Finding 975520 (2023-001)

Ryan White HIV/AIDS Program Part A SEFA reporting Federal Agency: Department of Health and Human Services Program: HIV Emergency Relief Project Grants (Ryan White HIV/AIDS Program Part A) Assistance Listing #: 93.914 Criteria OMB Uniform Guidance 2 CFR 200.510(b)(3) requires that the auditee provide the Federal awards expended for each individual Federal program on the Schedule of Expenditures of Federal Awards (SEFA). In accordance with 2 CFR 200.502, the determination of when a Federal award is expended, and thereby reported on the SEFA, is generally based on when the activity related to the Federal award occurs. Condition The Ryan White HIV/AIDS Program Part A reimburses award recipients based on the number of units of care coordination services provided to eligible patients plus reimbursement for program deliverables coordinated by the recipient. Sunset Park tracked expenditures for SEFA reporting purposes on the basis of care coordinator salary expenses incurred, rather than on the reimbursement received from the passthrough sponsor. As a result, expenditures reported on the draft 2023 SEFA were understated. This has been corrected by management in the final SEFA included in this report. There was no impact on our audit scoping given this award was already included as a major program. Cause Sunset Park did not have a process in place to identify awards that are not cost reimbursement based to ensure proper reporting of such awards on the SEFA. Effect The draft 2023 SEFA underreported reimbursement received under this award by $211,026, which has been corrected in the final SEFA included in this report. Audit scoping was not impacted, but could have been if the amount of the award after adjustment exceeded the Type A threshold or resulted in audit coverage over the total SEFA that was no longer sufficient. Questioned Costs There are no questioned costs associated with this finding. Recommendation Sunset Park should continue to review all award terms to understand the grant’s reimbursement and reporting structure. For awards that are not cost reimbursement based, Sunset Park should implement a control to review activity under the award at least annually and ensure that amounts reported on the SEFA correlate to the allowable activities ultimately reimbursed by the granting agency.