Audit 47065

FY End
2022-12-31
Total Expended
$167.35M
Findings
12
Programs
59
Organization: Bon Secours Mercy Health (OH)
Year: 2022 Accepted: 2023-09-14
Auditor: Kpmg

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
42257 2022-002 Significant Deficiency - BC
42258 2022-003 Significant Deficiency - N
42259 2022-003 Significant Deficiency - N
42260 2022-001 Significant Deficiency - L
42261 2022-001 Significant Deficiency - L
42262 2022-001 Significant Deficiency - L
618699 2022-002 Significant Deficiency - BC
618700 2022-003 Significant Deficiency - N
618701 2022-003 Significant Deficiency - N
618702 2022-001 Significant Deficiency - L
618703 2022-001 Significant Deficiency - L
618704 2022-001 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
84.268 Federal Direct Student Loans $10.79M Yes 1
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured and the Covid-19 Coverage Assistance Fund $3.94M Yes 0
17.720 Disability Employment Policy Development $3.20M Yes 1
84.063 Federal Pell Grant Program $2.42M Yes 1
93.155 Rural Health Research Centers $1.29M - 0
93.697 Covid-19 Testing and Mitigation for Rural Health Clinics $1.20M - 0
93.493 Congressional Directives $1.00M - 0
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $971,757 Yes 1
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $648,544 - 0
32.006 Covid-19 Telehealth Program $630,678 - 0
93.600 Head Start $473,300 - 0
93.575 Child Care and Development Block Grant $436,750 - 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $353,848 - 0
93.059 Training in General, Pediatric, and Public Health Dentistry $332,113 - 0
84.425 Education Stabilization Fund - Heerf - Institutional Portion $328,549 - 0
16.838 Comprehensive Opioid Abuse Site-Based Program $317,152 - 0
93.914 Hiv Emergency Relief Project Grants $302,280 - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $250,000 - 0
93.178 Nursing Workforce Diversity $247,446 - 0
84.425 Education Stabilization Fund - Heerf - Strengthening Institutions Program $246,311 - 0
84.425 Education Stabilization Fund - Heerf - Student Aid Portion $192,000 - 0
14.218 Community Development Block Grants/entitlement Grants $186,968 - 0
93.279 Drug Abuse and Addiction Research Programs $181,389 - 0
93.241 State Rural Hospital Flexibility Program $150,000 - 0
93.778 Medical Assistance Program $148,825 - 0
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $125,205 - 0
16.575 Crime Victim Assistance $122,149 - 0
93.732 Mental and Behavioral Health Education and Training Grants $120,439 - 0
84.007 Federal Supplemental Educational Opportunity Grants $110,784 Yes 0
93.917 Hiv Care Formula Grants $105,326 - 0
93.301 Small Rural Hospital Improvement Grant Program $94,840 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $93,823 - 0
93.788 Opioid Str $93,135 - 0
17.259 Wia Youth Activities $89,255 - 0
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $84,890 - 0
23.001 Appalachian Regional Development (see Individual Appalachian Programs) $84,387 - 0
93.359 Nurse Education, Practice Quality and Retention Grants $78,758 - 0
93.926 Healthy Start Initiative $72,552 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $72,512 - 0
84.033 Federal Work-Study Program $67,588 Yes 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $56,975 Yes 0
14.241 Housing Opportunities for Persons with Aids $55,607 - 0
59.077 Community Navigator Pilot Program $37,208 - 0
94.006 Americorps $34,873 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $33,562 - 0
16.753 Congressionally Recommended Awards $32,557 - 0
93.590 Community-Based Child Abuse Prevention Grants $17,595 - 0
84.425 Governor's Emergency Education Relief Fund $16,053 - 0
93.435 The Innovative Cardiovascular Health Program $14,904 - 0
10.551 Supplemental Nutrition Assistance Program $12,060 - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $11,360 - 0
93.837 Cardiovascular Diseases Research $10,937 - 0
93.495 Community Health Workers for Public Health Response and Resilient $10,800 - 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $10,741 - 0
93.558 Temporary Assistance for Needy Families $10,477 - 0
93.884 Grants for Primary Care Training and Enhancement $7,914 - 0
93.889 National Bioterrorism Hospital Preparedness Program $7,735 - 0
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $4,019 - 0
97.024 Emergency Food and Shelter National Board Program $3,735 - 0

Contacts

Name Title Type
PBQRGJPJ7C95 Jamey Howe Auditee
5139525017 Chase Gahan Auditor
No contacts on file

Notes to SEFA

Accounting Policies: (1) Basis of Presentation. The accompanying schedule of expenditures of federal awards includes the federal grant activity of Bon Secours Mercy Health (the Company). The accompanying schedule is presented using the accrual basis of accounting. The information in this schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). (2) Federal Student Loan Program. With respect to the Federal Student Loan Program, the Company is only responsible for the performance of certain administrative duties related to approving and disbursing the loan and has no ongoing responsibility for administration of the loan; therefore, the transaction and the balances of the loans outstanding related to this program are not included in the Companys consolidated financial statements. The schedule of expenditures of federal awards includes the amounts loaned to students during the year ended December 31, 2022. (3) Indirect Cost. The Company has elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. (4) Personal Protective Equipment Receipts. The Company has not received donated personal protective equipment (PPE) from various governmental entities. De Minimis Rate Used: Y Rate Explanation: The Company has elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.

Finding Details

Federal Agency: U.S. Department of Labor Federal Program: Disability Employment Policy Development Federal Award Number: 17.720 Federal Award Year: July 1, 2021 through June 30, 2022; July 1, 2022 through June 30, 2023 Compliance Requirement Allowable Costs (B), Cash Management (C) Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Costs must be necessary and reasonable for the performance of the federal award and be allocable thereto under the principles in 2 CFR Part 200, Subpart E. Program costs must be paid by non-federal entity funds before submitting a payment request (2 CFR section 200.305(b)(3)) (i.e., the non-federal entity must disburse funds for program purposes before requesting payment from the federal awarding agency or pass-through entity). Condition Found, Including Perspective For 3 out of 40 payroll samples tested, an internet stipend was charged twice to the program. The amount of the overcharge to the program was $120 and the total sampled payroll population was $98,294. For 1 out of 40 other than payroll samples, compensation for a training session was charged to the program that was not incurred by the entity. The amount of the overcharge to the program was $100 and the total other than payroll sampled population was $188,437. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct charges to the program that were duplicated or not incurred by the entity. Questioned Costs Questioned costs totaled $220. Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the appropriateness of the expenses charged to the program. Views of Responsible Officials Management agrees with the findings and will implement a more detailed review process of the invoicing prior to submission. This review process will include a review of the expenditures being requested for reimbursement with no materiality threshold.
Federal Agency: U.S. Department of Education Federal Program: Student Financial Assistance Cluster Federal Award Number: 84.063 Federal Pell Grant Program and 84.268 Federal Direct Student Loans Federal Award Year: July 1, 2021 through June 30, 2022 Compliance Requirement Special Tests and Provisions (N) ? Enrollment Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the Pell grant and direct loan programs, institutions are responsible for timely reporting, whether they report directly or via a third-party servicer. Institutions must complete and return the enrollment reporting roster file within 15 days of receipt. An institution determines how often it receives the enrollment reporting roster file with the default set at a minimum of every 60 days. Once received, the institution must update for changes in the data elements for the Campus Record and the Program Record, and submit the changes electronically through the batch method, spreadsheet submittal, or the National Student Loan Data System (NSLDS) website (Pell, 34 CFR 690.83(b)(2); FFEL, 34 CFR 682.610; Direct Loan, 34 CFR 685.309). The institution must report the status change in its next updated enrollment reporting roster file (due within 60 days of the change). Condition Found, Including Perspective During our procedures for enrollment reporting, we identified 2 out of 40 student samples from Mercy College of Ohio in which enrollment status changes were not reported to NSLDS within the timeframe required. Cause and Possible Asserted Effect Managements? control to ensure that all reports of student status changes are submitted to NSLDS on a timely basis was not operating effectively to identify instances of student enrollments not being reported correctly on a timely basis. Questioned Costs There are no questioned costs associated with this finding. Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendation We recommend that the University strengthen its processes and control regarding the configuration and timing of enrollment reporting to the National Student Clearinghouse to ensure that all student status changes are communicated timely to NSLDS. Views of Responsible Officials Management agrees with the findings and recommendations. BSMH has developed controls around the timeliness of enrollment reporting as indicated in our Corrective Action Plan. BSMH?s enhanced processes and procedures includes additional safeguards around submissions to the National Student Loan Database Systems (NSLDS). The instances related to timeliness of reporting of certain students was due to an error in the data pulled from the Student Information System. The system failed to include newly registered spring 2022 students. BSMH makes note that this system failure was detected internally and corrected in the spring 2022 semester, prior to the independent audit of this program.
Federal Agency: U.S. Department of Education Federal Program: Student Financial Assistance Cluster Federal Award Number: 84.063 Federal Pell Grant Program and 84.268 Federal Direct Student Loans Federal Award Year: July 1, 2021 through June 30, 2022 Compliance Requirement Special Tests and Provisions (N) ? Enrollment Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the Pell grant and direct loan programs, institutions are responsible for timely reporting, whether they report directly or via a third-party servicer. Institutions must complete and return the enrollment reporting roster file within 15 days of receipt. An institution determines how often it receives the enrollment reporting roster file with the default set at a minimum of every 60 days. Once received, the institution must update for changes in the data elements for the Campus Record and the Program Record, and submit the changes electronically through the batch method, spreadsheet submittal, or the National Student Loan Data System (NSLDS) website (Pell, 34 CFR 690.83(b)(2); FFEL, 34 CFR 682.610; Direct Loan, 34 CFR 685.309). The institution must report the status change in its next updated enrollment reporting roster file (due within 60 days of the change). Condition Found, Including Perspective During our procedures for enrollment reporting, we identified 2 out of 40 student samples from Mercy College of Ohio in which enrollment status changes were not reported to NSLDS within the timeframe required. Cause and Possible Asserted Effect Managements? control to ensure that all reports of student status changes are submitted to NSLDS on a timely basis was not operating effectively to identify instances of student enrollments not being reported correctly on a timely basis. Questioned Costs There are no questioned costs associated with this finding. Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendation We recommend that the University strengthen its processes and control regarding the configuration and timing of enrollment reporting to the National Student Clearinghouse to ensure that all student status changes are communicated timely to NSLDS. Views of Responsible Officials Management agrees with the findings and recommendations. BSMH has developed controls around the timeliness of enrollment reporting as indicated in our Corrective Action Plan. BSMH?s enhanced processes and procedures includes additional safeguards around submissions to the National Student Loan Database Systems (NSLDS). The instances related to timeliness of reporting of certain students was due to an error in the data pulled from the Student Information System. The system failed to include newly registered spring 2022 students. BSMH makes note that this system failure was detected internally and corrected in the spring 2022 semester, prior to the independent audit of this program.
Federal Agency: U.S. Department of Health and Human Services Federal Program: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Award Number: 93.498 Federal Award Year: PRF reporting period 4 Compliance Requirement Reporting (L) ? Special Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the terms and conditions of the award, Provider Relief Funds (PRF) is subject to 45 CFR section 75.302 (Financial management and standards for financial management systems). The PRF program requires special reporting through the Provider Relief Fund Reporting Portal that contains key line items containing critical information, which includes the Calculation of Lost Revenues Attributable to Coronavirus. The Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements states that reporting entities that also received an ARP Rural payment must expend the ARP Rural funds on eligible expenses and/or lost revenues attributable to COVID-19 before PRF payments may be used on remining eligible expenses and/or lost revenues attributable to COVID-19. Condition Found, Including Perspective During our testing over reporting, we observed management did not have effective internal controls in place to ensure lost revenues reported in the Portal were correctly stated. Lost revenue is tracked by management at the system level and is allocated to various programs when reporting requirements require separate portal reporting. Management?s internal lost revenue calculation correctly captured all lost revenues, including reductions for ARP funds separately reported, and that calculation was appropriately attached to the Period 4 Portal submission. The Portal report has a cumulative calculation of available lost revenue, and the cumulative total calculation within the portal was not properly reduced to capture $15,518,774 that was separately claimed in ARP subsidiary Period 4 reports, resulting in an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues amounts in the Period 4 general distribution Portal report. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct duplicate lost revenues shown on the portal reporting between the parent entity and the stand-alone subsidiary reports for ARP funds. Although the lost revenues were calculated correctly and captured within the attached supporting documentation used to determine Portal amounts, controls were not operating effectively to detect and correct an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues. Questioned Costs There are no questioned costs associated with this finding. Despite the overstatement in the Portal report, there was still sufficient lost revenues in excess of PRF payments received for Period 4 and therefore the Company has demonstrated it did earn all of the PRF payments received. This matter was isolated to the error in reporting requirements under the Federal grant program. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the data underlying the portal reporting is appropriately reviewed by an individual other than the preparer to ensure that overstated lost revenue information is not reported. Views of Responsible Officials As indicated within the portal filing summary for the general reporting Period 4, the Company?s lost revenues exceeded PRF and ARP Rural payments received to-date. As a result, there were sufficient qualifying lost revenues to receive and earn all PRF and ARP Rural funds received, regardless of the reporting error identified and described in the ?condition found? section above. Therefore, management believes no repayment of PRF or ARP Rural funds received would be required. Management is implementing a process to add additional review steps prior to finalizing future reporting submissions.
Federal Agency: U.S. Department of Health and Human Services Federal Program: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Award Number: 93.498 Federal Award Year: PRF reporting period 4 Compliance Requirement Reporting (L) ? Special Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the terms and conditions of the award, Provider Relief Funds (PRF) is subject to 45 CFR section 75.302 (Financial management and standards for financial management systems). The PRF program requires special reporting through the Provider Relief Fund Reporting Portal that contains key line items containing critical information, which includes the Calculation of Lost Revenues Attributable to Coronavirus. The Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements states that reporting entities that also received an ARP Rural payment must expend the ARP Rural funds on eligible expenses and/or lost revenues attributable to COVID-19 before PRF payments may be used on remining eligible expenses and/or lost revenues attributable to COVID-19. Condition Found, Including Perspective During our testing over reporting, we observed management did not have effective internal controls in place to ensure lost revenues reported in the Portal were correctly stated. Lost revenue is tracked by management at the system level and is allocated to various programs when reporting requirements require separate portal reporting. Management?s internal lost revenue calculation correctly captured all lost revenues, including reductions for ARP funds separately reported, and that calculation was appropriately attached to the Period 4 Portal submission. The Portal report has a cumulative calculation of available lost revenue, and the cumulative total calculation within the portal was not properly reduced to capture $15,518,774 that was separately claimed in ARP subsidiary Period 4 reports, resulting in an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues amounts in the Period 4 general distribution Portal report. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct duplicate lost revenues shown on the portal reporting between the parent entity and the stand-alone subsidiary reports for ARP funds. Although the lost revenues were calculated correctly and captured within the attached supporting documentation used to determine Portal amounts, controls were not operating effectively to detect and correct an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues. Questioned Costs There are no questioned costs associated with this finding. Despite the overstatement in the Portal report, there was still sufficient lost revenues in excess of PRF payments received for Period 4 and therefore the Company has demonstrated it did earn all of the PRF payments received. This matter was isolated to the error in reporting requirements under the Federal grant program. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the data underlying the portal reporting is appropriately reviewed by an individual other than the preparer to ensure that overstated lost revenue information is not reported. Views of Responsible Officials As indicated within the portal filing summary for the general reporting Period 4, the Company?s lost revenues exceeded PRF and ARP Rural payments received to-date. As a result, there were sufficient qualifying lost revenues to receive and earn all PRF and ARP Rural funds received, regardless of the reporting error identified and described in the ?condition found? section above. Therefore, management believes no repayment of PRF or ARP Rural funds received would be required. Management is implementing a process to add additional review steps prior to finalizing future reporting submissions.
Federal Agency: U.S. Department of Health and Human Services Federal Program: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Award Number: 93.498 Federal Award Year: PRF reporting period 4 Compliance Requirement Reporting (L) ? Special Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the terms and conditions of the award, Provider Relief Funds (PRF) is subject to 45 CFR section 75.302 (Financial management and standards for financial management systems). The PRF program requires special reporting through the Provider Relief Fund Reporting Portal that contains key line items containing critical information, which includes the Calculation of Lost Revenues Attributable to Coronavirus. The Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements states that reporting entities that also received an ARP Rural payment must expend the ARP Rural funds on eligible expenses and/or lost revenues attributable to COVID-19 before PRF payments may be used on remining eligible expenses and/or lost revenues attributable to COVID-19. Condition Found, Including Perspective During our testing over reporting, we observed management did not have effective internal controls in place to ensure lost revenues reported in the Portal were correctly stated. Lost revenue is tracked by management at the system level and is allocated to various programs when reporting requirements require separate portal reporting. Management?s internal lost revenue calculation correctly captured all lost revenues, including reductions for ARP funds separately reported, and that calculation was appropriately attached to the Period 4 Portal submission. The Portal report has a cumulative calculation of available lost revenue, and the cumulative total calculation within the portal was not properly reduced to capture $15,518,774 that was separately claimed in ARP subsidiary Period 4 reports, resulting in an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues amounts in the Period 4 general distribution Portal report. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct duplicate lost revenues shown on the portal reporting between the parent entity and the stand-alone subsidiary reports for ARP funds. Although the lost revenues were calculated correctly and captured within the attached supporting documentation used to determine Portal amounts, controls were not operating effectively to detect and correct an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues. Questioned Costs There are no questioned costs associated with this finding. Despite the overstatement in the Portal report, there was still sufficient lost revenues in excess of PRF payments received for Period 4 and therefore the Company has demonstrated it did earn all of the PRF payments received. This matter was isolated to the error in reporting requirements under the Federal grant program. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the data underlying the portal reporting is appropriately reviewed by an individual other than the preparer to ensure that overstated lost revenue information is not reported. Views of Responsible Officials As indicated within the portal filing summary for the general reporting Period 4, the Company?s lost revenues exceeded PRF and ARP Rural payments received to-date. As a result, there were sufficient qualifying lost revenues to receive and earn all PRF and ARP Rural funds received, regardless of the reporting error identified and described in the ?condition found? section above. Therefore, management believes no repayment of PRF or ARP Rural funds received would be required. Management is implementing a process to add additional review steps prior to finalizing future reporting submissions.
Federal Agency: U.S. Department of Labor Federal Program: Disability Employment Policy Development Federal Award Number: 17.720 Federal Award Year: July 1, 2021 through June 30, 2022; July 1, 2022 through June 30, 2023 Compliance Requirement Allowable Costs (B), Cash Management (C) Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Costs must be necessary and reasonable for the performance of the federal award and be allocable thereto under the principles in 2 CFR Part 200, Subpart E. Program costs must be paid by non-federal entity funds before submitting a payment request (2 CFR section 200.305(b)(3)) (i.e., the non-federal entity must disburse funds for program purposes before requesting payment from the federal awarding agency or pass-through entity). Condition Found, Including Perspective For 3 out of 40 payroll samples tested, an internet stipend was charged twice to the program. The amount of the overcharge to the program was $120 and the total sampled payroll population was $98,294. For 1 out of 40 other than payroll samples, compensation for a training session was charged to the program that was not incurred by the entity. The amount of the overcharge to the program was $100 and the total other than payroll sampled population was $188,437. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct charges to the program that were duplicated or not incurred by the entity. Questioned Costs Questioned costs totaled $220. Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the appropriateness of the expenses charged to the program. Views of Responsible Officials Management agrees with the findings and will implement a more detailed review process of the invoicing prior to submission. This review process will include a review of the expenditures being requested for reimbursement with no materiality threshold.
Federal Agency: U.S. Department of Education Federal Program: Student Financial Assistance Cluster Federal Award Number: 84.063 Federal Pell Grant Program and 84.268 Federal Direct Student Loans Federal Award Year: July 1, 2021 through June 30, 2022 Compliance Requirement Special Tests and Provisions (N) ? Enrollment Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the Pell grant and direct loan programs, institutions are responsible for timely reporting, whether they report directly or via a third-party servicer. Institutions must complete and return the enrollment reporting roster file within 15 days of receipt. An institution determines how often it receives the enrollment reporting roster file with the default set at a minimum of every 60 days. Once received, the institution must update for changes in the data elements for the Campus Record and the Program Record, and submit the changes electronically through the batch method, spreadsheet submittal, or the National Student Loan Data System (NSLDS) website (Pell, 34 CFR 690.83(b)(2); FFEL, 34 CFR 682.610; Direct Loan, 34 CFR 685.309). The institution must report the status change in its next updated enrollment reporting roster file (due within 60 days of the change). Condition Found, Including Perspective During our procedures for enrollment reporting, we identified 2 out of 40 student samples from Mercy College of Ohio in which enrollment status changes were not reported to NSLDS within the timeframe required. Cause and Possible Asserted Effect Managements? control to ensure that all reports of student status changes are submitted to NSLDS on a timely basis was not operating effectively to identify instances of student enrollments not being reported correctly on a timely basis. Questioned Costs There are no questioned costs associated with this finding. Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendation We recommend that the University strengthen its processes and control regarding the configuration and timing of enrollment reporting to the National Student Clearinghouse to ensure that all student status changes are communicated timely to NSLDS. Views of Responsible Officials Management agrees with the findings and recommendations. BSMH has developed controls around the timeliness of enrollment reporting as indicated in our Corrective Action Plan. BSMH?s enhanced processes and procedures includes additional safeguards around submissions to the National Student Loan Database Systems (NSLDS). The instances related to timeliness of reporting of certain students was due to an error in the data pulled from the Student Information System. The system failed to include newly registered spring 2022 students. BSMH makes note that this system failure was detected internally and corrected in the spring 2022 semester, prior to the independent audit of this program.
Federal Agency: U.S. Department of Education Federal Program: Student Financial Assistance Cluster Federal Award Number: 84.063 Federal Pell Grant Program and 84.268 Federal Direct Student Loans Federal Award Year: July 1, 2021 through June 30, 2022 Compliance Requirement Special Tests and Provisions (N) ? Enrollment Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the Pell grant and direct loan programs, institutions are responsible for timely reporting, whether they report directly or via a third-party servicer. Institutions must complete and return the enrollment reporting roster file within 15 days of receipt. An institution determines how often it receives the enrollment reporting roster file with the default set at a minimum of every 60 days. Once received, the institution must update for changes in the data elements for the Campus Record and the Program Record, and submit the changes electronically through the batch method, spreadsheet submittal, or the National Student Loan Data System (NSLDS) website (Pell, 34 CFR 690.83(b)(2); FFEL, 34 CFR 682.610; Direct Loan, 34 CFR 685.309). The institution must report the status change in its next updated enrollment reporting roster file (due within 60 days of the change). Condition Found, Including Perspective During our procedures for enrollment reporting, we identified 2 out of 40 student samples from Mercy College of Ohio in which enrollment status changes were not reported to NSLDS within the timeframe required. Cause and Possible Asserted Effect Managements? control to ensure that all reports of student status changes are submitted to NSLDS on a timely basis was not operating effectively to identify instances of student enrollments not being reported correctly on a timely basis. Questioned Costs There are no questioned costs associated with this finding. Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendation We recommend that the University strengthen its processes and control regarding the configuration and timing of enrollment reporting to the National Student Clearinghouse to ensure that all student status changes are communicated timely to NSLDS. Views of Responsible Officials Management agrees with the findings and recommendations. BSMH has developed controls around the timeliness of enrollment reporting as indicated in our Corrective Action Plan. BSMH?s enhanced processes and procedures includes additional safeguards around submissions to the National Student Loan Database Systems (NSLDS). The instances related to timeliness of reporting of certain students was due to an error in the data pulled from the Student Information System. The system failed to include newly registered spring 2022 students. BSMH makes note that this system failure was detected internally and corrected in the spring 2022 semester, prior to the independent audit of this program.
Federal Agency: U.S. Department of Health and Human Services Federal Program: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Award Number: 93.498 Federal Award Year: PRF reporting period 4 Compliance Requirement Reporting (L) ? Special Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the terms and conditions of the award, Provider Relief Funds (PRF) is subject to 45 CFR section 75.302 (Financial management and standards for financial management systems). The PRF program requires special reporting through the Provider Relief Fund Reporting Portal that contains key line items containing critical information, which includes the Calculation of Lost Revenues Attributable to Coronavirus. The Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements states that reporting entities that also received an ARP Rural payment must expend the ARP Rural funds on eligible expenses and/or lost revenues attributable to COVID-19 before PRF payments may be used on remining eligible expenses and/or lost revenues attributable to COVID-19. Condition Found, Including Perspective During our testing over reporting, we observed management did not have effective internal controls in place to ensure lost revenues reported in the Portal were correctly stated. Lost revenue is tracked by management at the system level and is allocated to various programs when reporting requirements require separate portal reporting. Management?s internal lost revenue calculation correctly captured all lost revenues, including reductions for ARP funds separately reported, and that calculation was appropriately attached to the Period 4 Portal submission. The Portal report has a cumulative calculation of available lost revenue, and the cumulative total calculation within the portal was not properly reduced to capture $15,518,774 that was separately claimed in ARP subsidiary Period 4 reports, resulting in an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues amounts in the Period 4 general distribution Portal report. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct duplicate lost revenues shown on the portal reporting between the parent entity and the stand-alone subsidiary reports for ARP funds. Although the lost revenues were calculated correctly and captured within the attached supporting documentation used to determine Portal amounts, controls were not operating effectively to detect and correct an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues. Questioned Costs There are no questioned costs associated with this finding. Despite the overstatement in the Portal report, there was still sufficient lost revenues in excess of PRF payments received for Period 4 and therefore the Company has demonstrated it did earn all of the PRF payments received. This matter was isolated to the error in reporting requirements under the Federal grant program. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the data underlying the portal reporting is appropriately reviewed by an individual other than the preparer to ensure that overstated lost revenue information is not reported. Views of Responsible Officials As indicated within the portal filing summary for the general reporting Period 4, the Company?s lost revenues exceeded PRF and ARP Rural payments received to-date. As a result, there were sufficient qualifying lost revenues to receive and earn all PRF and ARP Rural funds received, regardless of the reporting error identified and described in the ?condition found? section above. Therefore, management believes no repayment of PRF or ARP Rural funds received would be required. Management is implementing a process to add additional review steps prior to finalizing future reporting submissions.
Federal Agency: U.S. Department of Health and Human Services Federal Program: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Award Number: 93.498 Federal Award Year: PRF reporting period 4 Compliance Requirement Reporting (L) ? Special Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the terms and conditions of the award, Provider Relief Funds (PRF) is subject to 45 CFR section 75.302 (Financial management and standards for financial management systems). The PRF program requires special reporting through the Provider Relief Fund Reporting Portal that contains key line items containing critical information, which includes the Calculation of Lost Revenues Attributable to Coronavirus. The Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements states that reporting entities that also received an ARP Rural payment must expend the ARP Rural funds on eligible expenses and/or lost revenues attributable to COVID-19 before PRF payments may be used on remining eligible expenses and/or lost revenues attributable to COVID-19. Condition Found, Including Perspective During our testing over reporting, we observed management did not have effective internal controls in place to ensure lost revenues reported in the Portal were correctly stated. Lost revenue is tracked by management at the system level and is allocated to various programs when reporting requirements require separate portal reporting. Management?s internal lost revenue calculation correctly captured all lost revenues, including reductions for ARP funds separately reported, and that calculation was appropriately attached to the Period 4 Portal submission. The Portal report has a cumulative calculation of available lost revenue, and the cumulative total calculation within the portal was not properly reduced to capture $15,518,774 that was separately claimed in ARP subsidiary Period 4 reports, resulting in an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues amounts in the Period 4 general distribution Portal report. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct duplicate lost revenues shown on the portal reporting between the parent entity and the stand-alone subsidiary reports for ARP funds. Although the lost revenues were calculated correctly and captured within the attached supporting documentation used to determine Portal amounts, controls were not operating effectively to detect and correct an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues. Questioned Costs There are no questioned costs associated with this finding. Despite the overstatement in the Portal report, there was still sufficient lost revenues in excess of PRF payments received for Period 4 and therefore the Company has demonstrated it did earn all of the PRF payments received. This matter was isolated to the error in reporting requirements under the Federal grant program. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the data underlying the portal reporting is appropriately reviewed by an individual other than the preparer to ensure that overstated lost revenue information is not reported. Views of Responsible Officials As indicated within the portal filing summary for the general reporting Period 4, the Company?s lost revenues exceeded PRF and ARP Rural payments received to-date. As a result, there were sufficient qualifying lost revenues to receive and earn all PRF and ARP Rural funds received, regardless of the reporting error identified and described in the ?condition found? section above. Therefore, management believes no repayment of PRF or ARP Rural funds received would be required. Management is implementing a process to add additional review steps prior to finalizing future reporting submissions.
Federal Agency: U.S. Department of Health and Human Services Federal Program: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Award Number: 93.498 Federal Award Year: PRF reporting period 4 Compliance Requirement Reporting (L) ? Special Reporting Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Under the terms and conditions of the award, Provider Relief Funds (PRF) is subject to 45 CFR section 75.302 (Financial management and standards for financial management systems). The PRF program requires special reporting through the Provider Relief Fund Reporting Portal that contains key line items containing critical information, which includes the Calculation of Lost Revenues Attributable to Coronavirus. The Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements states that reporting entities that also received an ARP Rural payment must expend the ARP Rural funds on eligible expenses and/or lost revenues attributable to COVID-19 before PRF payments may be used on remining eligible expenses and/or lost revenues attributable to COVID-19. Condition Found, Including Perspective During our testing over reporting, we observed management did not have effective internal controls in place to ensure lost revenues reported in the Portal were correctly stated. Lost revenue is tracked by management at the system level and is allocated to various programs when reporting requirements require separate portal reporting. Management?s internal lost revenue calculation correctly captured all lost revenues, including reductions for ARP funds separately reported, and that calculation was appropriately attached to the Period 4 Portal submission. The Portal report has a cumulative calculation of available lost revenue, and the cumulative total calculation within the portal was not properly reduced to capture $15,518,774 that was separately claimed in ARP subsidiary Period 4 reports, resulting in an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues amounts in the Period 4 general distribution Portal report. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct duplicate lost revenues shown on the portal reporting between the parent entity and the stand-alone subsidiary reports for ARP funds. Although the lost revenues were calculated correctly and captured within the attached supporting documentation used to determine Portal amounts, controls were not operating effectively to detect and correct an overstatement of the Total Lost Revenues for the Period of Availability and the Total Unused Lost Revenues. Questioned Costs There are no questioned costs associated with this finding. Despite the overstatement in the Portal report, there was still sufficient lost revenues in excess of PRF payments received for Period 4 and therefore the Company has demonstrated it did earn all of the PRF payments received. This matter was isolated to the error in reporting requirements under the Federal grant program. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the data underlying the portal reporting is appropriately reviewed by an individual other than the preparer to ensure that overstated lost revenue information is not reported. Views of Responsible Officials As indicated within the portal filing summary for the general reporting Period 4, the Company?s lost revenues exceeded PRF and ARP Rural payments received to-date. As a result, there were sufficient qualifying lost revenues to receive and earn all PRF and ARP Rural funds received, regardless of the reporting error identified and described in the ?condition found? section above. Therefore, management believes no repayment of PRF or ARP Rural funds received would be required. Management is implementing a process to add additional review steps prior to finalizing future reporting submissions.