Finding 1103065 (2024-001)

Significant Deficiency
Requirement
B
Questioned Costs
$1
Year
2024
Accepted
2025-03-11
Audit: 345566
Organization: Brevard Health Alliance, Inc. (FL)

AI Summary

  • Core Issue: Brevard Health Alliance requested reimbursement for $8,978 in payroll costs from two federal grants, violating cost allocation rules.
  • Impacted Requirements: Compliance with 2 CFR Part 200.403 and 2 CFR 200.303, which mandate proper internal controls and cost allocation.
  • Recommended Follow-Up: Implement monthly payroll allocation reviews to prevent duplicate reimbursement requests and strengthen internal controls.

Finding Text

2024 – 001 – Factors Affecting Allowability of Costs Health Center Program & Grants for New and Expanded Services under the Health Center Program Assistance Listing Number: 93.224 & 93.527 Federal Award ID Number: H8004213 H8F41284 C1650401 H8G47667 H8L51683 H2E45573 Department of Health and Human Services Funding 2024 Criteria: 2 CFR Part 200.403 sets forth the requirements for costs to be allowable. This section specifically states that costs should “not be included as a cost or used to meet cost sharing requirements of any other federally-financed program in either the current or a prior period.” 2 CFR 200.303 provides that non-Federal entities must establish and maintain effective internal controls to provide reasonable assurance of compliance with Uniform Guidance. Condition: Brevard Health Alliance requested reimbursement for $8,978 of expenditures under two different federal grants. One grant is requested based upon clinic hours and another based on an individual’s time and effort. Cause: The cause of the situation was due to poorly designed internal control procedures related to the allocation of payroll expense requested for reimbursement between various grants. Effect: If the same expenditure is requested multiple times from the granting agency, they may request funds be returned. Questioned Cost: $8,978 of known questioned costs. However, the Alliance has additional allowable payroll costs to cover the amounts duplicated. Perspective: Total payroll that was requested for reimbursement was $5,251,473, with known questioned cost being $8,978 resulting in only 0.2% of payroll expenditures. Recommendation: The client should verify that reimbursement request do not include payroll expenditures submitted for other grants. The allocation of payroll should be done monthly. Management Response: Brevard Health Alliance will ensure allocation of payroll expenditures submitted for grants is done monthly to ensure stronger internal controls regarding grant funds.

Categories

Questioned Costs Matching / Level of Effort / Earmarking Allowable Costs / Cost Principles Cash Management

Other Findings in this Audit

  • 526619 2024-001
    Significant Deficiency
  • 526620 2024-001
    Significant Deficiency
  • 526621 2024-001
    Significant Deficiency
  • 526622 2024-001
    Significant Deficiency
  • 526623 2024-001
    Significant Deficiency
  • 526624 2024-001
    Significant Deficiency
  • 526625 2024-001
    Significant Deficiency
  • 526626 2024-002
    Significant Deficiency
  • 526627 2024-002
    Significant Deficiency
  • 526628 2024-002
    Significant Deficiency
  • 526629 2024-002
    Significant Deficiency
  • 526630 2024-002
    Significant Deficiency
  • 526631 2024-002
    Significant Deficiency
  • 526632 2024-002
    Significant Deficiency
  • 1103061 2024-001
    Significant Deficiency
  • 1103062 2024-001
    Significant Deficiency
  • 1103063 2024-001
    Significant Deficiency
  • 1103064 2024-001
    Significant Deficiency
  • 1103066 2024-001
    Significant Deficiency
  • 1103067 2024-001
    Significant Deficiency
  • 1103068 2024-002
    Significant Deficiency
  • 1103069 2024-002
    Significant Deficiency
  • 1103070 2024-002
    Significant Deficiency
  • 1103071 2024-002
    Significant Deficiency
  • 1103072 2024-002
    Significant Deficiency
  • 1103073 2024-002
    Significant Deficiency
  • 1103074 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.526 Grants for Capital Development in Health Centers $233,864
93.527 Grants for New and Expanded Services Under the Health Center Program $190,944
93.244 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $118,814
93.527 Covid-19 Grants for New and Expanded Services Under the Health Center Program $100,175
93.917 Hiv Care Formula Grants $6,587