Finding Text
Department of Health and Human Services
Federal Financial Assistance Listing #93.498
COVID‐19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution
Applicable Federal Award Number and Year – Period 4 TIN #420868216
Activities Allowed or Unallowed and Allowable Costs/Cost Principles
Significant Deficiency in Internal Control Over Compliance
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.
Condition: The Hospital claimed expenses in the HHS special report for Period 4 that were related to services to be performed after the period of availability.
Cause: The Hospital did not have an internal control process in place to ensure that all expenditures claimed met the terms and conditions of the federal award.
Effect: Without an improved internal control process there is a possibility that ineligible expenditures may be claimed under the program.
Questioned Costs: None over the $25,000 threshold.
Context: A nonstatistical sample of 65 items ($592,145) from a total population exceeding 250 items ($1,708,935) were tested.
Repeat Finding from Prior Years: No
Recommendation: We recommend the Hospital enhance internal control policies to ensure that the federal expenditures meet the terms and conditions of the grant.
Views of Responsible Officials: Management agrees with the finding.