Finding 515684 (2022-001)

Significant Deficiency
Requirement
B
Questioned Costs
-
Year
2022
Accepted
2024-12-18
Audit: 333527
Organization: Chesapeake Hospital Authority (VA)
Auditor: Bdo USA PC

AI Summary

  • Core Issue: $28,018 in professional service expenses was reported twice, leading to an overstatement in nonpayroll expenditures.
  • Impacted Requirements: Internal controls over federal awards were insufficient, violating 2 CFR Section 200.303 and 200.403 regarding accurate reporting and documentation.
  • Recommended Follow-Up: Strengthen policies and procedures for reviewing expenditures to prevent future reporting errors.

Finding Text

Identification of the Federal Program: 93.498 COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Program Criteria: In accordance with 2 CFR Section 200.303, non-Federal entities must establish and maintain effective internal controls over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statues, regulations, and the terms and conditions of the Federal award. Additionally, in accordance with 2 CFR Section 200.403, costs must meet certain general criteria in order to be allowable under Federal awards. That criterion includes, but is not limited to, adequate documentation and be necessary and reasonable for the performance of the Federal award. Condition: During our audit of nonpayroll expenditures charged to the PRF Program, we noted that a total amount of $28,018 of professional service expenses was included twice in the total federal expenditures reported within the PRF Program. As such, the PRF Program’s total nonpayroll expenditures was overstated by $28,018 while the lost revenue claimed was understated by the same amount, wherein the net impact is zero. Cause: The Authority did not perform a thorough review of expenses charged to the program. Effect: The amounts reported to the Health Resources & Services Administration (HRSA) Provider Relief Fund Portal did not reflect the correct amounts within the nonpayroll expenditures and lost revenue for the PRF Program. However, the total amount claimed under PRF program was still correct. Questioned Costs: None. Context: The Authority inadvertently included professional service expenses of $28,018 twice within the nonpayroll expenditures rather than including the same amount under lost revenue. Repeat Finding: No. Recommendation: We recommend the Authority strengthen its policies, procedures and internal controls over the review of expenditures charged to the federal program. View of Responsible Officials: The Authority’s management agrees with the federal award finding identified in the audit. Management’s response to this finding is described in the accompanying management’s corrective action plan.

Corrective Action Plan

2022-001 – Internal Controls over Allowable Costs Individuals Responsible for Corrective Action Plan: J. Neal Bolton, Director of Revenue Management & Budget Shemaine Rose, Controller Anticipated Completion Date: December 2024 In order to ensure expenses are only counted once, a check will be added to future reporting to ensure the total of all expenses equals the total amount of expenses allocated by category. This check will be confirmed by two individuals independently before submission.

Categories

Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 515685 2022-002
    Significant Deficiency Repeat
  • 1092126 2022-001
    Significant Deficiency
  • 1092127 2022-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $12.28M
16.575 Crime Victim Assistance $216,128
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $112,231