Finding 976945 (2020-007)

Material Weakness
Requirement
H
Questioned Costs
-
Year
2020
Accepted
2024-06-10
Audit: 308496
Organization: Island Health, Inc. (MA)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: The Center lacks a formal review process for expenditures, risking charges outside the grant's approved period.
  • Impacted Requirements: Costs must be allowable and incurred only during the federal award's performance period, as per federal regulations.
  • Recommended Follow-Up: Establish written procedures for reviewing all expenditures to confirm they align with the grant's period of performance.

Finding Text

Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services under the Health Center Program CFDA Numbers: 93.224 and 93.527 Criteria A non-federal entity may charge only allowable costs incurred during the approved budget period of a federal award’s period of performance and any costs incurred before the federal awarding agency or pass-through entity made the federal award that were authorized by the federal awarding agency or pass-through entity (2 CFR sections 200.308, 200.309 and 200.403 (h)). Condition There was no evidence of the Center's review and approval of the period of performance for expenditures during the year. Cause The Center did not have adequate controls to review period of performance to ensure all goods and services are appropriately included or excluded. Effect The Center may charge goods or services to the grant that are not within the grant's period of performance. Questioned Costs None. Context We selected 25 payroll transactions charged to the federal program to test controls over period of performance. Out of the 25 transactions tested, we noted 25 instances where there was no formal approval of the cost charged to the major program by evidence of a review signature on the labor reports. Additionally, we selected 3 nonpayroll transactions where all 3 instances did not have evidence of review. Identification of Repeat Finding Not a repeat finding. Recommendation The Center should develop written procedures to review all expenditures to ensure they are within the proper period of performance of the grant. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure there is formal evidence of approval over the period of performance for goods and services purchased under the grant.

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring Allowable Costs / Cost Principles HUD Housing Programs Period of Performance Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 400487 2020-003
    Material Weakness
  • 400488 2020-003
    Material Weakness
  • 400489 2020-003
    Material Weakness
  • 400490 2020-003
    Material Weakness
  • 400491 2020-004
    Material Weakness
  • 400492 2020-004
    Material Weakness
  • 400493 2020-004
    Material Weakness
  • 400494 2020-004
    Material Weakness
  • 400495 2020-005
    Material Weakness
  • 400496 2020-005
    Material Weakness
  • 400497 2020-005
    Material Weakness
  • 400498 2020-005
    Material Weakness
  • 400499 2020-006
    Material Weakness
  • 400500 2020-006
    Material Weakness
  • 400501 2020-006
    Material Weakness
  • 400502 2020-006
    Material Weakness
  • 400503 2020-007
    Material Weakness
  • 400504 2020-007
    Material Weakness
  • 400505 2020-007
    Material Weakness
  • 400506 2020-007
    Material Weakness
  • 976929 2020-003
    Material Weakness
  • 976930 2020-003
    Material Weakness
  • 976931 2020-003
    Material Weakness
  • 976932 2020-003
    Material Weakness
  • 976933 2020-004
    Material Weakness
  • 976934 2020-004
    Material Weakness
  • 976935 2020-004
    Material Weakness
  • 976936 2020-004
    Material Weakness
  • 976937 2020-005
    Material Weakness
  • 976938 2020-005
    Material Weakness
  • 976939 2020-005
    Material Weakness
  • 976940 2020-005
    Material Weakness
  • 976941 2020-006
    Material Weakness
  • 976942 2020-006
    Material Weakness
  • 976943 2020-006
    Material Weakness
  • 976944 2020-006
    Material Weakness
  • 976946 2020-007
    Material Weakness
  • 976947 2020-007
    Material Weakness
  • 976948 2020-007
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $60,009
93.461 Covid-19 Testing for the Uninsured $2,234
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $2,000
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1,600