Finding 35342 (2022-002)

Significant Deficiency
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2023-10-01
Audit: 24187
Auditor: Forvis LLP

AI Summary

  • Core Issue: Inadequate controls over the preparation of the Schedule of Expenditures led to omissions of approximately $480,000 in MMC-Dickinson expenditures.
  • Impacted Requirements: Compliance with 2 CFR 200.303(a) regarding effective internal controls over federal awards was not met.
  • Recommended Follow-Up: Management should enhance controls to ensure timely and accurate inclusion of all expenditures, especially for new acquisitions like MMC-Dickinson.

Finding Text

Finding 2022-002 - Preparation of the Schedule of Expenditures of Federal Awards Department of Treasury COVID-19 - Coronavirus State and Local Fiscal Recovery Funds Assistance Listing #21.027 Significant Deficiency Criteria: Title 2 Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires the System to prepare a schedule of expenditures of federal awards (Schedule). 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Condition: Inadequate controls exist over the preparation of the Schedule specific to expenditure activity for the MMC- Dickinson subsidiary that was acquired in 2022 to allow for the timely completion of a complete and accurate Schedule. Consequently, certain MMC Dickinson expenditures were erroneously omitted from the preliminary Schedule. Cause: The System acquired MMC-Dickinson during 2022 and has not yet fully implemented existing System internal controls to the new subsidiary. Effect: Management identified additional MMC-Dickinson expenditures that were added to the Schedule late in the audit process. Questioned costs: None reported. Context: Approximately $480,000 of expenditures in relations to total expenditures of approximately $800,000 under assistance listing number 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds for the year-ended December 31, 2022, were originally omitted from the preliminary Schedule. Additionally, approximately $665,000 in expenditures from other programs was originally omitted from the preliminary Schedule and approximately $345,000 of expenditures were removed from the preliminary Schedule. These changes were not identified in a timely manner resulting in delays in completing the System Single Audit. Repeat finding from prior year: Not for the System but Yes, for 2021 Single Audit of MMC-Dickinson See prior year finding 2021-003. Recommendation: We recommend that management enhance its controls over the Schedule to ensure they include MMC-Dickinson and future acquisition to ensure timely accurate completion of the Schedule. Views of responsible officials and planned corrective actions: Management agrees with this finding. Please refer to pages 64 and 65 for the Corrective Action Plan

Corrective Action Plan

Finding 2022-002 Name of Contact Person: Debra Hansen, Accounting Manager ? Grants and Gifts Corrective Action Plan: Effective May 2023, MMC ? Dickinson converted to the MCHS, Inc accounting systems and its accounting staff fully joined the MCHS, Inc centralized accounting team by August 2023, such that the MCHS system of controls now extend to MMC-Dickinson. Specifically with these changes, grant accounting duties are also transitioning to the MCHS grant accounting team which extends MCHS system of controls over grant accounting to MMC-Dickinson to ensure accurate and timely completion of the Schedule. Proposed Completion Date: December 31, 2023

Categories

Allowable Costs / Cost Principles Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 35340 2022-004
    Significant Deficiency
  • 35341 2022-003
    Significant Deficiency
  • 611782 2022-004
    Significant Deficiency
  • 611783 2022-003
    Significant Deficiency
  • 611784 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $28.34M
10.766 Community Facilities Loans and Grants $16.77M
93.399 Cancer Control $3.21M
94.006 Americorps $1.81M
93.350 National Center for Advancing Translational Sciences $683,873
93.859 Biomedical Research and Research Training $663,551
32.006 Covid-19 Telehealth Program $654,939
93.310 Trans-Nih Research Support $638,303
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $572,566
16.575 Crime Victim Assistance $432,867
93.959 Block Grants for Prevention and Treatment of Substance Abuse $412,533
93.697 Covid-19 Testing for Rural Health Clinics $322,578
93.155 Rural Health Research Centers $257,853
93.211 Telehealth Programs $222,082
93.788 Opioid Str $210,993
93.396 Cancer Biology Research $204,974
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $191,624
93.866 Aging Research $100,410
93.393 Cancer Cause and Prevention Research $80,574
10.001 Agricultural Research_basic and Applied Research $60,097
93.279 Drug Abuse and Addiction Research Programs $48,148
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $48,024
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $35,769
93.575 Child Care and Development Block Grant $31,975
93.394 Cancer Detection and Diagnosis Research $31,127
93.172 Human Genome Research $27,301
93.241 State Rural Hospital Flexibility Program $20,000
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $17,024
93.262 Occupational Safety and Health Program $13,860
10.212 Small Business Innovation Research $12,500
93.301 Small Rural Hospital Improvement Grant Program $11,790
12.420 Military Medical Research and Development $11,000
47.041 Engineering $9,786
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $8,700
93.865 Child Health and Human Development Extramural Research $6,075
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $3,406
93.307 Minority Health and Health Disparities Research $2,673
21.027 Coronavirus State and Local Fiscal Recovery Funds $2,513
93.435 Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke- $1,166
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $1,111
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $764
93.855 Allergy, Immunology and Transplantation Research $463
10.303 Integrated Programs $297
93.837 Cardiovascular Diseases Research $57
93.268 Immunization Cooperative Agreements $40