Finding 1238937 (2025-003)

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: The Corporation lacks proper documentation and internal controls for managing indirect costs associated with Federal awards, violating 2 CFR 200.303(a) and Appendix IV requirements.
  • Impacted Requirements: Indirect costs charged do not consistently align with allowability provisions in 2 CFR Part 200, Subpart E, leading to potential compliance issues.
  • Recommended Follow-Up: Establish formal policies and internal controls to ensure ongoing compliance with indirect cost allowability requirements and prevent recurrence of this issue.

Finding Text

Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the Federal award that provides assurance that the entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Additionally, 2 CFR Appendix IV to Part 200 Section B.2(b) requires that both the direct costs and the indirect costs must exclude capital expenditures and unallowable costs. Per Compliance Supplement, these indirect costs must conform to the allowability of cost provisions in 2 CFR Part 200, Subpart E or award agreement. Condition: During our testing of indirect costs, we noted that the Corporation charges the Federally approved rate of 28.7% on specific grant awards based on direct salaries and wages. However, the Corporation did not maintain ongoing supporting documentation of eligible indirect costs. Cause: The Corporation did not have formal process and policies to demonstrate adherence to the allowability requirements of indirect costs in accordance with 2 CFR Appendix IV to Part 200 Section B.2(b). Effect or Potential Effect: Additional efforts after year end were required to determine whether indirect costs charged to Federal awards conform to the allowability of cost provisions in 2 CFR Part 200, Subpart E or award agreement. Allowable costs incurred by the Corporation exceeded the amount of approved grant funding, therefore no questioned costs are reported. Questioned costs: None Context: Additional efforts after year end were required by management in order to provide sufficient and appropriate evidence that the reported indirect costs conformed to the allowability of cost provisions in 2 CFR Part 200, Subpart E or award agreement. Repeat finding: This is a repeat finding from prior year. This was reported as finding 2024-005 in the 2024 report. Recommendation: We recommend the Corporation develop and incorporate internal controls and policies to demonstrate adherence to the allowability requirements of indirect costs in accordance with 2 CFR Appendix IV to Part 200 Section B.2(b). View of Responsible Officials:Due to staff turnover the Corporation did not have adequate personnel or infrastructure in place to monitor costs in order to calculate and determine an updated indirect cost rate. Also, the current indirect cost rate allocations is based on historical assumptions.

Corrective Action Plan

Finding/Issue #2025-003: Lack of Documentation Maintained over Indirect Costs The Corporation did not have formal process and policies to demonstrate adherence to the allowability requirements of indirect costs in accordance with 2 CFR Appendix IV to Part 200 Section B.2(b). It was recommended the Corporation develop and incorporate internal controls and policies to demonstrate adherence to the allowability requirements of indirect costs in accordance with 2 CFR Appendix IV to Part 200 Section B.2(b). Management Response #2025-003: Due to staff turnover the Corporation did not have adequate personnel or infrastructure in place to monitor costs in order to calculate and determine an updated indirect cost rate. Also, the current indirect cost rate allocations is based on historical assumptions. Corrective Action Plan: The Finance Team will develop overall operational costs reports to calculate and support a new rate. The proposed rate will be submitted to HRSA for approval. This will allow us to ensure the calculation for indirect costs and documentation supporting the indirect cost pool conform to the current regulations. Management expects it to be completed by December 31, 2026. Responsible Party: Tamara Barnes, CFO

Categories

Allowable Costs / Cost Principles

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
  • 1238935 2025-001
    Material Weakness Repeat
  • 1238936 2025-002
    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