Finding 948372 (2021-007)

Significant Deficiency
Requirement
B
Questioned Costs
$1
Year
2021
Accepted
2024-03-01

AI Summary

  • Core Issue: FNCH improperly charged utility costs totaling $731 to a federal award, which are not allowable expenses.
  • Impacted Requirements: Costs must be adequately documented and approved as per Finance policies; three transactions lacked proper approval.
  • Recommended Follow-Up: FNCH should enforce its Finance policies to ensure all costs are allowable and properly approved, with the CFO overseeing compliance measures.

Finding Text

2021-007—Allowable Costs/Cost Principles Federal program information: Funding agency: U.S. Department of Health and Human Services Title: COVID-19 Urban Indian Health Services ALN: 93.193 Award number: 75H70720C00006 Award period: March 27, 2020 – September 30, 2021 Criteria: According to 2 CFR Part 225, to be allowable under federal awards, costs must be adequately documented, be necessary and reasonable for the performance of the federal award and be allocable thereto under the principles in 2 CFR Part 200, Subpart E. According to the grant agreement for this award, this funding is to prevent, prepare for, and respond to COVID- 19, including COVID-19 related public health support, telehealth, other information technology upgrades, and other activities to protect the safety of patients and staff. Additionally, non-Federal entities receiving federal awards should establish and maintain internal control designed to reasonably ensure compliance with Federal laws, regulations and program compliance requirements. Condition: Three of 28 nonpayroll transactions tested were for utility costs, which are not an allowable cost of this federal award. For two additional nonpayroll transactions, we noted that the transactions were not approved by the Program Manager, Grants Manager, CFO, or CEO as required under the Finance policies and procedures. Questioned Costs: Utility expenses totaling $731. Context: Three of 28 nonpayroll disbursements tested represented utility costs, and two of 28 nonpayroll disbursements tested were not approved. Cause: FNCH is not following its approved Finance policies and procedures related to purchasing and accounts payable. Effect: FNCH may not be able to demonstrate that the costs charged to federal programs are allowable. Auditor’s Recommendations: FNCH should implement its approved Finance policies and procedures to ensure that amounts charged to federal programs are allowable and properly approved. Management’s Response: FNCH management agrees with the auditor’s recommendations. The Finance Department faced significant staffing challenges due to the COVID-19 pandemic. These challenges resulted in an 80% staff turnover, including the CFO. Additionally, the pandemic made it difficult for the Finance Department to hire new staff in a timely manner. The COVID- 19 outbreak also impacted attendance, resulting in employees being absent from work for one to two weeks. To address this issue, FNCH will initiate the following corrective actions. The CFO will implement internal measures, including creating a schedule of activities with due dates, progress reports, and staff meetings, to monitor and ensure that the amounts charged to federal programs are allowable and properly approved. Corrective action steps will be identified and implemented as needed. The grant/contract staff will review the grant budgets, including line-item allocations, to determine allowable expenses. The CFO will verify the monthly expenses are allowable and approve the drawdown budgets of the grants accordingly.

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 371930 2021-007
    Significant Deficiency
  • 371931 2021-008
    Significant Deficiency
  • 371932 2021-008
    Significant Deficiency
  • 948373 2021-008
    Significant Deficiency
  • 948374 2021-008
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.51M
93.498 Provider Relief Fund $1.12M
93.228 Indian Health Service_health Management Development Program $750,432
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $712,534
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $407,191
93.193 Urban Indian Health Services $366,593
93.237 Special Diabetes Program for Indians_diabetes Prevention and Treatment Projects $264,318
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $220,697
93.933 Demonstration Projects for Indian Health $204,193
93.762 A Comprehensive Approach to Good Health and Wellness in Indian County Ð Financed Solely by Prevention and Public Health $139,265
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $120,365
16.841 Voca Tribal Victim Services Set-Aside Program $102,848
93.242 Mental Health Research Grants $57,570
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $47,312
93.650 Accountable Health Communities $40,072
16.320 Services for Trafficking Victims $31,612
93.978 Preventive Health Services_sexually Transmitted Diseases Research, Demonstrations, and Public Information and Education Grants $30,340
16.575 Crime Victim Assistance $18,502