Finding 1155663 (2024-001)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2024
Accepted
2025-09-26
Audit: 367937
Organization: Cahaba Medical Care Foundation (AL)
Auditor: Dza PLLC

AI Summary

  • Core Issue: Payroll costs were charged based on budgeted percentages instead of actual employee time and effort.
  • Impacted Requirements: Noncompliance with documentation standards for personnel expenses, leading to improper allocation of salary and benefits.
  • Recommended Follow-Up: Enhance timekeeping processes to ensure payroll reflects actual work; reconcile budget estimates with actual effort regularly.

Finding Text

Federal Agency U.S Department of Health and Human Services Assistance Listing Numbers 93.884 Primary Care Training and Enhancement and 93.732 Integrated Substance Use Disorder Training Program Award Numbers D58HP39725, T34HP42128, T62HP45934, T62HP49309 Criteria In accordance with the Uniform Guidance’s compensation requirements (2 CFR 200.430 Compensation – personal services), payroll expenses must be based on records that accurately reflect the work performed and supported by a system of internal controls that provides reasonable assurances that charges are accurate; allowable and reasonable; and properly allocated. The Uniform Guidance allows for use of budget estimates on an interim basis. When using budget estimates on an interim basis, grantees must reconcile estimates against actual time or effort on a regular basis to ensure that estimates conform to actual staff activity. Grantees must make adjustments in the payroll distribution to align with actual time. [X] Compliance Finding [X ] Significant Deficiency [ ] Material Weakness Condition During fiscal year 2024, the Organization charged payroll costs to Federal programs based on predetermined budgeted percentages rather than actual time and effort of employees working across multiple programs. Cause The Organization did not have a process or controls in place to track and document the time and effort employees spent toward each federal award. Effect Noncompliance with documentation of personnel expense standards; improper allocation of salary and fringe benefits. Questioned Costs Indeterminable. Recommendation We recommend the Organization enhance its timekeeping processes to ensure payroll charges accurately reflect actual work performed on Federal awards. If budget estimates continue to be used, they should be reconciled regularly against actual effort. Alternatively, the Organization could implement an after-the-fact certification system to document that salaries charged to Federal programs are reasonable and consistent with actual work performed. Views of responsible officials and planned corrective action Cahaba Medical Care will implement a formal process to document time and effort for personnel, subject to the level of effort requirements. This process will require time and effort for personnel to attest to the amount of time spent on a grant monthly. These personnel have been informed of the proposed process and trained to promote consistent and accurate reporting relative to federal standards.

Corrective Action Plan

2024-001 Time and Effort Payroll Documentation Corrective action planned: Cahaba Medical Care will implement a formal process to document time and effort for personnel, subject to the level of effort requirements. This process will require time and effort for personnel to attest to the amount of time spent on a grant monthly. These personnel have been informed of the proposed process and trained to promote consistent and accurate reporting relative to federal standards Anticipated completion date: October 2025 Contact person responsible for corrective action: Russ Chambliss

Categories

Allowable Costs / Cost Principles Material Weakness Reporting Significant Deficiency Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1155662 2024-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 Grants for New and Expanded Services Under the Health Center Program $1.16M
93.884 Primary Care Training and Enhancement $1.12M
93.732 Mental and Behavioral Health Education and Training Grants $951,102
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $794,685
93.247 Advanced Nursing Education Workforce Grant Program $697,275
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $203,124
21.027 Coronavirus State and Local Fiscal Recovery Funds $202,573
93.155 Rural Health Research Centers $93,113
10.760 Water and Waste Disposal Systems for Rural Communities $62,273
93.914 Hiv Emergency Relief Project Grants $60,938
17.258 Wioa Adult Program $54,135
93.526 Grants for Capital Development in Health Centers $46,432
93.145 Hiv-Related Training and Technical Assistance $32,813
93.917 Hiv Care Formula Grants $13,979
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $6,216