Finding 968753 (2021-004)

Significant Deficiency
Requirement
C
Questioned Costs
-
Year
2021
Accepted
2024-04-04

AI Summary

  • Core Issue: The Family Practice has significant deficiencies in cash management, lacking adequate records and internal controls.
  • Impacted Requirements: Non-compliance with 45 CFR Part 75, which mandates effective financial management systems and internal controls for federal awards.
  • Recommended Follow-Up: Implement robust controls and procedures to ensure proper documentation and compliance with grant requirements.

Finding Text

2021–004 Cash Management Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Health Center Program Cluster Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS00233 – 20 Award Period: January 1, 2021 through December 31, 2021 Type of Finding: • Significant Deficiency in Internal Control over Compliance • Other Matters Criteria or specific requirement: According to § 75.302 Financial management and standards for financial management systems of 45 CFR Part 75, the non-federal entity’s financial management systems, including records documenting compliance with federal statutes, regulations, and the terms and conditions of the federal award, must be sufficient to permit the preparation of reports required by general and program-specific terms and conditions. Further, the financial management system of each non-federal entity must provide accurate, current, and complete disclosure of the financial results of each federal award or program in accordance with the reporting requirements. According to § 75.303 Internal controls of 45 CFR Part 75, 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 the terms and conditions of the federal award. Condition: We noted the Family Practice is not in compliance with cash management. Questioned costs: None Context: During our testing of cash management we noted drawdown requests were not supported by adequate records and documentation to ensure proper cash management practices. Cause: Management oversight. The Family Practiced lacked established internal controls and procedures over financial grant management to ensure submitted reports are complete, agree to supporting records and documentation, and are properly maintained in the files of the Family Practice. Effect: Inability to support compliance with the grant and a potential loss of federal funding. Recommendation: We recommend the Family Practice design controls and procedures to ensure the documentation and records are properly maintained in the files of the Family Practice. Views of responsible officials: There is no disagreement with the audit finding.

Categories

Cash Management Internal Control / Segregation of Duties Reporting Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 392307 2021-003
    Material Weakness
  • 392308 2021-004
    Significant Deficiency
  • 392309 2021-004
    Significant Deficiency
  • 392310 2021-004
    Significant Deficiency
  • 392311 2021-004
    Significant Deficiency
  • 392312 2021-004
    Significant Deficiency
  • 392313 2021-005
    Material Weakness
  • 392314 2021-006
    Significant Deficiency
  • 392315 2021-006
    Significant Deficiency
  • 392316 2021-006
    Significant Deficiency
  • 392317 2021-006
    Significant Deficiency
  • 392318 2021-006
    Significant Deficiency
  • 968749 2021-003
    Material Weakness
  • 968750 2021-004
    Significant Deficiency
  • 968751 2021-004
    Significant Deficiency
  • 968752 2021-004
    Significant Deficiency
  • 968754 2021-004
    Significant Deficiency
  • 968755 2021-005
    Material Weakness
  • 968756 2021-006
    Significant Deficiency
  • 968757 2021-006
    Significant Deficiency
  • 968758 2021-006
    Significant Deficiency
  • 968759 2021-006
    Significant Deficiency
  • 968760 2021-006
    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 $1.98M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $689,072
93.224 Covid-19 American Rescue Plan (arp) Act Funding for Health Centers $659,183
93.498 Provider Relief Fund $652,143
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $149,087
93.224 Covid-19 Expanding Capacity for Coronavirus Testing (ect) $118,350
93.224 Covid-19 Health Center Coronavirus Aid, Relief, and Economic Security (cares) Act Funding $48,998
93.994 Maternal and Child Health Services Block Grant to the States $2,356