Finding 1238935 (2025-001)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2025
Accepted
2026-09-30
Audit: 413796
Organization: Unity Health Care, Inc. (MD)
Auditor: BDO USA PC

AI Summary

  • Core Issue: All 176 salary transactions charged to Federal awards were based on estimated allocations, not actual work performed, violating 2 CFR Section 200.430.
  • Impacted Requirements: Internal controls must ensure salary charges reflect actual time worked, not just budget estimates, to comply with federal regulations.
  • Recommended Follow-Up: Implement a system to track actual time spent on Federal programs, including regular time and effort reports reviewed by management 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 176 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 176 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 2024-001 in the 2024 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

Finding/Issue #2025-001: Internal Controls over Allowable Costs relating to Time and Effort 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. It was recommended that 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 management for accuracy. Management Response #2025-001: 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 are collaborating to integrate time-tracking functionality into the current timekeeping system, enabling real-time tracking of time worked on grants. The rollout of this new process began in Q4 of FY25. Responsible Party: Tamara Barnes, CFO

Categories

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

Other Findings in this Audit

  • 1238924 2025-001
    Material Weakness Repeat
  • 1238925 2025-002
    Material Weakness Repeat
  • 1238926 2025-001
    Material Weakness Repeat
  • 1238927 2025-002
    Material Weakness Repeat
  • 1238928 2025-003
    Material Weakness Repeat
  • 1238929 2025-001
    Material Weakness Repeat
  • 1238930 2025-002
    Material Weakness Repeat
  • 1238931 2025-003
    Material Weakness Repeat
  • 1238932 2025-001
    Material Weakness Repeat
  • 1238933 2025-002
    Material Weakness Repeat
  • 1238934 2025-003
    Material Weakness Repeat
  • 1238936 2025-002
    Material Weakness Repeat
  • 1238937 2025-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $11.21M
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $5.21M
93.788 OPIOID STR $1.49M
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $1.24M
93.217 FAMILY PLANNING SERVICES $1.10M
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $604,628
93.917 HIV CARE FORMULA GRANTS $422,376
93.247 ADVANCED NURSING EDUCATION WORKFORCE GRANT PROGRAM $403,437
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $267,165
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $245,888
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $79,012
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $70,944
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $68,382
93.107 AREA HEALTH EDUCATION CENTERS $64,412
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $60,517
93.988 COOPERATIVE AGREEMENTS FOR DIABETES CONTROL PROGRAMS $56,218
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $45,286
93.387 NATIONAL AND STATE TOBACCO CONTROL PROGRAM $41,688
93.242 MENTAL HEALTH RESEARCH GRANTS $1,137