Finding 410387 (2022-007)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2022
Accepted
2023-01-29
Audit: 311964
Organization: Washington County Hospital (IL)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital lacks a departmental payroll register, making it difficult to verify payroll costs claimed for COVID-related activities.
  • Impacted Requirements: This situation violates 2 CFR 200.303(a), which mandates effective internal controls over federal awards to ensure compliance.
  • Recommended Follow-Up: The Hospital should improve internal control policies to ensure proper retention of payroll expenditure documentation by department.

Finding Text

2022-007 Department of Health and Human ServicesFederal Financial Assistance Listing #93.498COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural DistributionApplicable Federal Award Number and Year ? Period 1 TIN #376020408Activities Allowed or Unallowed and Allowable Costs/Cost PrinciplesSignificant Deficiency in Internal Control Over ComplianceCriteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award.Condition: The Hospital?s final expenditure listing claimed payroll costs by certain departments that worked directly with COVID patients. The general ledger report that this information was generated from reports the information by department, however the payroll register does not have departmental data. Therefore, the general ledger report was not able to tie to specific department information, but it was able to tie in total.Cause: The Hospital had multiple employees working in multiple departments during the periods claimed. The Hospital?s payroll per department was calculated by the payroll system which was subsequently replaced. In the transition to the new software, a payroll register by department that shows the exact allocation of wages to various departments was not retained.Effect: Without a payroll register by department, there is a possibility that ineligible expenditures may be claimed under the program.Questioned Costs: None reported.Context: A nonstatistical sample of 60 items ($302,483) from a total population exceeding 250 items ($3,824,947) were tested for activities allowed or unallowed and allowable costs/cost principles.Repeat Finding from Prior Years: NoRecommendation: We recommend the Hospital enhance internal control policies to ensure that the support of payroll expenditures by department are properly retained.Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

Finding 2022-007Federal Agency Name: Department of Health and Human ServicesProgram Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP} Rural DistributionFederal Financial Assistance Listing #93.498Compliance Requirement: Activities Allowed or Unallowed and Allowable Costs/Cost PrinciplesFinding Summary: The Hospital's final expenditure listing claimed payroll costs by certain departments that worked directly with COVID patients. The general ledger report that this information was generated from reports the information by department, however the payroll register does not have departmental data. Therefore, the general ledger report was not able to tie to specific department information, but it was able to tie in total.Responsible Individuals: Jennifer Venable, CFOCorrective Action Plan: Management agrees with the finding. The reporting options in the Hospital's legacy payroll system were limited. With the new system implemented in November 2021, the reports are more robust which provide the detail by department by employee. Subsequent reporting will have reports that clearly break down the detail necessary.Anticipated Completion Date: January 25, 2023

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 410382 2022-004
    Material Weakness
  • 410383 2022-005
    Material Weakness
  • 410384 2022-005
    Material Weakness
  • 410385 2022-006
    Material Weakness
  • 410386 2022-004
    Material Weakness
  • 986824 2022-004
    Material Weakness
  • 986825 2022-005
    Material Weakness
  • 986826 2022-005
    Material Weakness
  • 986827 2022-006
    Material Weakness
  • 986828 2022-004
    Material Weakness
  • 986829 2022-007
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.82M
93.155 Rural Health Research Centers $256,978
93.301 Small Rural Hospital Improvement Grant Program $10,833
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $7,500