Finding 977047 (2022-005)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2022
Accepted
2024-06-12
Audit: 308641
Organization: Tca Health, Inc. (IL)

AI Summary

  • Core Issue: Payroll costs were allocated inconsistently with personnel activity reports, leading to potential inaccuracies in federal program charges.
  • Impacted Requirements: Compliance with Uniform Guidance § 200.430(h)(8)(i) regarding accurate documentation and internal controls for personnel expenses.
  • Recommended Follow-Up: Ensure payroll costs are allocated consistently with personnel activity reports to maintain compliance and accuracy.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Center Program Cluster Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS00109-20; H80CS00109-21 Award Period: May 1, 2021 – April 30, 2022; May 1, 2022 – April 30, 2023 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria: Uniform Guidance § 200.430(h)(8)(i) indicates that the standards for documentation of personnel expenses are such that (1) Charges to Federal awards for salaries and wages must be based on records that accurately reflect the work performed. These records must:(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 and (iii) Reasonably reflect the total activity for which the employee is compensated by the non-Federal entity. Condition: The Organization allocated payroll costs in a manner inconsistent with the personnel activity reports provided for the applicable employees and time periods selected for testing. Questioned Costs: Unknown Context: This condition occurred in four (4) of the forty (40) allowable cost transactions selected for testing within the health centers cluster major program, and represented three (3) different employees. Effect: Inaccurate payroll costs may be charged to federal programs if the Organization does not consistently allocate payroll costs based on the personnel activity reports created. Cause: Turnover within the finance department contributed to needing to reallocate certain payroll costs. Repeat Finding: No. Recommendation: We recommend that the Organization allocated payroll costs to grants in a manner that is consistent with the documentation contained within the personnel activity reports. Views of responsible officials: There is no disagreement with this finding.

Categories

Allowable Costs / Cost Principles Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 400600 2022-003
    Material Weakness Repeat
  • 400601 2022-003
    Material Weakness Repeat
  • 400602 2022-004
    Material Weakness Repeat
  • 400603 2022-004
    Material Weakness Repeat
  • 400604 2022-005
    Significant Deficiency
  • 400605 2022-005
    Significant Deficiency
  • 977042 2022-003
    Material Weakness Repeat
  • 977043 2022-003
    Material Weakness Repeat
  • 977044 2022-004
    Material Weakness Repeat
  • 977045 2022-004
    Material Weakness Repeat
  • 977046 2022-005
    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) $2.93M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $607,017
93.558 Temporary Assistance for Needy Families $177,225
93.498 Provider Relief Fund $166,160
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $146,164
93.136 Injury Prevention and Control Research and State and Community Based Programs $137,774
32.006 Covid-19 Telehealth Program $99,508
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $53,395
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $50,000
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $33,166
14.218 Community Development Block Grants/entitlement Grants $23,935
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $11,570
93.994 Maternal and Child Health Services Block Grant to the States $3,059