FAC Explorer

Audit 301517

FY End
2023-06-30
Total Expended
$13.60M
Findings
10
Programs
5
Organization: Au Health System, Inc. (GA)
Year: 2023 Accepted: 2024-04-01
Auditor: Carr Riggs & Ingram LLC

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
390781 2023-001 Significant Deficiency - AB
390782 2023-001 Significant Deficiency - AB
390783 2023-001 Significant Deficiency - AB
390784 2023-001 Significant Deficiency - AB
390785 2023-001 Significant Deficiency - AB
967223 2023-001 Significant Deficiency - AB
967224 2023-001 Significant Deficiency - AB
967225 2023-001 Significant Deficiency - AB
967226 2023-001 Significant Deficiency - AB
967227 2023-001 Significant Deficiency - AB

Programs

ALN Program Spent Major Findings
93.498 Covid-19 Provider Relief Fund $5.06M Yes 1
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $436,466 - 0
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $423,689 - 0
93.778 Medical Assistance Program $324,836 Yes 1
93.889 National Bioterrorism Hospital Preparedness Program $44,862 - 0

Contacts

Name Title Type
TJDWD2HENMF7 Wendy Stephens Auditee
7067219067 Keith Hundley Auditor
No contacts on file

Notes to SEFA

Title: BASIS OF PRESENTATION Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. The amounts reported in the accompanying Schedule were obtained from the Health System’s general ledger. Because the Schedule presents only a selected portion of the operations, it is not intended to and does not present the financial position, changes in net position and cash flows of the Health System. The amounts presented on the Schedule for Assistance Listing 93.498, COVID-19 Provider Relief Fund (PRF), are based on the Period 4 and 5 PRF report submission to the PRF reporting portal. Amounts included in Period 4 submission represent amounts received between July 1, 2021 and December 31, 2021, totaled $10,592,172. Period 5 submission represents amounts received between January 1, 2022 and June 30, 2022 which the Health System, had no expenses to report. For purposes of the Schedule, federal awards include all grants, contracts, and similar agreements entered into directly with the federal government and other pass-through entities. Payments received for goods or services provided as a vendor do not constitute federal awards for purposes of the Schedule. The Health System has obtained Assistance Listing Numbers (ALN) to ensure that all programs have been identified in the Schedule. ALNs have been appropriately listed by applicable programs. Federal programs with different ALNs that are closely related because they share common compliance requirements are defined as a cluster by the Uniform Guidance. One cluster was identified in the Schedule as follows: Medicaid Cluster ‐ This cluster includes awards that assist agencies providing payments for medical assistance to low‐income persons.
Title: RELATIONSHIP OF THE SCHEDULE TO PROGRAM FINANCIAL REPORTS Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. The amounts reflected in the financial reports submitted to the awarding federal and/or pass-through agencies and the Schedule may differ. Some of the factors that may account for any difference include the following: - The Health System’s fiscal year end may differ from the program’s year end. - Accruals recognized in the Schedule, because of year end procedures, may not be reported in the program financial reports until the next program reporting period. - Fixed asset purchases and the resultant depreciation charges are recognized as property and equipment, net in the Health System’s financial statements and as expenditures in the program financial reports. The amounts reflected in the financial reports submitted to the awarding federal and/or pass-through agencies and the Schedule may differ. Some of the factors that may account for any difference include the following:  The Health System’s fiscal year end may differ from the program’s year end.  Accruals recognized in the Schedule, because of year end procedures, may not be reported in the program financial reports until the next program reporting period.  Fixed asset purchases and the resultant depreciation charges are recognized as property and equipment, net in the Health System’s financial statements and as expenditures in the program financial reports. The amounts reflected in the financial reports submitted to the awarding federal and/or pass-through agencies and the Schedule may differ. Some of the factors that may account for any difference include the following:  The Health System’s fiscal year end may differ from the program’s year end.  Accruals recognized in the Schedule, because of year end procedures, may not be reported in the program financial reports until the next program reporting period.  Fixed asset purchases and the resultant depreciation charges are recognized as property and equipment, net in the Health System’s financial statements and as expenditures in the program financial reports.
Title: FEDERAL PASS-THROUGH FUNDS Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. The Health System is the sub-recipient of federal funds that have been subjected to testing and are reported as expenditures and listed as federal pass-through funds. Federal awards other than those indicated as “pass-through” are considered direct and will be designated accordingly.
Title: CONTINGENCIES Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. Grant monies received and disbursed by the Health System are for specific purposes and are subject to review by the grantor agencies. Such audits may result in requests for reimbursement due to disallowed expenditures. Based upon experience, the Health System does not believe that such disallowance, if any, would have a material effect on the financial position of the Health System. As of June 30, 2023, there were no known material questioned or disallowed costs as a result of grant audits in process or completed.
Title: NONCASH ASSISTANCE Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. The Health System did not receive any federal noncash assistance for the fiscal year ended June 30, 2023.
Title: SUBRECIPIENTS Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. The Health System did not provide federal funds to subrecipients for the fiscal year ended June 30, 2023.
Title: LOANS AND LOAN GUARANTEES Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. The Health System did not have any loans or loan guarantee programs required to be reported on the Schedule.
Title: FEDERALLY FUNDED INSURANCE Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. The Health System did not have any federally funded insurance required to be reported on the Schedule for the fiscal year ending June 30, 2023.
Title: PROVIDER RELIEF FUND Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. Under terms and conditions of the Provider Relief Funds (PRF) under the Coronavirus Aids, Relief, and Economic Security (CARES) Act, the Health System is required to report COVID-19 related expenses and lost revenue to the U.S. Department of Health and Human Services (HHS). Guidance from HHS has required the reporting of the COVID-19 related expenses and lost revenue in certain reporting periods based on when the funds were received and used by the Health System in accordance with the PRF terms and conditions. During the years ended June 30, 2023 and 2022, the Health System recognized approximately $0 and $10.6 million, respectively, of PRF income included as nonoperating income in the Health System’s statements of revenues, expenses, and changes in net position, associated with lost operating revenues and COVID-related costs. Under the HHS requirements, the 2023 Schedule includes PRF of $10,592,172, which was received by the Health System prior to June 30, 2022.
Title: DONATED PERSONAL PROTECTIVE EQUIPMENT (UNAUDITED) Accounting Policies: This Schedule of Expenditures of Federal Awards (the Schedule) was prepared on the modified accrual basis of accounting. The modified accrual basis differs from the full accrual basis of accounting in that expenditures for property and equipment are expensed when incurred, rather than being capitalized and depreciated over their useful lives, and expenditures for the principal portion of debt service are expensed when incurred, rather than being applied to reduce the outstanding principal portion of debt, which conforms to the basis of reporting to grantors for reimbursement under the terms of the Health System’s federal grants. De Minimis Rate Used: N Rate Explanation: The Health System has elected to not use the 10% de Minimis indirect cost rate. During the emergency period of the COVID-19 pandemic, federal agencies and recipients can donate personal protective equipment purchased with federal assistance funds to various entities for the COVID-19 response. During the year ended June 30, 2023, the Company did not receive any material amounts of donated personal protective equipment.

Finding Details

Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”
Finding 2023-001
Item 2023‐001 Allowable Costs/Activities Allowed Medical Assistance Program – Assistance Listing # 93.778 U.S. Department of Health and Human Services Passed through the State of Georgia Board of Health Care Workforce Pass-through Grant No. Family Medicine (7/1/2022 – 6/30/2023) COVID-19 Provider Relief Fund – Assistance Listing # 93.498 U.S. Department of Health and Human Services Federal Assistance Identification Number – PRF20200001 Federal Award Year - 2020 Condition/Perspective – Adequate human resource controls were not in place to document that two payroll expenditures was for allowable costs and activities prior to payment, resulting in the following: • COVID-19 Provider Relief Fund – Assistance Listing # 93.498 - One out of 40 employee payroll disbursements were paid without the proper approval of the supporting time sheet. Our sample was a statistically valid sample. • Medical Assistance Program – Assistance Listing # 93.778 - One out of 20 employee payroll disbursements were paid without the proper approval of the supporting time sheet and supporting pay rate. Our sample was a statistically valid sample. Criteria – Grantees should have controls in place to ensure that grant monies are for allowable costs and allowable activities. 2 CFR 200.303 requires the non‐Federal entity to “(a) establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non‐Federal entity is managing the Federal statutes, regulations, and the terms and conditions of the Federal award.” Grantees must follow the requirements of 2 CFR 200.430(i)(1-8) Standards for Documentation of Personnel Expenses. Cause – Lack of sufficient human resource controls to ensure there is evidence of review and approval of supporting time sheet and pay rate documentation prior to payment. Questioned Costs – Not applicable. Identification of Repeat Findings – Not a repeat finding Effect – Lack of proper review and approval could result in disallowed costs. Recommendation – We recommend the implementation of procedures necessary to ensure there is evidence of review and approval of supporting pay rate documentation and supporting time sheets of payroll disbursements prior to payment. Management’s Response – See “Corrective Action Plan”