Finding 569018 (2024-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-06-30
Audit: 360649
Organization: Fairview Health Services (MN)

AI Summary

  • Core Issue: Fairview Health Services failed to submit the FFATA report on time for subawards over $30,000, violating federal reporting requirements.
  • Impacted Requirements: Non-compliance with 2 CFR 170, which mandates timely reporting of federal funds, and lack of effective internal controls as required by 2 CFR 200.303.
  • Recommended Follow-Up: Management should implement and monitor internal controls to ensure future compliance with FFATA reporting deadlines.

Finding Text

Finding 2024-001 Federal Funding Accountability and Transparency Act (FFATA) Reporting Identification of the federal program: Federal Grantor: United States Department of Health and Human Services Assistance Listing No.: 93.817 Hospital Preparedness Program (HPP) Ebola Preparedness and Response Activities Criteria or specific requirement (including statutory, regulatory, or other citation): 2 CFR 200.303 requires that the 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).” Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282) (Transparency Act) that are codified in 2 CFR Part 170, “unless the auditee is exempt as provided in paragraph d. of this award term, the auditee must report each action that equals or exceeds $30,000 in Federal funds for a subaward to a non-Federal entity or Federal agency no later than the end of the month following the month in which the obligation was made.” Recipients of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) per submission instructions posted at http://www.fsrs.gov. Condition: During our testing of FFATA Report, it was identified that the report was not submitted by Fairview management within the time frame designated in 2 CFR 170 Appendix A. Cause: Policies and procedures and internal controls were not in place to ensure compliance with the FFATA reporting requirements. Effect or potential effect: Fairview Health Services did not report the necessary FFATA report for first-tier subawards over $30,000 to the FFATA Subaward Reporting System. Questioned costs: None. Context: Total subrecipient expenditures subject to FFATA reporting were $155,996 for the year ended December 31, 2024 and total Federal expenditures were $1,656,727 for the year ended December 31, 2024. Identification as a repeat finding, if applicable: The finding is not a repeat finding from the prior year. Recommendation: We recommend that Fairview Health Services management take immediate action to ensure compliance with the reporting requirements of the FFATA. Views of responsible officials: Management agrees with the finding. The FFATA report was filed on April 15, 2025. Fairview has established an internal control to ensure timely filing of FFATA reports in the future.

Corrective Action Plan

Finding 2024-001 Federal Grantor: United States Department of Health and Human Services Planned Corrective Actions: Responsible Official – Dawn Ksepka, VP of Finance and System Controller Anticipated completion date – April 15, 2025 Management agrees with the finding. Remediation: The FFATA report was filed on April 15, 2025. Fairview has established an internal control to ensure timely filing of FFATA reports in the future.

Categories

Subrecipient Monitoring Reporting

Other Findings in this Audit

  • 569019 2024-002
    Material Weakness
  • 569020 2024-003
    Material Weakness
  • 569021 2024-004
    Material Weakness
  • 1145460 2024-001
    Material Weakness
  • 1145461 2024-002
    Material Weakness
  • 1145462 2024-003
    Material Weakness
  • 1145463 2024-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.66M
93.493 Congressional Directives $904,484
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $469,583
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $305,997
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $304,915
93.155 Rural Health Research Centers $287,190
10.331 Gus Schumacher Nutrition Incentive Program $103,835
10.182 Pandemic Relief Activities: Local Food Purchase Agreements with States, Tribes, and Local Governments $93,537
93.110 Maternal and Child Health Federal Consolidated Programs $26,877
93.304 Racial and Ethnic Approaches to Community Health $25,301
93.184 Disabilities Prevention $23,923
93.173 Research Related to Deafness and Communication Disorders $11,311
93.837 Cardiovascular Diseases Research $212