Finding 498466 (2023-001)

-
Requirement
AB
Questioned Costs
$1
Year
2023
Accepted
2024-09-26
Audit: 321164
Organization: Medical Debt Resolution, Inc. (NY)
Auditor: Bdo USA PC

AI Summary

  • Core Issue: Retroactive personnel payments were not allocated correctly, violating documentation requirements for federal funds.
  • Impacted Requirements: Compliance with Uniform Guidance §200.403(g) regarding allowable costs and proper documentation.
  • Recommended Follow-Up: Ensure consistent adherence to policies and procedures for accurate allocation of costs.

Finding Text

Finding Number: 2023-001 Activities Allowed or Unallowed; Allowable Costs/Cost Principles Information on Federal Program: United States Department of the Treasury • ALN Number: 21.019 • ALN Name: Coronavirus Relief Fund • Contract Periods: August 9, 2022 – December 31, 2024 (County of Cook, Illinois); June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Criteria - The Uniform Guidance Section §200.403(g) states that for costs to be allowable under federal awards, they must be adequately documented, and there must be sufficient documentation. Condition - During our testing of personnel costs, we noted that the retroactive payment for two samples that was expensed within one month was not properly allocated across previous months based on hours worked for the program in those months. Questioned Costs - Not determinable. Context - This is a condition identified per our compliance testing of personnel costs. Cause - Policies and procedures were not appropriately adhered to in certain instances to ensure that the retroactive pay was properly allocated across previous months. Effect or Potential Effect - We were unable to confirm the allowability, validity, and completeness of the expenses. Recommendation - We recommend that the Organization ensures its policies and procedures are followed on a consistent basis. Views of Responsible Official: The Organization agrees with the finding. The Organization continues to take steps to improve this process. See the Organization’s further response to this finding as described in the accompanying management’s planned corrective actions, Appendix A.

Corrective Action Plan

Finding Number: 2023-001 Compliance Requirement: Activities Allowed or Unallowed; Allowable Costs/Cost Principles Programs: United States Department of the Treasury ALN Number: 21.019 ALN Name: Coronavirus Relief Fund Contract Periods: August 9, 2022 – December 31, 2024 (County of Cook, Illinois); June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Planned Corrective Action: In order to ensure that retroactive personnel costs are allocated to grants appropriately, the following measures are being implemented: 1. Effective October 1, 2024, Medical Debt Resolution, Inc. (the Organization) is transitioning to a common-date annual review including a common annual salary adjustment date for all personnel. This will ensure a timely administration of personnel compensation adjustments, thus eliminating the need for retroactive pay. 2. In the unlikely event of a retrospective pay need in the future, the Organization will develop and implement a new standard operating procedure for Allocation of Retrospective Pay which will provide guidelines for how to appropriately allocate the cost across funds if multiple periods are involved. 3. The Organization is thoroughly reviewing all retrospective payments made in 2023 and 2024 YTD and will be issuing an adjustment to all grants, as applicable, by October 31, 2024. Person Responsible: Vice President, Finance & Administration Expected Completion Date: October 31, 2024

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
21.019 Coronavirus Relief Fund $35,722
21.027 Coronavirus State and Local Fiscal Recovery Funds $20,815