Finding 1155441 (2023-001)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2023
Accepted
2025-09-26

AI Summary

  • Core Issue: ProMedica failed to include federal funds from the Ohio Department of Mental Health and Addiction Services in their Schedule of Expenditures of Federal Awards (SEFA), leading to incomplete financial statements.
  • Impacted Requirements: This finding violates 2 CFR 200.508(b) and 200.510, which mandate accurate financial statements and complete reporting of federal awards.
  • Recommended Follow-Up: Management should enhance controls to ensure all federal funding is identified and included in the SEFA, with regular audits and documented reviews by the Grants Team before submission.

Finding Text

Assistance Listing, Federal Agency, and Program Name 21.027 U.S. Department of the Treasury Coronavirus State and Local Fiscal Recovery Funds Federal Award Identification Number and Year MH 1251 2023 Pass through Entity The Ohio Department of Mental Health and Addiction Services Finding Type Material weakness Repeat Finding No Criteria Per 2 CFR 200.508(b), an auditee must prepare appropriate financial statements, including the schedule of expenditures of federal awards, in accordance with 200.510 financial statements. Per 2 CFR 200.510(b), the auditee must also prepare a schedule of expenditures of federal awards for the period covered by the auditee's financial statements, which must include the total federal awards expended, as determined in accordance with 200.502 basis for determining federal awards expended. Condition Controls in place were not adequate to ensure the schedule of federal expenditures was complete and accurate. Questioned Costs N/A If questioned costs are not determinable, description of why known questioned costs were undetermined or otherwise could not be reported N/A Identification of How Questioned Costs Were Computed N/A Context ProMedica did not initially include the funds received through the Ohio Department of Mental Health and Addiction Services Coronavirus State and Local Fiscal Recovery funds on the SEFA. Cause and Effect ProMedica has a process in place to identify all potential sources of federal funding received during the year, however they received some incorrect information when going through these procedures, resulting in the SEFA being incomplete for the year ended December 31, 2023. Upon discovery of the error, ProMedica prepared a SEFA that included the Ohio Department of Mental Health and Addiction Services Coronavirus State and Local Fiscal Recovery funds. This lack of controls resulted in the reissuance of the 2023 single audit. Recommendation Management should implement controls to ensure all federal funding received is properly identified as such and included on the SEFA. Views of Responsible Officials and Corrective Action Plan Management fully understands the importance of internal controls to ensure the schedule of federal expenditures is complete and accurate. The Grants Department will amend its current written processes regarding award establishment to include requiring documentation indicating an award is federal funds prior to establishing the project in Infor CloudSuite Financials & Supply Management (Accounting software). Additionally, the Grants Department will routinely audit the database the department utilizes to record awards to ensure the field to note federal awards is properly updated. Furthermore, the SEFA will be reviewed with documented sign-off by each member of the Grants Team prior to submission

Corrective Action Plan

Condition: Controls in place were not adequate to ensure the schedule of federal expenditures was complete and accurate. Planned Corrective Action: Management fully understands the importance of internal controls to ensure the schedule of federal expenditures is complete and accurate. The Grants Department will amend its current written processes regarding award establishment to include requiring documentation indicating an award is federal funds prior to establishing the project in Infor CloudSuite Financials & Supply Management (Accounting software). Additionally, the Grants Department will routinely audit the database the department utilizes to record awards to ensure the field to note federal awards is properly updated. Furthermore, the SEFA will be reviewed with documented sign-off by each member of the Grants Team prior to submission. Contact person responsible for corrective action: Stephanie Cihon Anticipated Completion Date: October 31, 2025

Categories

Reporting Material Weakness

Other Findings in this Audit

  • 1155440 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $33.40M
21.027 Coronavirus State and Local Fiscal Recovery Funds $3.30M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $2.16M
10.569 Emergency Food Assistance Program (food Commodities) $368,585
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $329,909
16.560 National Institute of Justice Research, Evaluation, and Development Project Grants $185,100
10.551 Supplemental Nutrition Assistance Program $180,481
93.889 National Bioterrorism Hospital Preparedness Program $77,051
10.331 Gus Schumacher Nutrition Incentive Program $66,344
93.991 Preventive Health and Health Services Block Grant $66,334
93.884 Primary Care Training and Enhancement $66,271
93.558 Temporary Assistance for Needy Families $50,952
93.394 Cancer Detection and Diagnosis Research $49,726
93.136 Injury Prevention and Control Research and State and Community Based Programs $40,925
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $18,058
93.788 Opioid Str $17,250
93.958 Block Grants for Community Mental Health Services $15,000
93.301 Small Rural Hospital Improvement Grant Program $11,855
20.600 State and Community Highway Safety $8,000
97.012 Boating Safety Financial Assistance $8,000
16.575 Crime Victim Assistance $5,152
93.926 Healthy Start Initiative $3,563
93.110 Maternal and Child Health Federal Consolidated Programs $3,280
93.839 Blood Diseases and Resources Research $3,264
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $909
93.395 Cancer Treatment Research $561