Finding 574757 (2024-003)

Material Weakness
Requirement
ABHL
Questioned Costs
$1
Year
2024
Accepted
2025-08-27
Audit: 365058
Organization: Corewell Health & Affiliates (MI)

AI Summary

  • Core Issue: $1,077,759 in PPE and COVID-related supplies were included in a FEMA application but not used within the required period, leading to an overstatement of expenditures.
  • Impacted Requirements: Compliance with 2 CFR 200.303 and FEMA guidelines for documenting actual costs and inventory analysis.
  • Recommended Follow-Up: Strengthen internal controls and ensure timely inventory and usage analysis before submitting claims to FEMA.

Finding Text

Identification of the Federal Program: Federal Agency and Program Name: U.S. Department of Homeland Security Disaster Grants – Public Assistance (Presidentially Declared Disasters) Pass Through Grantor: Michigan State Police Emergency Management and Homeland Security Division Pass Through Award Number: 4494-DR-MI Pass through Award Period: 7/1/2022-4/30/2023 Assistance Listing #: 97.036 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).” Per FEMA’s Public Assistance Program and Policy Guide V4, “The Subrecipient must provide documentation to support the actual costs within 90 days of work completion” Per FEMA FAQ: COVID-19 Pandemic: Public Assistance Disposition Requirements for Equipment and Supplies, Version 2, Question 14. Will FEMA allow stockpiling of equipment and supplies after May 11, 2023? “FEMA will apply the 90% federal cost share to funding for all eligible costs for work performed and items used from July 2, 2022, through May 11, 2023. FEMA will only reimburse for supplies purchased based on a justifiable need to be used or distributed by May 11, 2023. If supplies were purchased during the incident/eligibility period but ultimately not needed for pandemic response, those supplies would become part of the applicant’s stock and would be subject to disposition requirements.” Condition: During our audit we identified $1,077,759 in costs, included in the project 10 application, where the Personal Protective Equipment (PPE) and other COVID related supplies were not used within the period of performance outlined within the project worksheet. Cause: Corewell did not complete the inventory and usage analysis prior to submission of the project application to FEMA. Effect or Potential Effect: As a result of including PPE and other COVID related supplies that were not used prior to the specified period of performance, Corewell overstated the FEMA expenditures in the project 10 application. In addition, not completing the inventory and usage analysis prior to submission of the application could also potentially lead to requesting funding for such costs. Questioned Costs: $1,077,759 Context: There were three FEMA obligations during FY 2024. We identified the overstatement of expenditures in one of the projects (project 10) with an obligation amount of $6,732,507. The period of performance as specified within the project 10 application is July 2, 2022 to April 30, 2023 and $1,077,759 of costs were not used by April 30, 2023. The overstatement represents approximately 16% of the amounts reported in the project 10 application and 14% of the total FEMA obligations in FY 2024. The total federal expenditures for FEMA for FY 2024 were $7,795,530. Identification as a Repeat Finding: This is not a repeat finding. Recommendation: We recommend management strengthen its internal controls and procedures and timely perform the inventory and usage of costs analysis prior to submission to FEMA. Views of Responsible Officials: Management will develop a process to perform, document, and sign off on a thorough claim review to validate that all final adjustments have been submitted prior to submitting the Request for Reimbursement to the State.

Corrective Action Plan

Identification of the federal program: Federal Agency: U.S. Department of Homeland Security (DHS) Assistance Listing: 97.036 Disaster Grants – Public Assistance (Presidentially Declared Disasters) Pass-Through Grantor: Michigan State Police Emergency Management and Homeland Security Division Pass-Through Award Number: 4494-DR-MI Pass-Through Award Period: 7/1/2022-4/30/2023 Summary of Finding: The Personal Protective Equipment (PPE) and other COVID related supplies were not used within the period of performance outlined within the project worksheet. There were three FEMA obligations during FY 2024. An overstatement of expenditures in one of the projects (project 10) was identified with an obligation amount of $6,732,507. The period of performance as specified within the project 10 application is July 2, 2022 to April 30, 2023 and $1,077,759 of costs were not used by April 30, 2023. The overstatement represents approximately 16% of the amounts reported in the project 10 application and 14% of the total FEMA obligations in FY 2024. The total federal expenditures for FEMA for FY 2024 were $7,795,530. Corrective Action Plan: Management agrees that a thorough review of the claim was not completed prior to submitting the Request for Reimbursement to the State of Michigan, thus causing a control deficiency. In the future management will perform, document, and sign off on a thorough claim review to validate that all final adjustments have been submitted prior to submitting the Request for Reimbursement to the State. Individuals responsible for corrective action: Brittany Kruse, Vice President Finance and Assistant Controller Cindy Brink, Director, System Accounting and Reporting. Timing of corrective action: September 1, 2025 and going forward.

Categories

Questioned Costs Equipment & Real Property Management Matching / Level of Effort / Earmarking Procurement, Suspension & Debarment Subrecipient Monitoring Cash Management Eligibility Period of Performance

Other Findings in this Audit

  • 574755 2024-002
    Significant Deficiency
  • 574756 2024-001
    Material Weakness
  • 1151197 2024-002
    Significant Deficiency
  • 1151198 2024-001
    Material Weakness
  • 1151199 2024-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $7.80M
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.29M
93.926 Healthy Start Initiative $1.11M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $1.04M
93.493 Congressional Directives $505,000
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $349,873
12.420 Military Medical Research and Development $336,625
93.914 Hiv Emergency Relief Project Grants $322,578
93.855 Allergy and Infectious Diseases Research $249,754
93.217 Family Planning Services $177,765
93.307 Minority Health and Health Disparities Research $165,150
93.136 Injury Prevention and Control Research and State and Community Based Programs $161,673
93.940 Hiv Prevention Activities Health Department Based $158,111
93.865 Child Health and Human Development Extramural Research $151,953
93.110 Maternal and Child Health Federal Consolidated Programs $149,992
93.304 Racial and Ethnic Approaches to Community Health $147,899
93.516 Public Health Training Centers Program $129,807
21.027 Coronavirus State and Local Fiscal Recovery Funds $112,167
93.276 Drug-Free Communities Support Program Grants $108,357
93.889 National Bioterrorism Hospital Preparedness Program $87,801
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $70,739
93.778 Medical Assistance Program $66,965
93.788 Opioid Str $65,897
93.835 Planning Grant for Healthcare and Public Health Sector Cybersecurity Information Sharing $62,282
93.994 Maternal and Child Health Services Block Grant to the States $59,488
93.866 Aging Research $51,385
93.395 Cancer Treatment Research $47,025
93.226 Research on Healthcare Costs, Quality and Outcomes $44,407
93.178 Nursing Workforce Diversity $42,165
93.185 Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects $35,736
93.959 Block Grants for Prevention and Treatment of Substance Abuse $27,611
93.859 Biomedical Research and Research Training $27,338
93.310 Trans-Nih Research Support $25,540
93.838 Lung Diseases Research $24,000
12.300 Basic and Applied Scientific Research $19,903
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $19,258
93.988 Cooperative Agreements for Diabetes Control Programs $19,121
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $17,371
93.397 Cancer Centers Support Grants $16,978
93.837 Cardiovascular Diseases Research $16,500
93.867 Vision Research $11,231
93.213 Research and Training in Complementary and Integrative Health $10,478
93.301 Small Rural Hospital Improvement Grant Program $5,205
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $5,095
93.113 Environmental Health $4,062
93.839 Blood Diseases and Resources Research $3,734
93.393 Cancer Cause and Prevention Research $3,520
93.399 Cancer Control $3,000
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $2,340
93.279 Drug Use and Addiction Research Programs $2,000
93.825 National Ebola Training and Education Center (netec) $1,464
93.361 Nursing Research $848