Finding 977045 (2022-004)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2022
Accepted
2024-06-12
Audit: 308641
Organization: Tca Health, Inc. (IL)

AI Summary

  • Core Issue: The organization lacks proper documentation for independent reviews of federal award drawdowns, leading to potential errors in amounts drawn.
  • Impacted Requirements: This finding violates CFR § 200.303, which mandates effective internal controls for managing federal awards.
  • Recommended Follow-Up: Develop a contingency plan for turnover in finance roles, ensuring any changes to internal controls are documented and supported.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Center Program Cluster Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS00109-20; H80CS00109-21 Award Period: May 1, 2021 – April 30, 2022; May 1, 2022 – April 30, 2023 Type of Finding: Material Weakness in Internal Control over Compliance Criteria or specific requirement: CFR § 200.303 Internal controls states that the non-Federal entity must: (a) 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. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: The organization did not maintain documentation to support the performance of an independent review and approval of the amounts to be drawn prior the draw occurred. Questioned costs: None. Context: This condition occurred in three (3) of five (5) transactions selected for testing. Cause: Turnover in key positions within the finance department. Effect: Drawdowns may occur for the incorrect amount, for the wrong period and for costs that may not have been incurred as of yet. Repeat Finding: Yes, prior year finding 2021-004. Recommendation: We recommend management consider developing a contingency plan for when there is turnover in key personnel involved with the drawdown process of federal grants. As part of this plan, if changes need to occur to the primary internal control over drawdowns, those changes should be documented with supporting documentation retained for the revised internal control. Views of responsible officials: There is no disagreement with this finding.

Categories

Cash Management Material Weakness Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 400600 2022-003
    Material Weakness Repeat
  • 400601 2022-003
    Material Weakness Repeat
  • 400602 2022-004
    Material Weakness Repeat
  • 400603 2022-004
    Material Weakness Repeat
  • 400604 2022-005
    Significant Deficiency
  • 400605 2022-005
    Significant Deficiency
  • 977042 2022-003
    Material Weakness Repeat
  • 977043 2022-003
    Material Weakness Repeat
  • 977044 2022-004
    Material Weakness Repeat
  • 977046 2022-005
    Significant Deficiency
  • 977047 2022-005
    Significant Deficiency

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) $2.93M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $607,017
93.558 Temporary Assistance for Needy Families $177,225
93.498 Provider Relief Fund $166,160
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $146,164
93.136 Injury Prevention and Control Research and State and Community Based Programs $137,774
32.006 Covid-19 Telehealth Program $99,508
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $53,395
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $50,000
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $33,166
14.218 Community Development Block Grants/entitlement Grants $23,935
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $11,570
93.994 Maternal and Child Health Services Block Grant to the States $3,059