Finding 1157074 (2024-001)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2024
Accepted
2025-09-30
Audit: 369390
Organization: Unity Health Care, Inc. (MD)
Auditor: Bdo USA PC

AI Summary

  • Core Issue: All 182 salary transactions charged to Federal awards were based on estimated allocations instead of actual work performed, violating 2 CFR Section 200.430(g)(i).
  • Impacted Requirements: The lack of detailed tracking by program and reliance on budget estimates means charges are not supported by a proper internal control system.
  • Recommended Follow-Up: Implement internal controls to track actual time spent on Federal programs, including routine time and effort reports, and ensure management reviews these for accuracy.

Finding Text

Criteria: In accordance with 2 CFR Section 200.430(g)(i), charges to Federal awards for salaries and wages must be based on records that reflect the actual work performed. The charges must be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated, and must be incorporated into the official records of the non-Federal entity. In addition, 2 CFR Section 200.430(g)(1)(vii) states that budget estimates alone do not qualify as support for charges to Federal awards, but may be used for interim accounting, provided certain additional internal controls are implemented. Condition: During our testing of salaries and wages, we noted that all 182 sampled transactions did not include detail by program. Charges to Federal awards for salaries and wages were based on estimated allocations, rather than use of a system of internal controls that accounts for actual time and effort. Cause: While there is a time keeping system implemented to track daily hours worked by employees, the Corporation’s current internal control system does not allow for specific coding for time actually spent on each federally funded program that would support the amount charged to the Federal award. Effect or Potential Effect: We were unable to determine whether charges to Federal awards for salaries and wages reflect specific time worked or amounts allocated by employee to specific Federal programs. Allowable costs incurred by the Corporation exceeded the amount of approved grant funding, therefore no questioned costs are reported. Questioned costs: None Context: We selected 182 salary transactions charged to the Federal programs to test controls over allowable costs. All transactions charged to the Federal programs were based on budgeted Full Time Equivalents (FTE), and not actual hours employees worked for each Federal program. No analysis or true-up was performed to determine the accuracy of employee titles or amounts charged versus actual time and effort incurred. This is a condition identified per review of the Corporation’s compliance with specified requirements using a statistically valid sample. Repeat finding: This is a repeat finding from prior year. This was reported as finding 2023-005 in the 2023 report. Recommendation: We recommend the Corporation develop and incorporate internal controls in order to track specific time spent on each Federal program. This can include, time and effort reports completed on a routine basis, such as monthly, and adjust program expenditures as needed to properly reflect actual work performed. Completed time and effort reports should be reviewed and verified by management for accuracy. View of Responsible Officials: The time keeping system and process does not currently allow tracking of time based on funded resources. The past practice had been for the Finance Department manually calculated salary allocations. Due to the influx of grants and staffing resources the Corporation was unable to maintain this process.

Corrective Action Plan

Management Response #2024-001: The time keeping system and process does not currently allow tracking of time based on funded resources. The past practice had been for the finance department manually calculated salary allocations. Due to the influx of grants and staffing resources the Corporation was unable to maintain this process. Corrective Action Plan: Finance Management, Human Resources, and Payroll will collaborate to integrate time-tracking functionality into the current timekeeping system, enabling real-time tracking of time worked on grants for FY25. The rollout of this new process is expected to begin in Q4 of FY25. Responsible Party: Tamara Barnes, CFO

Categories

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

Other Findings in this Audit

  • 1157059 2024-001
    Material Weakness Repeat
  • 1157060 2024-002
    Material Weakness Repeat
  • 1157061 2024-003
    Material Weakness Repeat
  • 1157062 2024-001
    Material Weakness Repeat
  • 1157063 2024-002
    Material Weakness Repeat
  • 1157064 2024-003
    Material Weakness Repeat
  • 1157065 2024-001
    Material Weakness Repeat
  • 1157066 2024-002
    Material Weakness Repeat
  • 1157067 2024-005
    Material Weakness Repeat
  • 1157068 2024-001
    Material Weakness Repeat
  • 1157069 2024-002
    Material Weakness Repeat
  • 1157070 2024-005
    Material Weakness Repeat
  • 1157071 2024-001
    Material Weakness Repeat
  • 1157072 2024-002
    Material Weakness Repeat
  • 1157073 2024-005
    Material Weakness Repeat
  • 1157075 2024-002
    Material Weakness Repeat
  • 1157076 2024-004
    Material Weakness Repeat
  • 1157077 2024-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $7.41M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $5.37M
93.788 Opioid Str $1.47M
93.914 Hiv Emergency Relief Project Grants $1.24M
93.217 Family Planning Services $1.11M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $451,849
93.917 Hiv Care Formula Grants $395,938
93.247 Advanced Nursing Education Workforce Grant Program $343,619
93.855 Allergy and Infectious Diseases Research $330,035
93.994 Maternal and Child Health Services Block Grant to the States $287,682
93.837 Cardiovascular Diseases Research $259,513
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $118,679
93.884 Primary Care Training and Enhancement $99,465
93.527 Grants for New and Expanded Services Under the Health Center Program $72,274
93.526 Grants for Capital Development in Health Centers $62,276
93.426 The National Cardiovascular Health Program $57,990
93.107 Area Health Education Centers $53,711
93.242 Mental Health Research Grants $1,519