Finding 997811 (2022-003)

Significant Deficiency
Requirement
F
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 312296
Organization: Novant Health, Inc. (NC)

AI Summary

  • Core Issue: No physical inventory of federally funded equipment has been conducted since July 2019, leading to a significant deficiency in compliance.
  • Impacted Requirements: This violates 2 CFR 200.313 d(2), which mandates a physical inventory every two years.
  • Recommended Follow-Up: Implement a control process for regular physical inventories and conduct a full inventory of all equipment promptly.

Finding Text

2022-003: Evidence of physical inspection of equipment purchased with federal funds was not maintained ? Significant deficiencyCluster: Not applicableFederal Granting Agency: Health Resources and Services Administration (?HRSA?)Award Name: COVID-19 National Bioterrorism Hospital Preparedness Program (?Bioterrorism Program?)Award #: N/AAssistance Listing #: 93.889Award Year: Fiscal year 2022Pass-through entity: North Carolina Healthcare Foundation; North Carolina Department of Health and Human Services ? Division of Health Service Regulation, Office of Emergency Medical ServicesPass-through award #: U3REP 200659; 42705; 44024Condition:As part of our testing over the equipment compliance requirements related to the Bioterrorism Program, we noted no physical inventory of equipment performed by management that was purchased with federal funds since the inception of the grants in July 2019. Management has noted that routine maintenance checks are performed periodically on all equipment, however, we were unable to obtain management?s evidence of these checks for our 25 selections. At the end of the fiscal year, there were approximately 225 pieces of equipment with a value of approximately $800,000.Criteria:2 CFR 200.313 d(2) A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years.Cause:Management?s process and controls do not include performing a formal physical inventory of federal equipment and retaining evidence of this process at least once every two years and management was not aware of this requirement.Effect:The Company may not maintain complete and accurate property records or safeguard equipment appropriately.Recommendation:We recommend the Company create a control and revise its process surrounding physical inventories of equipment to include a requirement that the inventory is completed in accordance with the criteria noted above. Additionally, a full inventory of all equipment should be performed as soon as practical.Management?s Views and Corrective Action Plan:Management?s views and corrective action plan is included at the end of this report after the summary schedule of prior audit findings and status.

Categories

Equipment & Real Property Management

Other Findings in this Audit

  • 421362 2022-001
    -
  • 421363 2022-001
    -
  • 421364 2022-002
    Significant Deficiency
  • 421365 2022-002
    Significant Deficiency
  • 421366 2022-002
    Significant Deficiency
  • 421367 2022-003
    Significant Deficiency
  • 421368 2022-003
    Significant Deficiency
  • 421369 2022-003
    Significant Deficiency
  • 997804 2022-001
    -
  • 997805 2022-001
    -
  • 997806 2022-002
    Significant Deficiency
  • 997807 2022-002
    Significant Deficiency
  • 997808 2022-002
    Significant Deficiency
  • 997809 2022-003
    Significant Deficiency
  • 997810 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $20.79M
93.461 Covid-19 Testing for the Uninsured $4.10M
32.006 Covid-19 Telehealth Program $1.12M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $313,575
93.889 National Bioterrorism Hospital Preparedness Program $260,655
93.778 Medical Assistance Program $211,892
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $131,539
93.155 Rural Health Research Centers $126,120
93.917 Hiv Care Formula Grants $111,074
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $88,295
93.110 Maternal and Child Health Federal Consolidated Programs $83,324
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $41,152
93.810 Paul Coverdell National Acute Stroke Program National Center for Chronic Disease Prevention and Health Promotion $35,175
93.226 Research on Healthcare Costs, Quality and Outcomes $17,308
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $15,661
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $12,308
93.865 Child Health and Human Development Extramural Research $4,309
93.470 Alzheimer's Disease Program Initiative (adpi) $3,391
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $2,426
93.969 Pphf Geriatric Education Centers $850