Finding 977541 (2023-003)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-06-18
Audit: 309158
Organization: Seattle Indian Health Board (WA)
Auditor: Moss Adams LLP

AI Summary

  • Core Issue: The Health Board failed to have a secondary review of annual SF-425 reports, leading to inaccuracies and rejections by funding agencies.
  • Impacted Requirements: Federal regulations mandate accurate annual fiscal reports and require internal controls to ensure compliance.
  • Recommended Follow-Up: Enhance internal controls by implementing a documented review and approval process for all grant reports before submission.

Finding Text

Criteria – Federal regulations and grant terms and conditions of the programs require annual fiscal reports be submitted to the awarding agencies. In accordance with Uniform Guidance 2 CFR 200.303 the Health Board should have internal controls established to ensure accuracy of information reported and ensure compliance with reporting requirements. Additionally, good internal controls require that an individual who did not prepare the report should review the report for accuracy prior to submission. Condition and Context – The annual SF-425 reports required under each program were submitted, but we noted no evidence of secondary review by an individual other than the preparer. As a result, the submitted SF-425 reports misreported total program expenditures for the period and the reports were ultimately rejected by the funding agencies causing the Health Board’s accounting department to correct and re-submit SF-425 reports subsequent to the period under audit. Cause – The Health Board does not have sufficient internal controls over their grant reporting process to ensure proper review of report prior to submission to ensure all reported information is accurate. Effect – There is an increased likelihood of errors in the information reported to federal agencies and ultimately an increased likelihood of noncompliance over reporting requirements. Questioned Costs – There were no questioned costs associated with this finding. Repeat Finding – This is not a repeat finding. Recommendation – We recommend the Health Board improve the controls over the reporting function, which includes the documentation, review, and approval of all required reports. Views of responsible officials – Management agrees with the auditors' findings and will implement the corrective action plan to address the issue identified.

Categories

Reporting

Other Findings in this Audit

  • 401098 2023-002
    Material Weakness
  • 401099 2023-003
    Material Weakness
  • 401100 2023-004
    Significant Deficiency
  • 401101 2023-002
    Material Weakness
  • 401102 2023-003
    Material Weakness
  • 401103 2023-004
    Significant Deficiency
  • 401104 2023-002
    Material Weakness
  • 401105 2023-003
    Material Weakness
  • 401106 2023-004
    Significant Deficiency
  • 401107 2023-002
    Material Weakness
  • 401108 2023-003
    Material Weakness
  • 401109 2023-004
    Significant Deficiency
  • 401110 2023-002
    Material Weakness
  • 401111 2023-003
    Material Weakness
  • 401112 2023-004
    Significant Deficiency
  • 401113 2023-003
    Material Weakness
  • 401114 2023-004
    Significant Deficiency
  • 401115 2023-003
    Material Weakness
  • 401116 2023-004
    Significant Deficiency
  • 401117 2023-003
    Material Weakness
  • 401118 2023-004
    Significant Deficiency
  • 401119 2023-003
    Material Weakness
  • 401120 2023-004
    Significant Deficiency
  • 401121 2023-003
    Material Weakness
  • 401122 2023-004
    Significant Deficiency
  • 977540 2023-002
    Material Weakness
  • 977542 2023-004
    Significant Deficiency
  • 977543 2023-002
    Material Weakness
  • 977544 2023-003
    Material Weakness
  • 977545 2023-004
    Significant Deficiency
  • 977546 2023-002
    Material Weakness
  • 977547 2023-003
    Material Weakness
  • 977548 2023-004
    Significant Deficiency
  • 977549 2023-002
    Material Weakness
  • 977550 2023-003
    Material Weakness
  • 977551 2023-004
    Significant Deficiency
  • 977552 2023-002
    Material Weakness
  • 977553 2023-003
    Material Weakness
  • 977554 2023-004
    Significant Deficiency
  • 977555 2023-003
    Material Weakness
  • 977556 2023-004
    Significant Deficiency
  • 977557 2023-003
    Material Weakness
  • 977558 2023-004
    Significant Deficiency
  • 977559 2023-003
    Material Weakness
  • 977560 2023-004
    Significant Deficiency
  • 977561 2023-003
    Material Weakness
  • 977562 2023-004
    Significant Deficiency
  • 977563 2023-003
    Material Weakness
  • 977564 2023-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.479 Good Health and Wellness in Indian Country (a) $1.05M
21.027 Coronavirus State and Local Fiscal Recovery Funds $625,578
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $573,944
93.193 Urban Indian Health Services $328,059
93.237 Special Diabetes Program for Indians_diabetes Prevention and Treatment Projects $243,653
93.231 Epidemiology Cooperative Agreements $168,019
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $110,996
93.788 Opioid Str $95,693
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $90,392
93.933 Demonstration Projects for Indian Health $85,095
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $53,730
93.958 Block Grants for Community Mental Health Services $40,312
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $28,865
93.959 Block Grants for Prevention and Treatment of Substance Abuse $21,608
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $14,624
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $8,735
16.023 Sexual Assault Services Cuturally Specific Program $5,330
93.380 The Cdc Public Health Cancer Genomics Program: Translating Research Into Public Health Practice (b) $2,256
93.762 A Comprehensive Approach to Good Health and Wellness in Indian County Ð Financed Solely by Prevention and Public Health $2,118
47.076 Education and Human Resources $938
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $48