Finding 479413 (2023-003)

Material Weakness
Requirement
B
Questioned Costs
$1
Year
2023
Accepted
2024-07-25

AI Summary

  • Core Issue: Duplicated costs were reported, leading to inaccuracies in financial reporting.
  • Impacted Requirements: Provider Relief Funds must only cover legitimate health care expenses or lost revenues related to coronavirus.
  • Recommended Follow-Up: Implement stronger controls to prevent reporting errors and ensure accurate tracking of payroll expenditures.

Finding Text

FINDING: 2023-003 ALLOWABLE COSTS Condition: During the performance of our audit engagement procedures, we identified some reported costs that were duplicated. Criteria: Provider Relief Funds are to be used to prevent, prepare for, and respond to coronavirus and the funds shall reimburse the recipient only for health care related expenses or lost revenues that are attributable to coronavirus. Cause: Lack of controls led to oversight in preparation of the costs attributable to coronavirus, which led to certain costs being duplicated in the reporting. Effect: The Organization's internal controls over compliance related to payroll were not effective and as a result caused an error in reporting. Questioned Costs: $2,450,733 Recommendation: We recommended the Organization put in place controls over compliance that mitigate the risk of errors in reporting. It was noted that the total unused lost revenues far exceeded the amounts used in the reporting period. Additional unused lost revenue would have been used had the expenses been reported appropriately. Management Response: Management will review calculations and support for all payroll expenditures to ensure accuracy in future reporting. Management also notes that they had sufficient unused lost revenues to cover the duplicated expenses that were reported incorrectly.

Corrective Action Plan

U.S. Department of Health and Human Services Great River Health System, Inc. and Subsidiaries respectfully submits the following corrective action plan for the year ended June 30, 2023. Audit period: July 1, 2022 – June 30, 2023 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. FINDING—FEDERAL AWARD PROGRAMS AUDITS MATERIAL WEAKNESS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 2023-003 Provider Relief Fund – Assistance Listing No. 93.498 Recommendation: We recommend the Organization put in place controls over compliance that mitigate the risk of errors in reporting. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: We added an additional management review for future submissions prior to filing and submission. Name(s) of the contact person(s) responsible for corrective action: Jeremy Alexander, CFO Planned completion date for corrective action plan: 7/01/2024 If the Department of Health and Human Services has questions regarding this plan, please call Jeremy Alexander at 319-768-3280.

Categories

Questioned Costs Internal Control / Segregation of Duties Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

  • 1055855 2023-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.37M
21.027 Coronavirus State and Local Fiscal Recovery Funds $250,000
93.217 Family Planning_services $134,680
93.575 Child Care and Development Block Grant $6,589