Finding 575370 (2021-005)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2021
Accepted
2025-09-02

AI Summary

  • Core Issue: The Health System did not provide adequate documentation for COVID-related expenses in their report, leading to potential noncompliance.
  • Impacted Requirements: Internal controls under 2 CFR 200.303(a) were insufficient, failing to ensure proper tracking and support for federal award expenses.
  • Recommended Follow-Up: Enhance internal control policies to ensure all reported amounts are documented, supported, and reviewed before submission to the federal agency.

Finding Text

Department of Health and Human Services Federal Assistance Listing #93.498 COVID-19: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year – Period 1 TIN #770637498 Reporting Material Weakness in Internal Control Over Compliance and Material Noncompliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. The Health System reported expenses based on specifically identified COVID related expenses. Condition: The Health System failed to provide an expense listing that supported the expenses included within the HHS Special Report – Period 1 (Report). In addition, the Health System’s lost revenue report did not reconcile to the Report and there was no evidence of review by someone other than the preparer. Cause: Internal controls in place did not ensure that all federal awards were supported and tracked appropriately. Effect: The lack of adequate policies governing review of the terms and conditions of the program, and lack of review over Report preparation and submission increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. The Health System submitted the Report without an accurate schedule to support the amount of expenses claimed. Questioned Costs: None reported. Context: Sampling was not used. Repeat Finding from Prior Years: No Recommendation: We recommend that the Health System enhance internal control policies to ensure all amounts reported and submitted to the federal agency are adequately documented and supported We also recommend that the Health System enhance internal control policies to ensure that the required reports are properly reviewed prior to submission to ensure all key line items are necessary, correct, meet the requirements of the federal program, and are properly recorded in the reports required to be submitted to the federal agency. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

Finding 2021-005 Federal Agency Name: Program Name: Finding Summary: Corrective Action Plan: Responsible Individual: Department of Health and Human Services COVID-19: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year­ Period 1 TIN #770637498 Federal Assistance Listing #93.498 The Health System failed to provide an expense listing that supported the expenses included within the HHS Special Report - Period 1 (Report). In addition, the Health System's lost revenue report did not reconcile to the Report and there was no evidence of review by someone other than the preparer. We will implement internal control policies to ensure all amounts reported and submitted to the federal agency are adequately documented and supported We will also implement internal control policies to ensure that the required reports are properly reviewed prior to submission to ensure all key line items are necessary, correct, meet the requirements of the federal program, and are properly recorded in the reports required to be submitted to the federal agency. Scott Merkel, CFO Anticipated Completion Date: Ongoing

Categories

Internal Control / Segregation of Duties Material Weakness Reporting

Other Findings in this Audit

  • 575368 2021-004
    Material Weakness
  • 575369 2021-004
    Material Weakness
  • 1151810 2021-004
    Material Weakness
  • 1151811 2021-004
    Material Weakness
  • 1151812 2021-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19: Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $4.10M
97.036 Covid-19: Disaster Grants - Public Assistance (presidentially Declared Disasters) $1.13M
93.461 Covid-19: Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $369,228
93.697 Covid-19: Testing and Mitigation for Rural Health Clinics $149,461