Finding 480486 (2023-002)

Significant Deficiency
Requirement
A
Questioned Costs
-
Year
2023
Accepted
2024-08-05

AI Summary

  • Core Issue: Payroll costs charged to federal grants lacked formal management review and approval.
  • Impacted Requirements: Compliance with 2 CFR, Part 200.430(i)(1) regarding accurate and allowable salary charges.
  • Recommended Follow-Up: Enforce internal controls to ensure all payroll reports are formally approved before submission.

Finding Text

Finding 2023.002: Activities Allowed or Unallowed Grantor: 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, COVID-19 Grants for New and Expanded Services under the Health Center Program. Federal Assistance Listing Numbers: 93.224 and 93.527 Criteria According to 2 CFR, Part 200.430(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. Condition There was no evidence that management reviewed and approved the payroll cost charged to the major program to ensure it was an allowable cost under the Uniform Guidance, as evidenced by a reviewer's signature on the labor report. Cause The Center's internal controls over payroll were not consistently followed. Effect Unallowable expenses could be charged to the grant. Questioned Costs None. Context Out of the 25 payroll transactions selected for testing, none of them illustrated documentation of formal approval. Identification as Repeat Finding Not a repeat finding. Recommendation We recommend that the Organization consistently enforce its internal controls over payroll to ensure that all labor reports are reviewed and show formal approval before payroll is submitted. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will implement additional controls to ensure payroll expenditures are being formally reviewed and approved.

Corrective Action Plan

Item 2023-002 - Activities Allowed and Unallowed Recommendation We recommend that the Organization consistently enforce its internal controls over payroll to ensure that all labor reports are reviewed and show formal approval before payroll is submitted. Repeat Finding No Action Taken As of July 20, 2024, we have added the Payroll Summary by grant to the grant draw down packet. In addition, we have changed the procedure to reflect that the payroll summary must have either the CFO and/or CEO approval signature prior to grant draw. If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please call: Sabrina McAfee, CFO at (573) 836-7079.

Categories

Allowable Costs / Cost Principles HUD Housing Programs Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 480482 2023-001
    Significant Deficiency Repeat
  • 480483 2023-001
    Significant Deficiency Repeat
  • 480484 2023-001
    Significant Deficiency Repeat
  • 480485 2023-001
    Significant Deficiency Repeat
  • 480487 2023-002
    Significant Deficiency
  • 480488 2023-002
    Significant Deficiency
  • 480489 2023-002
    Significant Deficiency
  • 1056924 2023-001
    Significant Deficiency Repeat
  • 1056925 2023-001
    Significant Deficiency Repeat
  • 1056926 2023-001
    Significant Deficiency Repeat
  • 1056927 2023-001
    Significant Deficiency Repeat
  • 1056928 2023-002
    Significant Deficiency
  • 1056929 2023-002
    Significant Deficiency
  • 1056930 2023-002
    Significant Deficiency
  • 1056931 2023-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $768,417
93.268 Immunization Cooperative Agreements $351,364
21.027 Coronavirus State and Local Fiscal Recovery Funds $310,073
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $212,783
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $209,335
93.778 Medical Assistance Program $175,746
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $135,284
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $127,538
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $72,420
93.283 Centers for Disease Control and Prevention_investigations and Technical Assistance $27,565
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $26,064