions, and regulations applicable to the federal award itself. Condition Regional One Health has an established control to review program income prior to submission to the granting agency, but did not effectively review program income prior to submission to the granting agency Cause and Effect We noted that internal controls had not been appropriately designed and implemented to mitigate the risk of noncompliance with federal program income requirements. The deficiency in internal controls over program income could result in Regional One Health failing to comply with the applicable compliance provisions. Questioned Cost None. Statistically Valid Sample The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit. This is not a repeat finding. Recommendation We recommend that management reviews program income to ensure compliance with the applicable program income provisions and that evidence of the review is maintained. Management?s Response ROH will implement controls and processes to ensure program income calculations are manually reviewed and approved to ensure appropriateness under the grant and that evidence of review is maintained.

Categories

Program Income Internal Control / Segregation of Duties Special Tests & Provisions

Other Findings in this Audit

  • 24846 2022-002
    Significant Deficiency Repeat
  • 24847 2022-003
    Significant Deficiency
  • 24848 2022-001
    Significant Deficiency
  • 24849 2022-002
    Significant Deficiency Repeat
  • 601288 2022-002
    Significant Deficiency Repeat
  • 601290 2022-001
    Significant Deficiency
  • 601291 2022-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $2.00M
93.914 Hiv Emergency Relief Project Grants $1.78M
93.498 Provider Relief Fund $1.55M
21.019 Coronavirus Relief Fund $1.30M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $827,801
93.917 Hiv Care Formula Grants $662,668
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $60,000