Finding 618699 (2022-002)

Significant Deficiency
Requirement
BC
Questioned Costs
$1
Year
2022
Accepted
2023-09-14
Audit: 47065
Organization: Bon Secours Mercy Health (OH)
Auditor: Kpmg

AI Summary

  • Core Issue: Duplicate charges and unsubstantiated expenses totaling $220 were identified in the program's payroll and other costs.
  • Impacted Requirements: Non-federal entities must ensure costs are necessary, reasonable, and properly allocated as per 2 CFR 200 regulations.
  • Recommended Follow-Up: Enhance internal controls to verify expense appropriateness before reimbursement requests, with management agreeing to implement a detailed review process.

Finding Text

Federal Agency: U.S. Department of Labor Federal Program: Disability Employment Policy Development Federal Award Number: 17.720 Federal Award Year: July 1, 2021 through June 30, 2022; July 1, 2022 through June 30, 2023 Compliance Requirement Allowable Costs (B), Cash Management (C) Criteria or Requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CRF 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, (Subpart D, Section 200.303), the nonfederal entity must 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. Costs must be necessary and reasonable for the performance of the federal award and be allocable thereto under the principles in 2 CFR Part 200, Subpart E. Program costs must be paid by non-federal entity funds before submitting a payment request (2 CFR section 200.305(b)(3)) (i.e., the non-federal entity must disburse funds for program purposes before requesting payment from the federal awarding agency or pass-through entity). Condition Found, Including Perspective For 3 out of 40 payroll samples tested, an internet stipend was charged twice to the program. The amount of the overcharge to the program was $120 and the total sampled payroll population was $98,294. For 1 out of 40 other than payroll samples, compensation for a training session was charged to the program that was not incurred by the entity. The amount of the overcharge to the program was $100 and the total other than payroll sampled population was $188,437. Cause and Possible Asserted Effect Controls were not operating effectively to detect and correct charges to the program that were duplicated or not incurred by the entity. Questioned Costs Questioned costs totaled $220. Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number The audit finding is not a repeat finding. Recommendations We recommend that the Company enhance their internal control process to ensure the appropriateness of the expenses charged to the program. Views of Responsible Officials Management agrees with the findings and will implement a more detailed review process of the invoicing prior to submission. This review process will include a review of the expenditures being requested for reimbursement with no materiality threshold.

Categories

Questioned Costs Allowable Costs / Cost Principles Cash Management Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 42257 2022-002
    Significant Deficiency
  • 42258 2022-003
    Significant Deficiency
  • 42259 2022-003
    Significant Deficiency
  • 42260 2022-001
    Significant Deficiency
  • 42261 2022-001
    Significant Deficiency
  • 42262 2022-001
    Significant Deficiency
  • 618700 2022-003
    Significant Deficiency
  • 618701 2022-003
    Significant Deficiency
  • 618702 2022-001
    Significant Deficiency
  • 618703 2022-001
    Significant Deficiency
  • 618704 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
84.268 Federal Direct Student Loans $10.79M
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured and the Covid-19 Coverage Assistance Fund $3.94M
17.720 Disability Employment Policy Development $3.20M
84.063 Federal Pell Grant Program $2.42M
93.155 Rural Health Research Centers $1.29M
93.697 Covid-19 Testing and Mitigation for Rural Health Clinics $1.20M
93.493 Congressional Directives $1.00M
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $971,757
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $648,544
32.006 Covid-19 Telehealth Program $630,678
93.600 Head Start $473,300
93.575 Child Care and Development Block Grant $436,750
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $353,848
93.059 Training in General, Pediatric, and Public Health Dentistry $332,113
84.425 Education Stabilization Fund - Heerf - Institutional Portion $328,549
16.838 Comprehensive Opioid Abuse Site-Based Program $317,152
93.914 Hiv Emergency Relief Project Grants $302,280
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $250,000
93.178 Nursing Workforce Diversity $247,446
84.425 Education Stabilization Fund - Heerf - Strengthening Institutions Program $246,311
84.425 Education Stabilization Fund - Heerf - Student Aid Portion $192,000
14.218 Community Development Block Grants/entitlement Grants $186,968
93.279 Drug Abuse and Addiction Research Programs $181,389
93.241 State Rural Hospital Flexibility Program $150,000
93.778 Medical Assistance Program $148,825
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $125,205
16.575 Crime Victim Assistance $122,149
93.732 Mental and Behavioral Health Education and Training Grants $120,439
84.007 Federal Supplemental Educational Opportunity Grants $110,784
93.917 Hiv Care Formula Grants $105,326
93.301 Small Rural Hospital Improvement Grant Program $94,840
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $93,823
93.788 Opioid Str $93,135
17.259 Wia Youth Activities $89,255
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $84,890
23.001 Appalachian Regional Development (see Individual Appalachian Programs) $84,387
93.359 Nurse Education, Practice Quality and Retention Grants $78,758
93.926 Healthy Start Initiative $72,552
93.136 Injury Prevention and Control Research and State and Community Based Programs $72,512
84.033 Federal Work-Study Program $67,588
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $56,975
14.241 Housing Opportunities for Persons with Aids $55,607
59.077 Community Navigator Pilot Program $37,208
94.006 Americorps $34,873
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $33,562
16.753 Congressionally Recommended Awards $32,557
93.590 Community-Based Child Abuse Prevention Grants $17,595
84.425 Governor's Emergency Education Relief Fund $16,053
93.435 The Innovative Cardiovascular Health Program $14,904
10.551 Supplemental Nutrition Assistance Program $12,060
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $11,360
93.837 Cardiovascular Diseases Research $10,937
93.495 Community Health Workers for Public Health Response and Resilient $10,800
21.027 Coronavirus State and Local Fiscal Recovery Funds $10,741
93.558 Temporary Assistance for Needy Families $10,477
93.884 Grants for Primary Care Training and Enhancement $7,914
93.889 National Bioterrorism Hospital Preparedness Program $7,735
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $4,019
97.024 Emergency Food and Shelter National Board Program $3,735