Finding 46981 (2022-003)

Significant Deficiency
Requirement
B
Questioned Costs
-
Year
2022
Accepted
2022-12-28
Audit: 52177
Auditor: Wipfli LLP

AI Summary

  • Core Issue: Internal controls over disbursements were ineffective, leading to noncompliance with federal guidelines.
  • Impacted Requirements: Allowable costs under the Provider Relief Fund were not adhered to, resulting in $12,751 of non-allowable expenses.
  • Recommended Follow-Up: Management should review all payroll and non-payroll expenditures for compliance with federal criteria, though excess COVID expenses can cover the non-allowable costs.

Finding Text

Finding 2022-003. Program Name: Provider Relief Fund. Federal Assistance Listing Number: 93.498. Federal Agency: U.S. Department of Health and Human Services. Type of Finding: Significant Deficiency, Noncompliance. Compliance Requirement: Allowable Costs, Cost Principles. Condition: The Organization's internal controls over compliance related to disbursements were not effective. During the audit, it was determined that for 1 of 40 payroll expenditures tested, a portion was not an allowable COVID expense under the Department of Health and Human Services guidelines for the use of Provider Relief Funds. It was also determined that a portion of the non-payroll expenditures was not an allowable COVID expense under the Department of Health and Human Services guidelines for the use of Provider Relief Funds. The total amount of nonallowable costs was $12,751. Criteria: 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 recipient only for health care related expenses or lost revenues that are attributable to coronavirus. Cause: Management oversight. Effect: The Organization is not in compliance with federal regulations and guidelines surrounding the use of the Provider Relief Funds. Recommendation: We recommend that management review all payroll and non-payroll expenditures for allowability under the criteria provided by the Department of Health and Human Services. However, it was noted that the Organization has enough excess COVID expenses to cover the non-allowable disbursements noted above and retain the grant funding. View of Responsible Officials: Management will review all payroll and non-payroll expenditures to determine allowability under the specific grant's rules and regulations.

Corrective Action Plan

Finding 2022-03. Response: Management will create policy regarding payroll and non-payroll expenditures and include a review of all expenditures to determine allowability under the specific grant rules and regulations. The finding noted non-allowable costs of $12,751, however, it was noted that Munising Memorial Hospital has enough excess COVID expenses to cover the non-allowable costs noted above and retain the grant funding. Responsible party: Kevin Carlson, CFO. Estimated completion: March 31, 2022.

Categories

Allowable Costs / Cost Principles Internal Control / Segregation of Duties Significant Deficiency

Other Findings in this Audit

  • 623423 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $1.29M
93.155 Rural Health Research Centers $73,030
10.766 Community Facilities Loans and Grants $63,000
93.301 Small Rural Hospital Improvement Grant Program $11,679