Finding 1237970 (2025-002)

Material Weakness Repeat Finding
Requirement
AB
Questioned Costs
-
Year
2025
Accepted
2026-09-29
Audit: 412747
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: This practice violates Uniform Guidance on compensation, leading to improper allocation of salary and fringe benefits.
  • Recommended Follow-Up: Improve 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: 93.224 and 93.527 Health Center Program Cluster Award Numbers: H80CS24177, H8N54116, H8HCS44965, Q8J54475, H2E50157, and Q8M49126 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 2025, the Organization charged payroll costs to federal programs based on predetermined budgeted percentages rather than actual time and effort of employees. 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. The Organization’s payroll expenditures for personnel providing in-scope services appear to be sufficient to cover the amounts of grant funding drawn. However, we were not able to verify employee time and effort toward providing program services. 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 Management agrees with the finding. During fiscal year 2025, payroll costs charged to federal awards were allocated based on budgeted percentages rather than documented actual time and effort. Management acknowledges that controls were not sufficient to ensure compliance with Uniform Guidance requirements for documenting and allocating personnel costs charged to federal programs. Management is committed to strengthening internal controls over payroll allocations to ensure personnel costs charged to federal awards are supported by appropriate documentation and accurately reflect work performed.

Corrective Action Plan

Corrective action planned Effective in fiscal year 2026, the Organization will implement a time and effort reporting process for employees whose compensation is charged, in whole or in part, to federal awards. Actual time and effort will be documented and reviewed on a regular basis to support payroll allocations. Where budget estimates are used for interim allocations, management will perform periodic reconciliations to actual activity and make timely adjustments as necessary. Policies and procedures will be updated, and relevant personnel will receive training on Uniform Guidance requirements related to personnel expense reporting and allocation. Anticipated completion date December 31, 2026 Contact person responsible for corrective action Chief Financial Officer

Categories

Allowable Costs / Cost Principles Material Weakness Significant Deficiency

Other Findings in this Audit

  • 1237969 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $5.43M
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $946,818
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $934,778
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $849,998
93.211 TELEHEALTH PROGRAMS $796,876
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $698,890
93.247 ADVANCED NURSING EDUCATION WORKFORCE GRANT PROGRAM $645,137
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $468,750
93.155 RURAL HEALTH RESEARCH CENTERS $271,869
10.760 WATER AND WASTE DISPOSAL SYSTEMS FOR RURAL COMMUNITIES $162,229
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $143,784