Finding 1155786 (2021-005)

Material Weakness Repeat Finding
Requirement
ABL
Questioned Costs
$1
Year
2021
Accepted
2025-10-07
Audit: 368173
Organization: Medstar, Inc. (MI)

AI Summary

  • Core Issue: The Organization could not provide necessary documentation to support $858,046 in expenses submitted for COVID-19 relief funds.
  • Impacted Requirements: This finding indicates a material weakness in controls and compliance with reporting requirements for the Provider Relief Fund.
  • Recommended Follow-Up: Implement stronger review processes to ensure all submitted expenses are documented and allowable under grant guidelines.

Finding Text

Assistance Listing Number, Federal Agency, and Program Name - 93.498, U.S. Department of Health and Human Services, COVID 19: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) Federal Award Identification Number and Year - N/A, 2021 Pass through Entity - N/A - Direct funded Finding Type - Material weakness and material noncompliance with laws and regulations Repeat Finding - No Criteria - Per the Provider Relief Fund distributions and American Rescue Plan (ARP) Rural Distribution Post Payment Notice of Reporting Requirements dated April 22, 2024, general distribution payments can be used on eligible expenses not reimbursed by other sources. Condition - The Organization was unable to provide supporting documentation to substantiate the allowability and accuracy of the expenses submitted in the portal. Questioned Costs - $858,046 Identification of How Questioned Costs Were Computed - Since the Organization could not provide supporting documentation for any of the $858,046 of expenses submitted, entire population is deemed questioned costs. Context - Management did not have adequate controls in place to retain supporting documentation for allowable costs under the grant. There were inadequate controls around the review of information uploaded on the granting agency's reporting portal. Management was unable to provide detail behind expense amounts submitted to the portal, therefore a sample was unable to be selected for testing. Cause and Effect - An appropriate review of portal submission was not completed to ensure detailed supporting documentation can substantiate exact dollar amounts for allowable expenses used in the reporting portal. Due to a lack of access to documentation housed by previously utilized vendor, the Organization could not provide sufficient detailed support for the expenses submitted in the portal. As a result, we were unable to perform adequate compliance and control testing on the federal expenditures. Recommendation - We recommend the Organization implement controls, including levels of review, to ensure expenses and lost revenue submitted to the portal are supportable and allowable. Views of Responsible Officials and Corrective Action Plan - We recognize the challenges that arose during the audit of the $858,046 in COVID 19 relief funds and want to provide our views. As an ambulance provider and first responders, our commitment to the community during the pandemic never wavered. The audit period coincided with our transition to a new payroll provider, which unfortunately resulted in the loss of access to certain payroll records. This limited our ability to provide Plante Moran with complete documentation of specific expenses. Even so, the full scope audit reflects the extraordinary impact of the pandemic on our operations. While payroll levels remained stable because reducing staffing was not an option, our transport volume was significantly reduced. The result was a sharp loss in revenue of approximately $12 million, while personnel hours and costs remained constant or increased. These hours included extended service time nearly double the historic average time required on individual transports, extended time on scene providing treatment without transport (or revenue) staffing federal COVID hospitals, and supporting non traditional and unfunded services requested by our public health and hospital partners. In addition, our teams were called on to transport patients to and from hospitals and, at times, to morgues, often under extremely difficult circumstances and not reimbursed. We also deployed personnel to administer monoclonal antibody treatments, a vital service in the community’s fight against COVID 19. Each of these missions required us to maintain a fully staffed workforce despite a steep decline in billable transport volume. Although gaps in payroll documentation presented challenges during the audit, the evidence of our financial losses and operational commitments during the pandemic clearly demonstrates the necessity and appropriateness of the relief funds received. We remain committed to transparency, accountability, and our mission of serving the community, especially in times of crisis. The Organization changed payroll providers in June 2022 at which point we were unable to access the payroll registers by personnel name from the old provided. The Organization has full access to payroll registers through the new payroll provider

Corrective Action Plan

Condition: The Organization was unable to provide supporting documentation to substantiate the allowability and accuracy of the expenses and lost revenue submitted in the portal. Planned Corrective Action: Company is an emergency services (ambulance, first responder, and was instrumental in the administration of the monoclonal antibodies) - healthcare company and was during the pandemic. Company was able to provide general ledger information by personnel classification in aggregate monthly with percentages related to the Covid pandemic, Company changed payroll companies in June, 2022 from Trion to DM Payroll -where we were unable to access the payroll registers by personnel name. Medstar has full access to payroll registers through DM Payroll. Contact person responsible for corrective action: Lalainia Budyznowski Anticipated Completion Date: 06/30/2022 - Completed

Categories

Questioned Costs Allowable Costs / Cost Principles Material Weakness Reporting Matching / Level of Effort / Earmarking

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $858,046