Finding 1206308 (2022-003)

Material Weakness Repeat Finding
Requirement
A
Questioned Costs
-
Year
2022
Accepted
2026-04-10
Audit: 398372
Organization: Island Health, Inc. (MA)
Auditor: COHNREZNICK

AI Summary

  • Core Issue: Payroll and nonpayroll costs were not properly documented or approved, leading to potential non-compliance with grant requirements.
  • Impacted Requirements: Internal controls over payroll and nonpayroll expenditures were not consistently followed, violating 2 CFR regulations.
  • Recommended Follow-Up: Enforce internal controls to ensure all payrates and timesheets are approved, and that nonpayroll expenditures receive proper supervisory review.

Finding Text

Finding 2022.003: Allowable Costs/Activities Allowed or Unallowed - Material Weakness Name of Federal Agency: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS26638 - 2022 and 2023, H8DCS35487 - 2021, and H8F40829 - 2023 Criteria In accordance with 2 CFR, Part 200.430I(i)(1), charges to Federal Awards for salaries and wages must be based on records that accurately reflect the actual work performed, which must, among other things: (i) be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated; (ii) be incorporated into the official records of the non-federal entity; (iii) and reasonably reflect the total activity for which the employee is compensated by the non-Federal entity. Additionally, costs must be adequately documented, as per 2 CFR 200.40.3(g). Condition Charges to Federal Awards for salaries and wages were not supported by properly approved payrates, and timesheets did not agree to payroll registers. Additionally, nonpayroll expenditures were not supported by proper approval. Cause The Center's internal controls over payroll were not consistently followed to ensure payrates were approved and timesheets agreed to payroll registers. Additionally, the Center's internal controls over nonpayroll expenditures were not consistently followed to ensure that expenditures were approved. Effect or Potential Effect Failure to ensure accurate wage and allocation of employees' time across programs could result in non-compliance with the grant requirements or unallowable costs being charged. Additionally, failure to ensure accurate nonpayroll expenditures could result in non-compliance with the grant requirements or unallowable costs being charged. Questioned Costs None. Context We selected 25 payroll transactions charged to the federal program for testing. Out of the 25 transactions tested, we noted 16 instances where there was no formal approval of payrates and where they were not appropriately reflected in the payroll registers; 23 instances where timecards were not appropriately reflected in the payroll registers; and all 25 labor reports showed no formal approval documented. Additionally, for nonpayroll allowable costs, out of 13 transactions tested, we noted 6 instances where there was no formal approval showing review that the cost was allowable under the program. Identification of Repeat Finding Yes, see finding 2021-003. Recommendation We recommend that the Center consistently enforce its internal controls over payroll to ensure that the timesheet and payrates are reviewed and approved by the appropriate supervisor. Additionally, we recommend that the Center consistently reinforces its internal controls over nonpayroll expenditures to ensure all expenditures were approved by the appropriate supervisor. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure all expenditures have evidence of formal approval of review.

Corrective Action Plan

Item 2022.003 - Activities Allowed or Unallowed Recommendation We recommend that the Center consistently enforce its internal controls over payroll to ensure that the timesheet and payrates are reviewed and approved by the appropriate supervisor. Additionally, we recommend that the Center consistently reinforces its internal controls over nonpayroll expenditures to ensure all expenditures were approved by the appropriate supervisor. Repeat Finding Yes Action Taken Island Health Care will take the following actions to address this recommendation: Timesheet and Payrate Review and Approval: • Standardize timesheet submission and approval process • Utilize an electronic timesheet system to document the verification of employee payrates and ensure there is a detailed audit trail that records all submissions, reviews, and approvals by supervisors • Conduct regular audits to verify timesheets and payrates are reviewed and approved by supervisors NonPayroll Expenditures: • Evaluate and improve upon existing processes to ensure internal controls over nonpayroll expenditures are working. This includes enforcement of approval policies with mandatory documentation and regular monitoring throughout the process for a clear audit trail • Conduct regular audits to verify nonpayroll expenditures have been reviewed and approved by supervisors

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1206298 2022-007
    Material Weakness Repeat
  • 1206299 2022-006
    Material Weakness Repeat
  • 1206300 2022-005
    Material Weakness Repeat
  • 1206301 2022-004
    Material Weakness Repeat
  • 1206302 2022-003
    Material Weakness Repeat
  • 1206303 2022-006
    Material Weakness Repeat
  • 1206304 2022-007
    Material Weakness Repeat
  • 1206305 2022-005
    Material Weakness Repeat
  • 1206306 2022-004
    Material Weakness Repeat
  • 1206307 2022-003
    Material Weakness Repeat
  • 1206309 2022-007
    Material Weakness Repeat
  • 1206310 2022-006
    Material Weakness Repeat
  • 1206311 2022-004
    Material Weakness Repeat
  • 1206312 2022-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $1.50M
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $913,971
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $50,000
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $2,000