Finding 978111 (2020-003)

Material Weakness
Requirement
A
Questioned Costs
-
Year
2020
Accepted
2024-06-24
Audit: 309626
Organization: Island Health, Inc. (MA)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: Payroll and nonpayroll charges to federal awards lacked proper approvals and documentation, leading to potential compliance risks.
  • Impacted Requirements: Internal controls over payroll and expenditures were not consistently followed, violating 2 CFR regulations on accurate record-keeping and approvals.
  • Recommended Follow-Up: Enforce internal controls to ensure all payrates and timesheets are reviewed and approved, and that nonpayroll expenditures receive appropriate supervisory approval.

Finding Text

Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID-19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services under the Health Center Program CFDA Numbers: 93.224 and 93.527 Criteria According to 2 CFR, Part 200.430(i)(1) charges to Federal awards for salaries and wages must be based on records that accurately reflect the actual work performed, which must, among other things: (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; (iii) and reasonably reflect the total activity for which the employee is compensated by the non-Federal entity. Additionally, costs must be adequately documented, as per 2 CFR 200.403(g). Condition Charges to Federal awards for salaries and wages were not supported by properly approved payrates, and timesheets did not agree to payroll registers. Additionally, nonpayroll expenditures were not supported by properly approval. Cause The Center’s internal controls over payroll were not consistently followed to ensure payrates were approved and timesheets agreed to payroll registers. Additionally, the Center’s internal controls over nonpayroll expenditures were not consistently followed to ensure that expenditures were approved. Effect Failure to ensure accurate wage and allocation of employee time across programs could result in non-compliance with the grant requirements or unallowable costs being charged. Additionally, failure to ensure accurate nonpayroll expenditures could result in a non-compliance with the grant requirements or unallowable costs being charged. Questioned Costs None. Context We selected 25 payroll transactions charged to the federal program to test controls over allowable costs. Out of the 25 transactions tested, we noted 15 instances where there was no formal approval of payrates, 4 instances where timecards did not appropriately reflect in the payroll registers, and all 25 labor reports showed no formal approval documented. Additionally, for nonpayroll allowable costs, out of 3 transactions tested, we noted 3 instances where there was no formal approval showing review that the cost was allowable under the program. Identification of Repeat Finding Not a repeat finding. Recommendation We recommend that the Center consistently enforce its internal controls over payroll to ensure that the timesheet and payrates are reviewed and approved by the appropriate supervisor. Additionally, we recommend that the Center consistently enforce its internal controls over nonpayroll expenditures to ensure all expenditures are approved by the appropriate supervisor. Views of Responsible Officials Management and the Board of Directors agree with the finding and will implement additional controls to ensure all expenditures have evidence of formal approval of review

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 401666 2020-003
    Material Weakness
  • 401667 2020-003
    Material Weakness
  • 401668 2020-003
    Material Weakness
  • 401669 2020-003
    Material Weakness
  • 401670 2020-004
    Material Weakness
  • 401671 2020-004
    Material Weakness
  • 401672 2020-004
    Material Weakness
  • 401673 2020-004
    Material Weakness
  • 401674 2020-005
    Material Weakness
  • 401675 2020-005
    Material Weakness
  • 401676 2020-005
    Material Weakness
  • 401677 2020-005
    Material Weakness
  • 401678 2020-006
    Material Weakness
  • 401679 2020-006
    Material Weakness
  • 401680 2020-006
    Material Weakness
  • 401681 2020-006
    Material Weakness
  • 401682 2020-007
    Material Weakness
  • 401683 2020-007
    Material Weakness
  • 401684 2020-007
    Material Weakness
  • 401685 2020-007
    Material Weakness
  • 978108 2020-003
    Material Weakness
  • 978109 2020-003
    Material Weakness
  • 978110 2020-003
    Material Weakness
  • 978112 2020-004
    Material Weakness
  • 978113 2020-004
    Material Weakness
  • 978114 2020-004
    Material Weakness
  • 978115 2020-004
    Material Weakness
  • 978116 2020-005
    Material Weakness
  • 978117 2020-005
    Material Weakness
  • 978118 2020-005
    Material Weakness
  • 978119 2020-005
    Material Weakness
  • 978120 2020-006
    Material Weakness
  • 978121 2020-006
    Material Weakness
  • 978122 2020-006
    Material Weakness
  • 978123 2020-006
    Material Weakness
  • 978124 2020-007
    Material Weakness
  • 978125 2020-007
    Material Weakness
  • 978126 2020-007
    Material Weakness
  • 978127 2020-007
    Material Weakness

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) $60,009
93.461 Covid-19 Testing for the Uninsured $2,234
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $2,000
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1,600