Finding 1175767 (2025-003)

Material Weakness Repeat Finding
Requirement
AB
Questioned Costs
-
Year
2025
Accepted
2026-02-28

AI Summary

  • Core Issue: Payroll costs were improperly charged to multiple federal awards, leading to questioned costs of $42,988.
  • Impacted Requirements: This violates the Allowable Costs/Cost Principles under 45 CFR 75.403.
  • Recommended Follow-Up: Consolidate salary tracking into a single listing per pay period and enhance controls to prevent double charging across awards.

Finding Text

Rural Healthcare Services Programs Assistance Listing Number 93.912 U.S. Department of Health and Human Services Award No. 6 G28RH46259-02-01, September 1, 2023 – August 31, 2024 Award No. 6 G28RH46259-03-01, September 1, 2024 – August 31, 2025 Award No. 4 HBIRH47071-03-02, September 1, 2024 – August 31, 2026 Criteria or specific requirement – Allowable Costs/Cost Principles (45 CFR 75.403) Condition – Certain costs were charged to more than one federal award program in the current period. Cause – Salaries and wages are charged to federal awards through separate manual tracking worksheets for each award. Additionally, although salaries and wages are allocated to grants in the Organization’s accounting system, the allocation only occurs at a summary level, moving all costs from administrative rather than where they were recorded. Effect or potential effect – The Organization charged payroll expenditures to more than one federal award. Questioned costs – $42,988. Questioned costs were determined by identifying all employees who appeared on more than one grant expenditure listing and reviewing the specific payroll periods charged to each award for duplicates. Questioned costs by federal award identification number are: Award No. 6 G28RH46259-02-01 – $7,401 Award No. 6 G28RH46259-03-01 – $12,752 Award No. 4 HBIRH47071-03-02 – $22,835 Context – Salaries and wages for three employees of the Organization were identified as being charged to both Health Center Program Cluster base grant (Award No. 6 H80CS00703- 23-16) and one of the awards identified above. Identification as a repeat finding, if applicable – Not a repeat finding. Recommendation – The Organization should consolidate tracking of salaries and wages charged to federal awards into a single listing for each pay period rather than separate worksheets for each award. The Organization should support the distribution of employees’ salaries and wages amongst federal awards to accurately reflect the work performed through the timekeeping system and payroll records. Views of responsible officials and planned corrective actions – Issues identified during the audit were indicative of an overall lack of controls and processes to ensure no double dipping occurs. The new CFO along with the newer members of the Finance Department have developed better controls and processes to ensure grant expenditures, including payroll expenses and allocations, are properly accounted for in the accounting system with adequate backup of grant draw downs. With the implementation of a new payroll system and a new accounting system in 2026, these issues should resolve themselves with oversight provided by the CFO. The Organization’s CEO, a former CFO of the organization, will continue to provide oversight for the Finance Department to ensure controls and processes are implemented.

Corrective Action Plan

2025-003 Salaries and wages are charged to federal awards through separate manual tracking worksheets for each award. Additionally, although salaries and wages are allocated to grants in the Organization’s accounting system, the allocation only occurs at a summary level, moving all costs from administrative rather than where they were recorded. Responsible Persons: Karen R. White, CPA, Chief Executive Officer and Matthew Derryberry, Chief Financial Officer Completion Date: January 2026 Views of responsible officials and planned corrective actions: Issues identified during the audit were indicative of an overall lack of controls and processes to ensure no double dipping occurs. The new CFO along with the newer members of the Finance Department have developed better controls and processes to ensure grant expenditures, including payroll expenses and allocations, are properly accounted for in the accounting system with adequate backup of grant draw downs. With the implementation of a new payroll system and a new accounting system in 2026, these issues should resolve themselves with oversight provided by the CFO. The Organization’s CEO, a former CFO of the organization, will continue to provide oversight for the Finance Department to ensure controls and processes are implemented.

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1175768 2025-004
    Material Weakness Repeat
  • 1175769 2025-005
    Material Weakness Repeat
  • 1175770 2025-006
    Material Weakness Repeat
  • 1175771 2025-007
    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) $5.11M
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $3.73M
10.768 BUSINESS AND INDUSTRY GUARANTEED LOANS $1.48M
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $453,418
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $223,443
93.778 MEDICAL ASSISTANCE PROGRAM $135,220
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $102,152
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $56,916
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $42,852
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $34,666
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $8,710