EIN: 450226558
UEI: NWEHACCKMUS5
Data as of August 25, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on October 19, 2022. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by April 19, 2023 (1225 days ago).
What is a management decision? →2021-001 Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program Title: COVID- 19: Provider Relief Fund Assistance Listing Number: 93.498 Award Period: April 1, 2020 - June 30, 2020 (Period 1) Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Documentation and supporting records should be readily available to support costs claimed as COVID expenses. Condition and Context: Noted three expenses in our testing where detailed level support for the costs was not available to determine if the costs were related to COVID. Cause: Internal control weakness related to keeping full detailed level support for all COVID expenses at an invoice level for general disbursements and employee level for payroll disbursements. Effect: Potential to receive excess reimbursement from the Provider Relief Fund. Questioned Costs: $595 Repeat finding: No Recommendation: We recommend management review internal control processes to ensure only expenses that meet the federal program criteria are claimed, and that full detailed level support is kept for all COVID related expenses. Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding.
Show full finding ▾Hide full finding ▴2021-001 Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program Title: COVID- 19: Provider Relief Fund Assistance Listing Number: 93.498 Award Period: April 1, 2020 - June 30, 2020 (Period 1) Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Documentation and supporting records should be readily available to support costs claimed as COVID expenses. Condition and Context: Noted three expenses in our testing where detailed level support for the costs was not available to determine if the costs were related to COVID. Cause: Internal control weakness related to keeping full detailed level support for all COVID expenses at an invoice level for general disbursements and employee level for payroll disbursements. Effect: Potential to receive excess reimbursement from the Provider Relief Fund. Questioned Costs: $595 Repeat finding: No Recommendation: We recommend management review internal control processes to ensure only expenses that meet the federal program criteria are claimed, and that full detailed level support is kept for all COVID related expenses. Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding.
U.S. Department of Health and Human Services Trinity Health and Subsidiaries respectfully submits the following corrective action plan for the year ended December 31, 2021. Audit period: January 1, 2021 ? December 31, 2021 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES SIGNIFICANT DEFICIENCY 2021-001 Allowable Costs Provider Relief Fund ? Assistance Listing No. 93.498 Recommendation: We recommend management review internal control processes to ensure only expenses that meet the federal program criteria are claimed, and that full detailed level support is kept for all COVID related expenses. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Upon receipt of additional Federal Award Program Funds beyond June 30, 2022, Trinity Health has implemented a process within our reporting and tracking system to ensure that full detailed level support is kept for all COVID related expenses. Name of the contact person responsible for corrective action: Taylor G. Wilson, CFO Planned completion date for corrective action plan: June 30, 2022 If the Department of Health and Human Services has questions regarding this plan, please call Taylor G. Wilson at 701-857-5178
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