Finding 393148 (2023-005)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2023
Accepted
2024-04-12

AI Summary

  • Core Issue: The Hospital failed to maintain evidence of payment for 23 out of 40 expense transactions related to federal awards.
  • Impacted Requirements: This lack of documentation violates the requirement to establish effective internal controls over federal awards.
  • Recommended Follow-Up: Management should review and update procedures to ensure all expense documentation is retained and accessible for future audits.

Finding Text

Criteria – The Hospital is required to establish and maintain effective internal control over federal awards that provides reasonable assurance the entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Condition – Evidence of payment of certain expense transactions under the United States Department of Homeland Security program was not maintained by management. Context – For 23 out of 40 tested transactions, evidence of payment of expense transactions was not able to be provided. There are additional supportable costs in excess of funding received, for which evidence of payment is available. Therefore, the errors had no impact on the amount of federal awards the Hospital was allowed to retain due to the excess of related costs over the amount of federal awards received. Cause – Evidence of payment was not available as audit testing occurred approximately four years after expenses were incurred. Certain documentation was transferred to long-term storage and unavailable during audit testing. Additionally, there was an accounting software conversion since such expenses were incurred and the Hospital no longer has access to the prior accounting software. Effect – The Hospital was unable to provide supporting documentation for certain of its expenses. Recommendation – We recommend that management review procedures and change as necessary to ensure evidence is maintained to support the expense transactions. Views of Responsible Officials and Planned Corrective Actions – Management agrees with this finding. There has been turnover within the organization, in addition to the accounting software conversion, and policies are being reviewed and new procedures put in place as needed to ensure documentation of proper compliance.

Corrective Action Plan

Condition – Evidence of payment of certain expense transactions under the United States Department of Homeland Security program was not maintained by management. Recommendation – We recommend that management review procedures and change as necessary to ensure evidence is maintained to support the expense transactions. Views of Responsible Officials and Planned Corrective Actions – Management agrees with this finding. There has been turnover within the organization, in addition to the accounting software conversion, and policies are being reviewed and new procedures put in place as needed to ensure documentation of proper compliance. Anticipated Date of Completion – In progress. Action Taken – We have reviewed the recommendations and will be discussing potential control improvements in the near future. Person Responsible for Corrective Action Plan – Margaret Fontana, Chief Financial Officer.

Categories

Internal Control / Segregation of Duties

Other Findings in this Audit

  • 393146 2023-003
    Significant Deficiency
  • 393147 2023-004
    Significant Deficiency
  • 393149 2023-001
    Material Weakness Repeat
  • 393150 2023-001
    Material Weakness Repeat
  • 393151 2023-002
    Material Weakness Repeat
  • 393152 2023-002
    Material Weakness Repeat
  • 969588 2023-003
    Significant Deficiency
  • 969589 2023-004
    Significant Deficiency
  • 969590 2023-005
    Significant Deficiency
  • 969591 2023-001
    Material Weakness Repeat
  • 969592 2023-001
    Material Weakness Repeat
  • 969593 2023-002
    Material Weakness Repeat
  • 969594 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $980,175
93.498 Provider Relief Fund $859,076