Finding 402882 (2021-001)

Significant Deficiency
Requirement
B
Questioned Costs
$1
Year
2021
Accepted
2024-06-26

AI Summary

  • Core Issue: Significant deficiencies in internal controls over compliance with COVID-19 Provider Relief Funds, leading to unsupported disbursements.
  • Impacted Requirements: Funds must be used for health care-related expenses or lost revenues due to coronavirus, with proper documentation and approval needed.
  • Recommended Follow-Up: Implement a formal policy for maintaining documentation and approvals for expenditures, ensuring reviews are conducted by someone other than the preparer.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: COVID-19 Provider Relief Funds Assistance Listing Number: 93.498 Award Period: January 1, 2021 through December 31, 2021 Type of Finding: • Significant Deficiency in Internal Control over Compliance • Other Matters Criteria or specific requirement: The Provider Relief Funds were provided under the Coronavirus Aid, Relief, and Economic Security Act (Pub. L. No. 116-136, 134 Stat. 563) and are to be used to prevent, prepare for, and respond to coronavirus and that the funds shall reimburse the recipients only for health care related expenses or lost revenues that are attributable to coronavirus. Condition: During our testing, we noted the organization had insufficient support for six disbursements and one disbursement was recorded at the incorrect dollar value. We also noted thirteen selections with no support of approval for the expenditures incurred. Questioned costs: $9,969 Context: During our testing, it was noted that 6 of the 60 disbursements sampled could not be supported with invoices or detailed receipts, 1 of the 60 disbursements sampled was incorrect, and 13 of the 60 disbursements sampled had no support of having been approved. Cause: The organization did not have proper controls in place to ensure proper documentation was maintained and that the expenditures were properly reviewed and approved. Effect: Information included in the submission could be incorrect without a formal process in place. Recommendation: We recommend the organization adopt a formal policy that ensures documentation of expenditures is maintained and that all expenditures are compared against source documentation to ensure appropriate recording. A review process should be formally documented. The review should be performed by someone other than the preparer of the information. Views of responsible officials: There is no disagreement with the audit finding. However, management believes the questioned costs would be covered by the excess amount expenses incurred.

Corrective Action Plan

Department of Health and Human Services Aldersgate United Methodist Retirement Community, Inc. respectfully submits the following corrective action plan for the year ended December 31, 2021. Audit period: January 1, 2021 through December 31, 2021 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS Department of Health and Human Services 2021-001 Provider Relief Funding – Assistance Listing No. 93.498 Recommendation: We recommend the organization adopt a formal policy in which the documentation of expenditures is maintained and all expenditures are compared against source documentation to ensure appropriate recording. A review of these expenditures should be formally documented. This review should be performed by someone other than the preparer of the information. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Aldersgate is implementing a formal document retention policy including digital and email documentation to ensure documentation of expenditures is maintained for the appropriate period of time. Aldersgate is also implementing a formal policy for reviews and approvals for all transactions to ensure the reviews and posting are performed by someone other than the person initiating the transaction. Last, Aldersgate is implementing internal control audits to ensure the practices are compliant with the new policies. Name(s) of the contact person(s) responsible for corrective action: Cherie Grisso, Chief Financial Officer Planned completion date for corrective action plan: 8/31/24 If the Department of Health and Human Services has questions regarding this plan, please call Cherie Grisso, Chief Financial Officer, at 704-532-5222.

Categories

Questioned Costs Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 979324 2021-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $1.25M