Finding 585671 (2023-003)

Significant Deficiency
Requirement
BL
Questioned Costs
-
Year
2023
Accepted
2024-01-21
Audit: 12640
Organization: Marlette Regional Hospital (MI)
Auditor: 390758449

AI Summary

  • Core Issue: There was a significant deficiency in internal controls, leading to the inclusion of $9,174 in bonuses for terminated employees in reported expenses.
  • Impacted Requirements: The reported expenses did not comply with guidelines for allowable healthcare-related costs tied to coronavirus.
  • Recommended Follow-Up: Management should review and retain all supporting documentation for reported expenses to ensure compliance and accuracy before submission.

Finding Text

Type of Finding: Significant Deficiency in Internal Control and Noncompliance Criteria: The American Rescue Plan Funds and Provider Relief Funds are to be used to prevent, prepare for, and respond to coronavirus and that the funds shall reimburse the recipient only for healthcare related expenses or lost revenues that are attributable to coronavirus during the period of availability. Condition: The list of payroll expenses supporting amounts reported in the portal as allowable expenses included bonuses, totaling $9,174, for employees who were terminated between the time the list was prepared and the date the bonus was paid. As a result, the list of payroll expenses included $9,174 of bonuses which were not paid out to the identified employees. The internal review process did not identify this matter prior to portal submission. Cause: Management oversight. Effect: Expenses reported in the HHS Provider Relief Reporting were not appropriately supported. However, the Hospital had unreimbursed expenses and unused lost revenue attributable to coronavirus through the end of the reporting period of availability (Period 4) that exceeded $9,174. As a result, this matter did not result in a questioned cost. Recommendation: We recommend management review the supporting documentation prior to reporting the information in the reporting portal and retain all supporting documentation for allowability of expenses attributable to the coronavirus. In addition, management needs to retain detailed support including detailed payroll records to adequately support the amount of expenses being reported during the period of availability. Views of Responsible Official: Management will evaluate the above recommendations and implement recommendations where deemed appropriate.

Categories

Internal Control / Segregation of Duties Reporting Significant Deficiency

Other Findings in this Audit

  • 9229 2023-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $573,809
93.697 Covid-19 Testing for Rural Health Clinics $343,206
93.498 Provider Relief Fund $127,429
93.324 State Health Insurance Assistance Program $11,900