Finding 526619 (2024-001)

Significant Deficiency
Requirement
B
Questioned Costs
$1
Year
2024
Accepted
2025-03-11
Audit: 345566
Organization: Brevard Health Alliance, Inc. (FL)

AI Summary

  • Core Issue: Brevard Health Alliance requested reimbursement for $8,978 in payroll costs from two federal grants, violating cost allocation rules.
  • Impacted Requirements: Compliance with 2 CFR Part 200.403 and 2 CFR 200.303, which mandate proper internal controls and cost allocation.
  • Recommended Follow-Up: Implement monthly payroll allocation reviews to prevent duplicate reimbursement requests and strengthen internal controls.

Finding Text

2024 – 001 – Factors Affecting Allowability of Costs Health Center Program & Grants for New and Expanded Services under the Health Center Program Assistance Listing Number: 93.224 & 93.527 Federal Award ID Number: H8004213 H8F41284 C1650401 H8G47667 H8L51683 H2E45573 Department of Health and Human Services Funding 2024 Criteria: 2 CFR Part 200.403 sets forth the requirements for costs to be allowable. This section specifically states that costs should “not be included as a cost or used to meet cost sharing requirements of any other federally-financed program in either the current or a prior period.” 2 CFR 200.303 provides that non-Federal entities must establish and maintain effective internal controls to provide reasonable assurance of compliance with Uniform Guidance. Condition: Brevard Health Alliance requested reimbursement for $8,978 of expenditures under two different federal grants. One grant is requested based upon clinic hours and another based on an individual’s time and effort. Cause: The cause of the situation was due to poorly designed internal control procedures related to the allocation of payroll expense requested for reimbursement between various grants. Effect: If the same expenditure is requested multiple times from the granting agency, they may request funds be returned. Questioned Cost: $8,978 of known questioned costs. However, the Alliance has additional allowable payroll costs to cover the amounts duplicated. Perspective: Total payroll that was requested for reimbursement was $5,251,473, with known questioned cost being $8,978 resulting in only 0.2% of payroll expenditures. Recommendation: The client should verify that reimbursement request do not include payroll expenditures submitted for other grants. The allocation of payroll should be done monthly. Management Response: Brevard Health Alliance will ensure allocation of payroll expenditures submitted for grants is done monthly to ensure stronger internal controls regarding grant funds.

Corrective Action Plan

FACTORS AFFECTING ALLOWABILITY OF COSTS Brevard Health Alliance requested reimbursement for $8,978 of expenditres under two differentfederal grants. One grant is requested based upon clinic hours and another based on an individual's time and effort. Recommendation: The client should verify that reimbursement request do not include payroll expenditures submitted for other grants. The allocation of payroll should be done monthly. Responsible Party: Shelley Jackson, Director of Accounting Corrective Action: Brevard Health Alliance will ensure allocationof payroll expenditures submitted for grants is done monthly to ensure stronger internal controls regarding grant funds.

Categories

Questioned Costs Matching / Level of Effort / Earmarking Allowable Costs / Cost Principles Cash Management

Other Findings in this Audit

  • 526620 2024-001
    Significant Deficiency
  • 526621 2024-001
    Significant Deficiency
  • 526622 2024-001
    Significant Deficiency
  • 526623 2024-001
    Significant Deficiency
  • 526624 2024-001
    Significant Deficiency
  • 526625 2024-001
    Significant Deficiency
  • 526626 2024-002
    Significant Deficiency
  • 526627 2024-002
    Significant Deficiency
  • 526628 2024-002
    Significant Deficiency
  • 526629 2024-002
    Significant Deficiency
  • 526630 2024-002
    Significant Deficiency
  • 526631 2024-002
    Significant Deficiency
  • 526632 2024-002
    Significant Deficiency
  • 1103061 2024-001
    Significant Deficiency
  • 1103062 2024-001
    Significant Deficiency
  • 1103063 2024-001
    Significant Deficiency
  • 1103064 2024-001
    Significant Deficiency
  • 1103065 2024-001
    Significant Deficiency
  • 1103066 2024-001
    Significant Deficiency
  • 1103067 2024-001
    Significant Deficiency
  • 1103068 2024-002
    Significant Deficiency
  • 1103069 2024-002
    Significant Deficiency
  • 1103070 2024-002
    Significant Deficiency
  • 1103071 2024-002
    Significant Deficiency
  • 1103072 2024-002
    Significant Deficiency
  • 1103073 2024-002
    Significant Deficiency
  • 1103074 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.526 Grants for Capital Development in Health Centers $233,864
93.527 Grants for New and Expanded Services Under the Health Center Program $190,944
93.244 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $118,814
93.527 Covid-19 Grants for New and Expanded Services Under the Health Center Program $100,175
93.917 Hiv Care Formula Grants $6,587