Finding 36538 (2022-001)

Material Weakness
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-08-04
Audit: 27194
Organization: McR Health, Inc. (FL)

AI Summary

  • Core Issue: The organization failed to include necessary wage rate requirements in construction contracts for federal funding, leading to noncompliance.
  • Impacted Requirements: 2 CFR 200.303 and 29 CFR Part 5 mandate effective internal controls and compliance with wage rate provisions for federally funded projects.
  • Recommended Follow-Up: Implement policies and procedures to ensure all contracts meet compliance requirements, including regular reviews of the OMB Compliance Supplement.

Finding Text

Part III ? Schedule of Findings and Questioned Costs ? Federal Programs Item 2022-001 Special Tests and Provisions ? Wage Rate Requirements Health Infrastructure Investment Program ? Assistance Listing # 93.526 U.S. Department of Health and Human Services Federal Award Year 2022 Criteria ? 2 CFR 200.303 requires non-federal entities to establish and maintain effective internal controls over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Nonfederal entities shall include in their construction contracts subject to the Wage Rate Requirements a provision that the contractor or subcontractor comply with those requirements and the DOL regulations (29 CFR Part 5, Labor Standards Provisions Applicable to Contracts Governing Federally Financed and Assisted Construction). Condition ? The construction charged to this program was not subject to wage rate requirement and the contracts did not have the required language. Cause ? The Organization had no policy and/or procedures in place to identify the compliance requirements and establish the necessary internal controls to ensure compliance. Questioned Costs ? Undetermined Effect ? Lack of internal controls over compliance resulted in noncompliance of the federal award as the wage rate requirement was not in compliance. Recommendation ? We recommend that the Organization establish policy and procedures to review not on the award agreement but also the OMB Compliance Supplement to develop and understanding of all compliance requirements and thus put in place internal controls to ensure compliance. Management?s Response - MCR Health has established a policy and procedures to review the contract and OMB Compliance supplement requirements for all federal and state awards to gain an understanding of the compliance requirements and will have in place internal controls to ensure compliance.

Corrective Action Plan

The following are management responses to the internal control findings: 2022-001 Single Audit major Program - Material Weakness MCR Health has established a policy and procedures to review the contract and 0MB Compliance Supplement requirements for all Federal or state awards to gain an understanding of the compliance requirements and will have in place internal controls to ensure compliance. The review will be completed by the Finance and Budget Manager, (Tracy Brown), during the application process for each grant. This was put into place March 1, 2023. If anything needs to be addressed, please do not hesitate to give me a call at 941-776- 4008 x306.

Categories

Matching / Level of Effort / Earmarking Special Tests & Provisions

Other Findings in this Audit

  • 36539 2022-001
    Material Weakness
  • 612980 2022-001
    Material Weakness
  • 612981 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program $9.74M
93.224 Covid 19 American Rescue Plan Act Funding for Health Centers $3.27M
93.526 Health Infrastructure Investment Program $1.00M
32.006 Covid 19 Cares Telehealth Program: Round 2 $1.00M
93.918 Ryan White Title III Early Intervention Services Program $384,142
93.778 Medical Assistance Program (january-December) $221,000
93.917 Hiv Care Formula Grants (january-December) $213,374
93.526 Covid 19 Americantescue Plan Act Health Center Infrastructure Support $141,036
14.241 Health Planning Council of Southwest Florida $51,636