Finding 1145463 (2024-004)

Material Weakness
Requirement
AB
Questioned Costs
-
Year
2024
Accepted
2025-06-30
Audit: 360649
Organization: Fairview Health Services (MN)

AI Summary

  • Core Issue: Fairview management lacked proper documentation for the review and approval of fringe benefit rates and supplies expenses, violating federal requirements.
  • Impacted Requirements: This finding breaches 2 CFR 200.303, which mandates effective internal controls for managing federal awards.
  • Recommended Follow-Up: Management should strengthen internal controls to ensure all fringe benefit and supplies expenses are reviewed and approved, with documentation retained for compliance.

Finding Text

Finding 2024-004 Internal Controls over Allowability Identification of the federal program: Federal Grantor: United States Department of Health and Human Services Assistance Listing No.: 93.817 Hospital Preparedness Program (HPP) Ebola Preparedness and Response Activities Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303 requires that the non-Federal entity must “(a) 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. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Condition: Fairview management did not retain documentation of review and approval of the fringe benefit rate calculation. In addition, Fairview management did not retain documentation of review and approval of supplies expenses for allowability. Cause: Fairview Health Services did not have internal controls in place that require supporting documentation of review and approval of the fringe benefit rate calculation and review and approval of supplies expenses for allowability. Effect or potential effect: Expenses may be charged to the federal award that are not in compliance with the federal grant agreements. Questioned costs: None. Context: For Assistance Listing No. 93.817, total fringe benefit expenses were $104,506, representing 6% of total federal expenditures of $1,656,727 for the year ended December 31, 2024. For Assistance Listing No. 93.817, total supplies expenses were $85,328, representing 5% of total federal expenditures of $1,656,727 for the year ended December 31, 2024. Identification as a repeat finding, if applicable: The finding is not a repeat finding from the prior year. Recommendation: Management should enhance internal controls to require the review and approval of the fringe benefit rate calculation and review and approval of supplies expenses for allowability. Views of responsible officials: Management agrees with the finding and has developed a plan to correct the finding. The accounting manager reviewed and approved the updated 2025 fringe benefit analysis with 2024 actuals on February 28, 2025. Upon finalization of the 2025 budget, the analysis will be revised and reviewed again. Accounting will collect evidence of review and approval of supply expenditure throughout the year to ensure proper retention of the documentation.

Categories

Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 569018 2024-001
    Material Weakness
  • 569019 2024-002
    Material Weakness
  • 569020 2024-003
    Material Weakness
  • 569021 2024-004
    Material Weakness
  • 1145460 2024-001
    Material Weakness
  • 1145461 2024-002
    Material Weakness
  • 1145462 2024-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.66M
93.493 Congressional Directives $904,484
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $469,583
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $305,997
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $304,915
93.155 Rural Health Research Centers $287,190
10.331 Gus Schumacher Nutrition Incentive Program $103,835
10.182 Pandemic Relief Activities: Local Food Purchase Agreements with States, Tribes, and Local Governments $93,537
93.110 Maternal and Child Health Federal Consolidated Programs $26,877
93.304 Racial and Ethnic Approaches to Community Health $25,301
93.184 Disabilities Prevention $23,923
93.173 Research Related to Deafness and Communication Disorders $11,311
93.837 Cardiovascular Diseases Research $212