Finding 970975 (2021-102)

Significant Deficiency Repeat Finding
Requirement
C
Questioned Costs
-
Year
2021
Accepted
2024-04-24
Audit: 304417
Organization: Pancare of Florida, INC (FL)

AI Summary

  • Core Issue: The Organization lacks proper cash management documentation, leading to potential inaccuracies in reimbursement requests.
  • Impacted Requirements: Compliance with 2 CFR section 200.303, which mandates accurate internal controls and documentation for federal awards.
  • Recommended Follow-Up: Ensure documentation is based on actual payroll, involve independent reviews, and update policies to reflect these changes.

Finding Text

Lack of Cash Management Documentation (prior two years 2020-102 and 2019-104) (initially reported 2016) Assistance Listing Number: 93.224 and 93.527 Name of Federal Agency: Department of Health and Human Services, HRSA Program Title: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) and Grants for New and Expanded Services Under the Health Center Program Compliance Requirement: Cash Management Pass-through Entity: N/A Federal Grant/Contract Number and Grant Year: H80CS06452-15 (2020), H80CS06452-16 (2021) and COVID-19 ARP H8FCS40324-01 (2021) Finding Type: Significant Deficiency in Internal Control Known Questioned Costs: $0 Condition: The Organization made drawdowns after month-end based on budgeted period expenditures and therefore could not be agreed to the actual approved wages paid prior to the reimbursement request. Insufficient documentation was kept to clearly document that the amount requested was reviewed for accuracy. Criteria: 2 CFR section 200.303 requires that nonfederal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the nonfederal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Based on grant compliance requirements related to cash management for grants and cooperative agreements to nonfederal entities that are paid on a reimbursement basis, supporting documentation should include the actual costs for which reimbursement was requested and were paid prior to the date of the reimbursement request. Cause: Reimbursement was requested based on the budgeted payroll expenses made for a particular period, adjusted to exclude certain employees that are not related to the grant or are highly paid employees to be conservative in the calculation. No indication of a review process involved beyond the CFO preparing a calculation to request reimbursement and making the request from the grantor. Effect: The Organization could request funds that may not have adequate supporting documentation and were paid prior to the reimbursement request. These errors could lead to the Organization losing funding under this program. Recommendation: Documentation should be based on actual and not budgeted payroll and it should be prepared and reviewed by someone other than the preparer. Also, it should directly link the amount requested to the related expenses to clearly document those funds are being used in a timely manner, that more was not requested than was expended, specifically what expenses are being considered expended through these funds, and that funds were requested and applied to the correct period. Update policies and procedures as needed to reflect changes, as applicable. Views of Responsible Officials and Planned Corrective Actions: The Organization has hired a new Chief Financial Officer as well as additional supporting staff within the finance department. The Organizations policy and procedures related to support documentation retention has been evaluated and updated. Supporting documentation for all drawdown requests are retained by grant. The corrective action for this finding has been approved and implemented by the Organization.

Categories

Cash Management

Other Findings in this Audit

  • 394526 2021-101
    Material Weakness Repeat
  • 394527 2021-102
    Significant Deficiency Repeat
  • 394528 2021-105
    Material Weakness Repeat
  • 394529 2021-106
    Significant Deficiency Repeat
  • 394530 2021-107
    Material Weakness
  • 394531 2021-108
    Significant Deficiency Repeat
  • 394532 2021-101
    Material Weakness Repeat
  • 394533 2021-102
    Significant Deficiency Repeat
  • 394534 2021-105
    Material Weakness Repeat
  • 394535 2021-106
    Significant Deficiency Repeat
  • 394536 2021-108
    Significant Deficiency Repeat
  • 394537 2021-101
    Material Weakness Repeat
  • 394538 2021-102
    Significant Deficiency Repeat
  • 394539 2021-105
    Material Weakness Repeat
  • 394540 2021-106
    Significant Deficiency Repeat
  • 394541 2021-108
    Significant Deficiency Repeat
  • 394542 2021-101
    Material Weakness Repeat
  • 394543 2021-102
    Significant Deficiency Repeat
  • 394544 2021-105
    Material Weakness Repeat
  • 394545 2021-106
    Significant Deficiency Repeat
  • 394546 2021-108
    Significant Deficiency Repeat
  • 394547 2021-104
    Significant Deficiency
  • 394548 2021-105
    Material Weakness
  • 394549 2021-106
    Significant Deficiency
  • 970968 2021-101
    Material Weakness Repeat
  • 970969 2021-102
    Significant Deficiency Repeat
  • 970970 2021-105
    Material Weakness Repeat
  • 970971 2021-106
    Significant Deficiency Repeat
  • 970972 2021-107
    Material Weakness
  • 970973 2021-108
    Significant Deficiency Repeat
  • 970974 2021-101
    Material Weakness Repeat
  • 970976 2021-105
    Material Weakness Repeat
  • 970977 2021-106
    Significant Deficiency Repeat
  • 970978 2021-108
    Significant Deficiency Repeat
  • 970979 2021-101
    Material Weakness Repeat
  • 970980 2021-102
    Significant Deficiency Repeat
  • 970981 2021-105
    Material Weakness Repeat
  • 970982 2021-106
    Significant Deficiency Repeat
  • 970983 2021-108
    Significant Deficiency Repeat
  • 970984 2021-101
    Material Weakness Repeat
  • 970985 2021-102
    Significant Deficiency Repeat
  • 970986 2021-105
    Material Weakness Repeat
  • 970987 2021-106
    Significant Deficiency Repeat
  • 970988 2021-108
    Significant Deficiency Repeat
  • 970989 2021-104
    Significant Deficiency
  • 970990 2021-105
    Material Weakness
  • 970991 2021-106
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Covid-19 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $5.11M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $4.29M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.17M
93.498 Covid-19 Provider Relief Fund $1.18M
93.461 Covid-19 Testing for the Uninsured $666,587
93.982 Mental Health Disaster Assistance and Emergency Mental Health $564,177
10.855 Distance Learning and Telemedicine Loans and Grants $432,551
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $193,046
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $14,362