Finding 50945 (2022-001)

Material Weakness
Requirement
AN
Questioned Costs
$1
Year
2022
Accepted
2023-10-01
Audit: 52431
Organization: Garrett Regional Medical Center (MD)
Auditor: Forvis LLP

AI Summary

  • Core Issue: Internal controls over allowable costs are inadequate, leading to the submission of approximately $8,550 in unallowable expenditures for reimbursement.
  • Impacted Requirements: Compliance with 2 CFR 200.303 is not met, as effective internal controls are necessary to manage Federal awards properly.
  • Recommended Follow-Up: Implement stronger supervisory reviews and internal controls to ensure all submitted expenditures comply with established criteria.

Finding Text

Finding 2022-001 ? Internal Controls over Allowable Costs, Activities Allowed and Special Tests and Provisions Material Weakness and Material Noncompliance Assistance Listing Number: 97.036 COVID-19 Disaster Grants ? Public Assistance Criteria: 2 CFR 200.303 requires that a non-federal entity must ?(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-federal entity is managing the Federal award in compliance with Federal statutes, regulations and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in ?Standards for Internal Control in the Federal Government? issued by the Comptroller General of the United States and the ?Internal Control Integrated Framework,? issued by the Committee of Sponsoring Organizations of the Treadway Commission (?COSO?). Condition: During our testing of compliance and internal controls over allowability and special tests reporting of expenditures, it was determined that internal controls over allowable costs and activities allowed and special tests reporting are not designed to prevent and detect unallowable expenditures from being submitted for reimbursement. Consequently, we noted approximately $8,550 of ineligible expenditures were submitted on the reimbursement request. Questioned Costs ? $8,550 Context: Our testing noted approximately $8,550 of unallowable expenditures, out of a sample tested approximating $68,000, that were reported on the reimbursement request for Disaster Grants- Public Assistance. Our sample was not intended to be statistically valid. Cause: Lack of effectively designed and implemented internal controls over allowability of expenditures and special tests and provisions. Effect: Without the proper implementation of an effectively designed system of internal controls, the internal control system cannot be relied upon to effectively prevent or detect noncompliance. Thus, unallowable expenditures may be submitted for reimbursement. Recommendation: Effective supervisory review internal controls over allowable costs, activities allowed and special tests and provisions should be implemented to ensure expenditures submitted for reimbursement meet the criteria established in the terms and conditions. Identification of prior year finding: N/A Management Response: See management?s corrective action plan included at the end of the report.

Corrective Action Plan

Finding 2022-001- Allowable Costs, Activities Allowed and Special Tests and Provisions Contact Person: Lori Dixon Management?s Response: GRMC management will implement the following processes/procedures as a result of the finding of the 2022 Single Audit. During the audit review, FEMA hours were found to be unallowable on sample patients treated for COVID. Management reviewed the findings and identified additional patients/hours not covered by other funding sources to replace the unallowed data totaling $8,550. Completion Date: The steps above will be completed by October 31, 2023.

Categories

Questioned Costs Allowable Costs / Cost Principles Special Tests & Provisions Cash Management Eligibility Material Weakness Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 627387 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $702,833
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $601,262
10.855 Distance Learning and Telemedicine Loans and Grants $411,921
93.155 Rural Health Research Centers $184,412
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $160,757
93.498 Provider Relief Fund $26,538
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $24,711
93.301 Small Rural Hospital Improvement Grant Program $12,836