Finding 375719 (2023-002)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-03-12
Audit: 294781
Organization: Scheurer Hospital (MI)
Auditor: Wipfli LLP

AI Summary

  • Core Issue: Scheurer Hospital failed to accurately report lost revenue and expenses related to COVID-19, leading to a material weakness in internal controls.
  • Impacted Requirements: Non-compliance with federal regulations regarding the use of American Rescue Plan Funds for healthcare-related expenses and lost revenues.
  • Recommended Follow-Up: Management should review supporting documentation before reporting to ensure accurate reporting in the portal.

Finding Text

Program: COVID-19 American Rescue Plan – Period 5 Federal Assistance Listing Number: 93.498 Type of Finding: Material Weakness in Internal Control Over Compliance Compliance Requirement: Reporting Condition: Scheurer Hospital did not meet its requirements to properly report the lost revenue and expenses used to prevent, prepare for, and respond to coronavirus and that the payment shall reimburse the recipient only for health care related expenses or lost revenues that are attributable to coronavirus. Criteria: The American Rescue Plan Funds are to be used to prevent, prepare for, and respond to coronavirus and that the funds shall reimburse the recipient only for healthcare related expenses or lost revenues that are attributable to coronavirus during the period of availability which are not reimbursed by other sources. Context: During the audit, it was determined the amounts reported in the portal for Period 5 did not agree to the actual expenses and lost revenue utilized to support how the funds were used to prevent, prepare for, and respond to coronavirus. Cause: Management’s internal controls over reporting did not identify these instances of non-compliance timely. Effect: Scheurer Hospital is not in compliance with federal regulations and guidelines surrounding the use of the American Rescue Plan Funds. The classification of actual expenses and lost revenue utilized to earn the funds did not agree to the amounts reported in the portal for Period 5. However, management did provide the auditor with sufficient and appropriate audit evidence of the actual expenses and lost revenue used to support the amount of funding recognized for Period 5. As a result, no amount is due to the program. Recommendation: We recommend management review the supporting documentation prior to reporting the information in the reporting portal to ensure expenses are being reported in the Reporting Portal accurately. Views of Responsible Official: Management will evaluate the above recommendations and implement recommendations where deemed appropriate.

Corrective Action Plan

Finding 2023.002 Response: The information reported on filing for Period 6 will be reviewed internally by others in the Finance department to ensure the expenses are reported accurately. Responsible Party: Terry Lutz, CFO at Scheurer Hospital Estimated Completion: 03/31/2024

Categories

Material Weakness Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 375718 2023-001
    Material Weakness
  • 952160 2023-001
    Material Weakness
  • 952161 2023-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $1.14M
21.027 Coronavirus State and Local Fiscal Recovery Funds $371,221
93.697 Covid-19 Testing for Rural Health Clinics $368,823
93.155 Rural Health Research Centers $25,747
93.324 State Health Insurance Assistance Program $11,900
32.006 Covid-19 Telehealth Program $9,549