Finding 521159 (2024-003)

Significant Deficiency Repeat Finding
Requirement
B
Questioned Costs
$1
Year
2024
Accepted
2025-02-04
Audit: 341112
Organization: Hamilton Health Center, Inc. (PA)
Auditor: Baker Tilly

AI Summary

  • Core Issue: The Organization charged indirect costs at an incorrect rate of 18.8%, exceeding the negotiated rate of 17.75% by $6,054.
  • Impacted Requirements: This finding repeats a previous issue and violates compliance with allowable costs as per 2 CFR Part 200.
  • Recommended Follow-Up: Implement procedures to ensure the correct indirect cost rate is used, and review the rate before drawing down federal grant funds.

Finding Text

2024-003: Significant Deficiency in Internal Control - Indirect Costs Repeat Finding of 2023-003 Federal Program: COVID-19: Community Health Centers (Health Center Program Cluster) Assistance Listing Number: 93.224/93.527 Federal Agency: U.S. Department of Health and Human Services Award Number: N/A Award Year: 2024 Compliance Requirement: Allowable Costs/Cost Principles Questioned Costs: $6,054 Criteria: The Organization has a negotiated indirect cost rate agreement with the federal government for indirect costs. In accordance with 2 CFR Part 200, Appendix IV, indirect cost rate proposals are used to establish predetermined rates, fixed rates with carry-forward provision, provisional or final rates. A provision rate or billing rate is a temporary indirect cost rate applicable to a specified period which is used for funding, interim reimbursement and reporting of indirect costs pending establishment of a final rate for the period. An organization cannot charge indirect costs to a federal program in excess of its negotiated indirect cost rate agreement. Condition and Context: The Organization's negotiated indirect cost rate agreement includes a provisional rate of 17.75% of direct costs for the period April 1, 2021 through March 21, 2024. The Organization charged indirect costs to its American Rescue Plan supplemental health center funding using a rate of 18.8% of direct costs for the period April 2023 through June 2023. The 18.8% rate that was used was obtained from an expired indirect cost rate agreement. Effect: The Organization charged indirect costs of $6,054 in excess of what was allowed during the year ended March 31, 2024. Cause: The Organization used the incorrect indirect cost rate due to oversight by management. Recommendation: The Organization should implement procedures to ensure indirect costs are being charged to programs using the most recent indirect cost rate agreement in place. Views of Responsible Officials and Planned Correction: The continued use of the expired indirecto cost rate was caused by the departure of the former CFO, who was responsible for reviewing federal grant draw downs. After the CFO let, the controller continued using the expired indirect cost rate. The new CFO has put in place a system to review the indirect cost rate in effect prior to the drawdown of grant funds.

Categories

Questioned Costs Cash Management Allowable Costs / Cost Principles Internal Control / Segregation of Duties

Other Findings in this Audit

  • 521156 2024-002
    Significant Deficiency Repeat
  • 521157 2024-003
    Significant Deficiency Repeat
  • 521158 2024-002
    Significant Deficiency Repeat
  • 1097598 2024-002
    Significant Deficiency Repeat
  • 1097599 2024-003
    Significant Deficiency Repeat
  • 1097600 2024-002
    Significant Deficiency Repeat
  • 1097601 2024-003
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.28M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $1.23M
93.926 Healthy Start Initiative $1.06M
93.224 Community Health Centers $684,947
93.268 Immunization Cooperative Agreements $538,396
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $266,302
93.217 Family Planning Services $154,187
93.994 Maternal and Child Health Services Block Grant to the States $49,765
93.959 Block Grants for Prevention and Treatment of Substance Abuse $43,511
93.667 Social Services Block Grant $38,850
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $38,149
93.788 Opioid Str $34,427
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $17,264