Finding 628508 (2022-001)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2023-03-05

AI Summary

  • Core Issue: There was a lack of effective internal controls leading to an overstatement of $466,247 in the Schedule of Expenditures of Federal Awards (SEFA) for federal program 93.498.
  • Impacted Requirements: Compliance with Title 2, Subtitle A Chapter II Part 200 Subpart D 200.303, which mandates effective internal controls for accurate federal award management.
  • Recommended Follow-Up: Management should establish robust internal controls and implement an additional review process by senior officials to ensure SEFA accuracy and compliance with guidance.

Finding Text

Finding 2022-001: Internal control deficiency and noncompliance over amounts reported in the Schedule of Expenditures of Federal Awards (SEFA). Identification of the federal program: Assistance Listing Number 93.498: ? COVID-19 ? Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ? U.S. Department of Health and Human Services ? Federal award identification number ? Not Applicable ? Federal award year ? Period 2: January 1, 2020 to December 31, 2021 Criteria or specific requirement (including statutory, regulatory or other citation): Title 2, Subtitle A Chapter II Part 200 Subpart D 200.303 Internal controls, states: ?The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in ?Standards for Internal Control in the Federal Government? issued by the Comptroller General of the United States or the ?Internal Control Integrated Framework?, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).? In addition, the Office of Management and Budget Compliance Supplement states: ?SEFA reporting amounts for this program (including both expenditures and lost revenues) are based upon the PRF report that is required to be submitted to the HRSA reporting portal. For a FYE of June 30, 2022 and through FYEs of December 30, 2022, recipients should report in the SEFA, the expenditures and lost revenues for the Period 2 (payments received from July 1, 2020 to December 31, 2020) PRF report.? Condition: During our testing over the SEFA, we observed management did not have effective internal controls in place to ensure accurate reporting of the payments received in the SEFA. This resulted in an overstatement of the amount reported in the SEFA. Cause: Management did not have effective internal controls in place to ensure accurate reporting of the payments received in the SEFA. Effect or potential effect: The payments received were incorrectly reported in the SEFA. Questioned costs: None. Context: During our testing over the SEFA, we obtained the PRF report submitted to the Portal and reconciled the total payments received to the SEFA. We observed the payments received totaled $12,100,000, which represents the expenditures and lost revenues for the Period 2 (payments received from July 1, 2020 to December 31, 2020), as compared to the initial amount reported in the SEFA of $12,566,247. This resulted in an overstatement of the amount reported in the SEFA of $466,247. Management?s internal control over the review of the SEFA did not identify this overstatement. The amount reported in the SEFA was subsequently corrected and the corrected amount is reflected in the data collection form. Identification as a repeat finding, if applicable: Yes ? Finding 2021-002. Recommendation: Management should develop and implement internal controls to ensure the completeness and accuracy of the SEFA, including a review of applicable guidance in preparing the SEFA. Views of responsible officials: An additional review process of the SEFA will be implemented to be performed by both the Vice President of Financial Services and the Chief Financial Officer to ensure the SEFA contains complete and accurate reporting of expenditures, and to ensure that applicable guidance is reviewed prior to its finalization.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 52066 2022-001
    Material Weakness Repeat
  • 52067 2022-002
    Material Weakness Repeat
  • 52068 2022-003
    Significant Deficiency
  • 52069 2022-002
    Material Weakness Repeat
  • 52070 2022-003
    Significant Deficiency
  • 628509 2022-002
    Material Weakness Repeat
  • 628510 2022-003
    Significant Deficiency
  • 628511 2022-002
    Material Weakness Repeat
  • 628512 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $12.10M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.26M
93.917 Hiv Care Formula Grants $2.22M
93.461 Covid-19 - Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $2.14M
93.914 Hiv Emergency Relief Project Grants $1.55M
93.224 Covid-19 - Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $687,951
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $652,201
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $622,198
93.940 Hiv Prevention Activities Health Department Based $498,398
93.959 Block Grants for Prevention and Treatment of Substance Abuse $449,237
93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance $430,613
93.217 Family Planning_services $242,515
93.994 Maternal and Child Health Services Block Grant to the States $229,430
93.576 Refugee and Entrant Assistance Discretionary Grants $181,768
93.889 National Bioterrorism Hospital Preparedness Program $99,872
93.527 Grants for New and Expanded Services Under the Health Center Program $88,321
93.650 Accountable Health Communities $42,808
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $20,228
93.767 Children's Health Insurance Program $19,902
93.153 Covid-19 - Coordinated Services and Access to Research for Women, Infants, Children, and Youth $18,212
93.918 Covid-19 - Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $14,365
20.600 State and Community Highway Safety $13,085
93.530 Teaching Health Center Graduate Medical Education Payment $9,359
32.006 Covid-19 - Covid-19 Telehealth Program $3,657