Finding 977684 (2022-002)

Material Weakness Repeat Finding
Requirement
A
Questioned Costs
-
Year
2022
Accepted
2024-06-19
Audit: 309234
Organization: Hale County Hospital (AL)

AI Summary

  • Core Issue: The Hospital lacks proper documentation for payroll expenditure approvals related to the COVID-19 Provider Relief Fund.
  • Impacted Requirements: This violates the review process mandated by 45 CFR 75.342.
  • Recommended Follow-up: Update policies to ensure all expenses receive documented approval before payment.

Finding Text

Finding 2022-002 – COVID-19 Provider Relief Fund – Assistance Listing Number 93.498 – Lack of Documentation of Review (Material Weakness) Criteria: The Hospital should have a review process in place that includes documentation of review in accordance with 45 CFR 75.342. Condition: The Hospital could not produce evidence of approval of payroll expenditures related to reimbursement under the Provider Relief Fund. Total personnel expenses reported in the Period 2 filing were $657,454. Cause: Payroll expenses selected for testing did not have evidence that the expenditure had been approved. Effect: Payroll expenses tested did not have a documented approval. Questioned Costs: None. Repeat Finding: This is a repeat finding. Recommendation: Policies and procedures should require the documentation of approval of expenses prior to payment. View of Responsible Officials and Planned Corrective Actions: Management agrees with the finding and is in the process of implementing the recommendations.

Categories

Allowable Costs / Cost Principles Cash Management Material Weakness

Other Findings in this Audit

  • 401242 2022-002
    Material Weakness Repeat
  • 401243 2022-003
    Material Weakness Repeat
  • 401244 2022-004
    Significant Deficiency Repeat
  • 977685 2022-003
    Material Weakness Repeat
  • 977686 2022-004
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $6.51M
93.301 Small Rural Hospital Improvement Grant Program $277,991
93.461 Covid-19 Testing for the Uninsured $54,794