Finding 1147981 (2024-003)

Material Weakness
Requirement
A
Questioned Costs
$1
Year
2024
Accepted
2025-07-17
Audit: 362500
Organization: Tca Health, Inc. (IL)

AI Summary

  • Core Issue: There is a material weakness in internal controls over compliance, specifically regarding payroll costs charged to federal grants.
  • Impacted Requirements: Payroll charges must be based on accurate records that reflect actual work performed and comply with federal guidelines (2 CFR 200.430(i)(1)).
  • Recommended Follow-Up: Management should ensure time and effort documentation is retained and establish a review process to verify allocation percentages against employee attestations.

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: H80CS00109-22; H80CS00109-23 Award Period: May 1, 2023 – April 30, 2024; May 1, 2024 – April 30, 2025 Type of Finding: Material Weakness in Internal Control over Compliance and Immaterial Noncompliance Criteria or specific requirement: Charges to Federal awards for salaries and wages must be based on records that accurately reflect the work performed. These records must be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; reasonably reflect the total activity for which the employee is compensated by the non-Federal entity, not exceeding 100% of compensated activities; and support the distribution of the employee's salary or wages among specific activities or cost objectives if the employee works on more than one Federal award (2 CFR 200.430(i)(1)). Condition: Payroll costs charged to federal grants were either missing documentation related to time and effort or were allocated to grants in a manner inconsistent with the time and effort documentation provided. Questioned costs: $7,444 Context: Six (6) of forty (40) allowable cost transactions selected for testing were related to payroll costs and were missing time and effort documentation. Eight (8) of forty (40) allowable cost transactions selected for testing were related to payroll costs which were allocated to the grant in a manner inconsistent with the time and effort documentation provided. Two (2) of forty (40) allowable cost transactions selected for testing were related to payroll and contained a difference between the hours worked per the timesheet and hours paid per the payroll register. Cause: Unknown Effect: Grants may be allocated costs in a manner which is inconsistent with the actual level of effort associated with the underlying employee. Repeat Finding: No. Recommendation: Management should reenforce the requirement to retain time and effort documentation for all employees that are allocated to multiple grants and implement a review process whereby the allocation percentages used are compared to the employee attestations provided. Views of responsible officials: There is no disagreement with this finding.

Categories

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

Other Findings in this Audit

  • 571538 2024-002
    Material Weakness Repeat
  • 571539 2024-003
    Material Weakness
  • 571540 2024-004
    Significant Deficiency
  • 571541 2024-005
    Material Weakness
  • 1147980 2024-002
    Material Weakness Repeat
  • 1147982 2024-004
    Significant Deficiency
  • 1147983 2024-005
    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) $4.41M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $521,372
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $236,489
14.218 Community Development Block Grants/entitlement Grants $225,897
93.558 Temporary Assistance for Needy Families $220,799
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $211,818
93.495 Community Health Workers for Public Health Response and Resilient $104,175
93.322 Csels Partnership: Strengthening Public Health Laboratories $97,450
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $54,214
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $26,194
93.136 Injury Prevention and Control Research and State and Community Based Programs $4,552
10.572 Wic Farmers' Market Nutrition Program (fmnp) $988