Finding 582927 (2023-003)

Significant Deficiency
Requirement
B
Questioned Costs
$1
Year
2023
Accepted
2023-12-26
Audit: 8436
Organization: Hamilton Health Center, Inc. (PA)

AI Summary

  • Core Issue: The Organization charged indirect costs at an incorrect rate of 18.8%, exceeding the negotiated rate of 17.75% by $13,486.
  • Impacted Requirements: Compliance with 2 CFR Part 200 regarding allowable costs and adherence to the current indirect cost rate agreement.
  • Recommended Follow-Up: Implement procedures to ensure the correct indirect cost rate is used, especially during leadership transitions.

Finding Text

Federal Program: Health Centers 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: 2023 Compliance Requirement: Allowable Costs/Cost Principles Questioned Costs: $13,486 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 June 2022 through March 2023. The 18.8% rate that was used was obtained from an expired indirect cost rate agreement. Effect: The Organization charged indirect costs of $13,486 in excess of what was allowed during the year ended March 31, 2023. 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: In September of 2022, the Chief Financial Officer left the health center, and a replacement was not hired until February 20, 2023, a month before the end of the fiscal year on March 31, 2023. While the accounting staff have been with the health center for more than three years, they lacked guidance while the search for a replacement Chief Financial Officer was going on. The Chief Financial Officer who left the health center was the only one who was handling and administering the indirect cost rate to Federal grants but when he left the accounting staff had no clue that the new indirect cost rate needed to be administered. The new Chief Financial Officer has experience in the use and application of indirect cost rates and has cross trained the Controller in the use and application of indirect cost rates. This finding will never reoccur in future.

Categories

Questioned Costs Allowable Costs / Cost Principles Cash Management Reporting

Other Findings in this Audit

  • 6484 2023-002
    Material Weakness Repeat
  • 6485 2023-003
    Significant Deficiency
  • 6486 2023-002
    Material Weakness Repeat
  • 6487 2023-003
    Significant Deficiency
  • 582926 2023-002
    Material Weakness Repeat
  • 582928 2023-002
    Material Weakness Repeat
  • 582929 2023-003
    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) $3.79M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.81M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $1.29M
93.926 Healthy Start Initiative $1.25M
93.268 Immunization Cooperative Agreements $614,874
93.217 Family Planning_services $210,803
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $180,684
93.788 Opioid Str $153,250
93.994 Maternal and Child Health Services Block Grant to the States $80,838
93.566 Refugee and Entrant Assistance_state Administered Programs $44,016
93.959 Block Grants for Prevention and Treatment of Substance Abuse $42,083
93.667 Social Services Block Grant $30,683
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $3,468