Finding 38374 (2022-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 30344
Organization: Sparrow Health System (MI)

AI Summary

  • Core Issue: The Health System inaccurately reported expenses for the COVID-19 Provider Relief Fund, overstating costs by $8,319,309 due to prior submissions being included again.
  • Impacted Requirements: Reporting did not comply with HHS guidelines, which state only current period expenses should be submitted.
  • Recommended Follow-Up: Implement stronger controls and additional review processes to ensure accurate reporting in line with HHS requirements.

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, 2022 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 Distributions Post Payment Notice of Reporting Requirements dated October 27, 2022, published by the U.S. Department of Health and Human Services (HHS), allowable expenses paid with general and targeted PRF distributions may be reported as a use of PRF funds, provided that the expenses have not been reimbursed by another source. Additionally, per the Health Resources and Services Administration (HRSA) PRF Reporting Portal user guide, "the reporting entity must report the use of these payments by indicating the quarterly expenses reimbursed for these payments." Once these expenses have been entered, and the portal will automatically calculate an unreimbursed expense amount for any PRF expenses entered that exceed PRF funding received. As a result of this calculation, the directions from HRSA require users to input only expenses related to the current period's payments in the current portal submission. Condition - The Health System's controls in place for reporting submissions did not ensure the accuracy of the reporting submissions. Questioned Costs - None Identification of How Questioned Costs Were Computed - N/A - Refer to context below for additional information. Context - The reporting submission for health care expenses did not follow the guidelines published by HHS. The Health System's period 3 portal submissions overstated expenses by $8,319,309, as certain expenses were previously submitted on prior portal submissions. These expenses should not have been included in the period 3 submissions. Due to the Health System having excess lost revenue reported in the portal submissions that could have been utilized to support the retention of the PRF funds, the Health System still would have qualified to recognize all PRF payments received in period 3 and period 4. Cause and Effect - The review process surrounding the expenses reported was not sufficient to ensure that the expenses were accurately reported. As a result, the report submitted was inaccurate. Recommendation - We recommend the Health System enhance controls, including additional levels of review, to ensure reports are completed and submitted accurately and in accordance with the guidelines established by HHS. Views of Responsible Officials and Corrective Action Plan - The Health System accepts the finding and will implement additional layers of review regarding expense submission to ensure the reports are submitted within the established guidelines. As stated above, the lost revenue from the COVID 19 pandemic more than offsets this finding, and there are no resulting PRF recognition issues.

Corrective Action Plan

Finding Number: 2022-001 Condition: The Health System's controls in place for reporting submissions did not ensure the accuracy of the reporting submissions. Planned Corrective Action: Preparer will conduct a full walk-through of the entire submission with a reviewer who did not participate in preparation of the submission. Contact person responsible for corrective action: Matthew Nobis Anticipated Completion Date: Completed

Categories

Subrecipient Monitoring Allowable Costs / Cost Principles Material Weakness Reporting

Other Findings in this Audit

  • 614816 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
14.128 Mortgage Insurance_hospitals $27.24M
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan Rural Distribution $21.40M
21.027 Covid-19: Coronavirus State and Local Fiscal Recovery Funds - Growing Mi Business Grant $7.71M
97.036 Covid-19 - Disaster Grants - Public Assistance (presidentially Declared Disasters) $2.31M
93.155 Covid-19 - Rural Health Research Centers $993,412
93.697 Covid-19 Testing for Rural Health Clinics $921,248
21.027 Covid-19: Coronavirus State and Local Fiscal Recovery Funds $714,728
32.006 Covid-19 Telehealth Program $439,802
93.136 Injury Prevention and Control Research and State and Community Based Programs $99,878
93.301 Covid-19 - Small Rural Hospital Improvement Grant Program $51,344
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $16,609