Finding 947496 (2022-002)

Significant Deficiency
Requirement
B
Questioned Costs
-
Year
2022
Accepted
2024-02-28

AI Summary

  • Core Issue: The Health System lacks effective internal controls for approving non-payroll expenditures, risking noncompliance with federal requirements.
  • Impacted Requirements: This finding relates to the need for proper management review and approval as outlined in the 2022 Compliance Supplement and 2 CFR 200.303(a).
  • Recommended Follow-Up: Management should establish and enforce policies to ensure all invoices are reviewed and approved before any payments are made.

Finding Text

Finding Number 2022-002: Approval of Non-Payroll Expenditures (Significant Deficiency over Internal Control and Instances of Noncompliance over Major Federal Program – Allowable costs/Cost Principles) FALN Number 93.498 Provider Relief Fund Criteria: 2022 Compliance Supplement and 2 CFR 200.303(a) stated that the non-Federal entity must 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 terms and conditions of the federal award. Condition/Context: As a result of our audit procedures, we noted 16 of 40 samples of nonpayroll expenditures tested that the Health System did not have internal controls in place to ensure expenditures charged to the program have documentation of management’s review/approval. Repeat Finding from Prior Year(s): No Cause and Effect: The Health System did not have proper controls in place to ensure all invoices are reviewed and approved by management prior to disbursements, which could lead to noncompliance with program requirements. Questioned Cost: None Recommendation: We recommend management implement policies and procedures to ensure all invoices are reviewed and approved prior to disbursements. Views of Responsible Officials and Planned Corrective Action: Management agrees with finding. The Health System will review and modify policies and procedures for non-payroll expenditures to ensure management’s review/approval is documented.

Categories

Allowable Costs / Cost Principles Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 371053 2022-001
    Significant Deficiency
  • 371054 2022-002
    Significant Deficiency
  • 371055 2022-003
    Significant Deficiency Repeat
  • 371056 2022-004
    Significant Deficiency Repeat
  • 371057 2022-005
    Significant Deficiency Repeat
  • 371058 2022-006
    Significant Deficiency Repeat
  • 371059 2022-007
    Significant Deficiency Repeat
  • 371060 2022-008
    Significant Deficiency Repeat
  • 947495 2022-001
    Significant Deficiency
  • 947497 2022-003
    Significant Deficiency Repeat
  • 947498 2022-004
    Significant Deficiency Repeat
  • 947499 2022-005
    Significant Deficiency Repeat
  • 947500 2022-006
    Significant Deficiency Repeat
  • 947501 2022-007
    Significant Deficiency Repeat
  • 947502 2022-008
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $28.97M
93.778 Medical Assistance Program $2.87M
16.575 Crime Victim Assistance $1.36M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $657,212
93.917 Hiv Care Formula Grants $480,539
17.259 Wia Youth Activities $318,000
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $317,925
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $307,511
93.279 Drug Abuse and Addiction Research Programs $229,715
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $163,109
93.924 Ryan White Hiv/aids Dental Reimbursement and Community Based Dental Partnership Grants $108,442
93.914 Hiv Emergency Relief Project Grants $69,713