Finding 1157075 (2024-002)

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: The Corporation failed to allocate fringe benefits costs according to 2 CFR Section 200.431(d), lacking detailed program-specific breakdowns for 182 transactions.
  • Impacted Requirements: The absence of a formal process for assigning fringe benefits prevents verification of whether costs align with actual work or specific Federal programs.
  • Recommended Follow-Up: Develop and implement internal controls and policies to ensure compliance with fringe benefits cost objectives as outlined in 2 CFR Section 200.431(d).

Finding Text

Criteria: In accordance with 2 CFR Section 200.431(d), fringe benefits may be assigned to cost objectives by identifying specific benefits to specific individuals or by allocating on the basis of entity-wide salaries and wages of the employees receiving the benefits. When the allocation method is used, separate allocations must be made to selective groupings of employees, unless the non-Federal entity demonstrates that costs in relationships to salaries and wages do not differ significantly for different groups of employees. Condition: During our testing of fringe benefits expenses, we noted that all 182 sampled transactions did not include detail by program. Charges to the Federal award for fringe benefits were based on an anticipated fringe benefit cost, for which the Corporation did not maintain an assignment of cost objectives calculation and its related requirements. Cause:The Corporation did not have formal process and policies to demonstrate adherence to the fringe benefits cost objectives of 2 CFR Section 200.431(d). Effect or Potential Effect: We were unable to determine whether charges to Federal awards for fringe benefits reflect specific time worked or amounts allocated to specific Federal programs, even though the charges are not in excess of amounts approved for the grant period. Questioned costs: None Context: We selected 182 fringe benefit transactions charged to the Federal programs to test controls over allowable costs. Each fringe benefit transaction was calculated by applying a fringe benefit cost rate to actual salaries and wages of each employee tested. The fringe benefit cost rate was based on anticipated fringe benefit cost rate which was neither supported by an actual calculation nor analysis of the related group of employees used in such calculation. 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 2023-006 in the 2023 report. Recommendation: We recommend the Corporation develop and incorporate internal controls and policies to demonstrate adherence to the fringe benefits cost objectives of 2 CFR Section 200.431(d). View of Responsible Officials: Due to the financial system and time keeping infrastructure, the Corporation did not maintain evidence of fringe benefit cost objectives calculations. Also, the current fringe cost rate and allocations is based on historical assumptions.

Corrective Action Plan

Management Response #2024-002: Due to the financial system and time keeping infrastructure, the Corporation did not maintain evidence of fringe benefit cost objectives calculations. Also, the current fringe cost rate and allocations is based on historical assumptions. Corrective Action Plan: • The finance team will work to ensure fringe costs are entered into the financial system based on actual costs paid by the Corporation for each employee. • The grants finance department will also create actual to budget reports in accordance with HRSA guidelines for fringe costs • The Finance Team will develop fringe costs reports to calculate, monitor and support the current rate. This will allow us to ensure the fringe cost allocation conform to the current regulations. Management expects to be completed by December 31, 2026. 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
  • 1157074 2024-001
    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