Finding 1094452 (2021-001)

Material Weakness
Requirement
P
Questioned Costs
-
Year
2021
Accepted
2025-01-07
Audit: 336314
Organization: Confluence Health (WA)
Auditor: Moss Adams

AI Summary

  • Core Issue: The Health System lacked adequate controls to ensure the Schedule of Expenditures of Federal Awards (SEFA) accurately reflected all federal expenditures.
  • Impacted Requirements: Compliance with Uniform Guidance (2 CFR 200.510) for reporting federal awards was not met, leading to significant revisions in the SEFA.
  • Recommended Follow-Up: Implement a year-round review process to ensure all federal grant expenditures are identified and reported correctly in the SEFA.

Finding Text

Finding 2021-001 Preparation of the Schedule Expenditures of Federal Awards – Material Weakness in Internal Control Over Compliance Program: U.S. Department of Health and Human Services HRSA COVID-19 Uninsured Program ALN 93.461 Award year: 2021 Criteria: The Uniform Guidance (2 CFR 200) Section 200.510 requires an auditee to “prepare a schedule of expenditures of Federal awards (SEFA) for the period covered by the auditee’s financial statements [that]….at a minimum shall…list individual Federal programs by Federal agency…[and] provide total Federal awards expended for each individual Federal program and the Assistance Listing Number (ALN) number or other identifying number when the ALN information is not available.” In accordance with Uniform Guidance, Confluence Health (the Health System) is required to maintain a structure of internal control to ensure compliance with applicable reporting requirements. Condition/Cause: The Health System did not have sufficient controls to ensure the SEFA included all expenditures that qualified as an expenditure of a federal award during the period. Effect: The SEFA was revised to include $2,036,330 of expenditures related to ALN #93.461, HRSA COVID-19 Uninsured Program, which resulted in an additional major program and the reissuance of the 2021 reporting package. Additionally, it was determined that the Health System had not properly reported approximately $1.0 million in expenditures related to this same program in its prior year SEFA. Questioned Costs: Not applicable. Context: Factors contributing to the condition included the high volume of activity related to new COVID-19 programs and the lack of understanding that the related payments represented grant expenditures from a Federal source that were required to be reported on the SEFA. Repeat Finding: Not applicable. Recommendation: We recommend the Health System develop and implement a review process through the year to ensure compliance with SEFA reporting requirements as outlined in the Uniform Guidance. Views of Responsible Officials: Processes will be put in place to compile the SEFA, reconcile to support, and perform a related review prior to audit. This will allow all grants from a Federal source to be identified and tracked, ensuring completeness.

Categories

Reporting

Other Findings in this Audit

  • 518010 2021-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $33.84M
93.461 Hrsa Covid-19 Unisured Program $2.04M
93.800 Organized Approaches to Increase Colorectal Cancer Screening $420,544
93.U01 Hiv Case Management $345,383
93.525 State Planning and Establishment Grants for the Affordable Care Act (aca) Exchanges $171,000
14.241 Housing Opportunities for Persons with Aids $67,769
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $35,535