Finding 392585 (2021-003)

Material Weakness
Requirement
BL
Questioned Costs
$1
Year
2021
Accepted
2024-04-08
Audit: 302859
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Authority submitted expenses for COVID-19 Provider Relief Funds that did not meet allowable criteria, leading to material noncompliance.
  • Impacted Requirements: Expenses must only be for un-reimbursed COVID-19 related costs, and effective controls should be in place to ensure compliance with federal program terms.
  • Recommended Follow-Up: Implement robust controls for reviewing and approving expenses to ensure they align with the Provider Relief Fund terms before submission.

Finding Text

Finding 2021-003 – Noncompliance with Allowable Costs and Reporting Material Noncompliance and Material Weakness Department of Health and Human Services COVID-19 Provider Relief Funds Assistance Listing 93.498 Criteria: The Department of Health and Human Services provided terms and conditions associated with the Provider Relief Fund (PRF). Those terms and conditions outlined the usages of the PRF distributions received, specifically related to expenses. PRF distributions should only be used to prevent, prepare for, and respond to the coronavirus that have not been reimbursed from other sources or that other sources are not obligated to reimburse. Management should have effectively designed controls to review, approve, prevent, or detect and correct, material noncompliance with major federal programs. Condition: The Authority submitted expenses through the Department of Health and Human Services PRF portal for the first period of availability that did not meet the criteria of allowable expenditures in accordance with the terms and conditions and lacked related controls over compliance with major federal programs. Context and Questioned Costs: A sample of 60 payroll expenditures and 60 non-payroll expenditures were selected. The sample of 60 identified $85,288 of questioned costs in the sample population to not be in compliance. The sample of 60 non-payroll expenditures were tested and 34 sample selections identified $1,164,098 of questioned costs in the non-payroll population to not be in compliance. The sample was not and was not intended to be statistically valid. Effect: The Authority overstated the expenses submitted through the Department of Health and Human Services PRF portal for the period of availability, resulting in material noncompliance. Cause: A control was not in place to review, approve, prevent, or detect and correct, ineligible expenditures from being identified and reported as qualifying expenditures for the Provider Relief Funds. Qualifying expenditures should have been determined based on the terms and conditions associated with the PRF. Identification of Prior Year Audit Findings: N/A Recommendation: Effective controls over compliance and financial reporting should be implemented to ensure payroll and non-payroll expenses are accumulated in accordance with the terms and conditions prior to claiming such expenditures as being allowable and being submitted through the Department of Health and Human Services PRF portal. Views of responsible officials: Management agrees with the findings and has put in to place a process to review all qualifying expenses monthly moving forward. See Management’s Corrective Action Plan.

Corrective Action Plan

Finding 2021-003- Material Weakness and Material Noncompliance over Allowable Cost and Reporting Contact Person: Andrew Wenning Managements Response: During a review of expenses related to the COVID pandemic, the audit identified payroll and non-payroll expenses that management first thought eligible but on further review, (and subsequent to the submission to the portal) determined were unallowable per the Provider Relief Fund grant and Coronavirus Relief Fund grant terms and conditions. Management has put into place a policy for an individual in the accounting department to review all COVID expenses on a monthly basis going forward. In addition, management will further investigate the total likely questioned cost in order to determine the complete known questioned cost in the period 1 payroll and non-payroll expenditure population by June 30, 2024. For payroll expenses, the policy includes that a review and approval of the expenditures will be performed by an individual in accounting to ensure that the hours and wages calculated meet the terms and conditions of the PRF. If any non-eligible payroll expenses are identified during the review process, they will be removed. For all other expenses, we will obtain and retain approved copies of all invoices or other documentation to support expenses and review for eligibility. If any non-eligible expenses are identified during the review process, they will be removed. Completion Date: April 5, 2024

Categories

Questioned Costs Allowable Costs / Cost Principles Eligibility Material Weakness Reporting

Other Findings in this Audit

  • 392584 2021-002
    Material Weakness
  • 392586 2021-004
    Material Weakness
  • 969026 2021-002
    Material Weakness
  • 969027 2021-003
    Material Weakness
  • 969028 2021-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $10.65M
21.019 Coronavirus Relief Fund $804,000
93.461 Covid-19 Testing for the Uninsured $421,422
93.301 Small Rural Hospital Improvement Grant Program $83,317