Finding 65280 (2022-001)

Material Weakness Repeat Finding
Requirement
ABL
Questioned Costs
$1
Year
2022
Accepted
2023-03-26
Audit: 67387
Auditor: Ernst & Young

AI Summary

  • Core Issue: There is a significant internal control weakness in how expenditures related to the COVID-19 Provider Relief Fund are reviewed and documented.
  • Impacted Requirements: The lack of proper documentation violates federal regulations requiring effective internal controls over federal awards, specifically under Title 2 U.S. Code of Federal Regulations, Part 200.303.
  • Recommended Follow-Up: Management should establish and implement robust internal controls to ensure accurate review and approval of expenditures to prevent future reporting errors.

Finding Text

Section III ? Federal Award Findings and Questioned Costs Finding Reference: 2022-001 ? Activities Allowed or Unallowed, Allowable Costs/Cost Principles and Reporting Federal Program Information Federal Agencies: Department of Health and Human Services Awards: Assistance Listing Number 93.498 COVID 19 ? Provider Relief Fund (PRF) Award Periods: Period 2 ? January 1, 2020 to December 31, 2021 Description: Internal control deficiency over review of expenditures Type of Finding: Material Weakness in Internal Control Over Compliance Criteria or specific requirement (including statutory, regulatory or other citation) In accordance with Title 2 U.S. Code of Federal Regulations, Part 200.303, Internal controls, ?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 or the ?Internal Control Integrated Framework?, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition The Corporation did not retain audit evidence of its internal controls over its review and approval of supporting documentation of the expenditures related to the report submission. Cause Management designed a process to accumulate and review expenditures; however, they did not retain supporting documentation to evidence that the internal review controls were appropriately designed and functioning throughout the process. Section III ? Federal Award Findings and Questioned Costs Effect or potential effect The Period 1 report submission included an error in reporting personnel and facilities expenditures. Management identified that the expenditures were overstated by $25,192 due to duplicating fringe benefits within the General and Administrative Expenses. The Corporation attempted to correct the overstatement of fringe benefits by restating and unintentionally duplicating expenditures in the amount of $206,002 within the Period 2 submission. Questioned costs $206,002 Identification of a repeat finding This is a repeat finding and relates to prior year finding 2021-001. Context All expenditures were approved by the payroll and finance department. The Corporation developed protocols of which efforts and expenses should be accumulated related to COVID 19 and communicated these protocols throughout the Corporation to ensure costs were being appropriately compiled. Management developed a spreadsheet to accumulate the expenditures for reporting. However, management did not maintain evidence supporting the review and approval of expenses under the grant and subsequently identified errors in the Period 1 submission. These errors were identified prior to the Period 2 submission in which the Corporation attempted to correct by restating and unintentionally duplicating the expenditures. The overstatement of expenditures had no impact on meeting the requirement to retain the funding received. Recommendation We recommend that management develop and implement effective internal controls to ensure expenditures are reviewed and approved to ensure that the report submissions are accurate. View of responsible officials There is no disagreement with the audit finding.

Corrective Action Plan

Mt. Washington Pediatric Hospital, Inc. and Subsidiaries (the Corporation) respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 to June 30, 2022 FINDINGS?FEDERAL AWARD PROGRAMS AUDITS MATERIAL WEAKNESS 2022-001 Internal control deficiency over review of expenditures COVID ? 19 ? Provider Relief Fund (Assistance Listing # 93.498) Recommendation: We recommend that management develop and implement effective internal controls, including review and approval of expenditures prior to submission, to ensure that the report submissions are accurate. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned/taken in response to finding: In the audit of MWPH?s Provider Relief Fund (PRF), an error was identified in the Period 1 reporting of benefit expenses (repeat finding 2021-001) as an incremental expense in the HRSA portal. As a result, the Period 2 PRF report included an erroneous duplication of expenditures that stemmed from the Period 1 submission in the amount of $25,195. The Corporation attempted to correct the overstatement of fringe benefits by restating and unintentionally duplicated expenditures in the amount of $206,002 within the Period 2 submission. We believe it is relevant to note that the error was committed and subsequently identified by the MWPH CFO, who submitted information in Period 2 to correct the error. The error occurred when the CFO, who produced, reviewed and submitted all data for this small hospital, included benefits with salary costs in its calculations of Covid-related expenses. Both the salary and benefit costs were legitimate uses of the PRF funds. However, the expenses were included in both the Personnel and the Benefits line of the PRF portal, duplicating the reported expense for Period 2 as described above. The duplication was subsequently corrected and identified by the CFO in February 2023. Planned completion date for corrective action plan: For future submissions, the MWPH CFO will continue to stay current on reporting matters in the HRSA portal and continue to collaborate with UMMS Finance staff on guidance. Submission details will be reviewed by UMMS Finance staff. Name(s) of the contact person(s) responsible for corrective action: Mary Miller, Chief Financial Officer of Mt. Washington Pediatric Hospital, 410-578-5163.

Categories

Questioned Costs Allowable Costs / Cost Principles Internal Control / Segregation of Duties Material Weakness Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 641722 2022-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 - Provider Relief Fund $5.02M
21.027 Covid-19 - Coronavirus State and Local Fiscal Recovery Funds $112,995