Audit 20843

Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622 and 623) Condition ? The Organization is required to prepare and submit period one Provider Relief Fund (PRF) reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Allowable costs must be expenses that are unreimbursed by other sources and must be used to prevent, prepare for and respond to coronavirus. Questioned Costs ? $491,242 ? Total expenses charged to PRF before utilizing COVID-19 supplemental funds. Context ? The period one PRF report was tested. The Organization selected to apply expenses attributable to coronavirus. The Organization failed to utilize other COVID-19 supplemental funding before utilizing PRF funds. The Organization also charged expenses that did not prevent, prepare for and respond to coronavirus. Effect ? The Organization applied expenditures to period one that did not meet the definition of a qualifying expenditure and the Organization did not utilize other COVID-19 supplemental funding before utilizing COVID-19 funds. Cause ? The Organization charged provider relief funds on expenses that did not meet the definition of a qualifying expenditure. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over the program should be monitored to ensure reporting is prepared using complete and accurate information and to ensure that allowable costs are charged to the PRF program.

Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622 and 623) Condition ? The Organization is required to prepare and submit period one Provider Relief Fund (PRF) reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Allowable costs must be expenses that are unreimbursed by other sources and must be used to prevent, prepare for and respond to coronavirus. Questioned Costs ? $491,242 ? Total expenses charged to PRF before utilizing COVID-19 supplemental funds. Context ? The period one PRF report was tested. The Organization selected to apply expenses attributable to coronavirus. The Organization failed to utilize other COVID-19 supplemental funding before utilizing PRF funds. The Organization also charged expenses that did not prevent, prepare for and respond to coronavirus. Effect ? The Organization applied expenditures to period one that did not meet the definition of a qualifying expenditure and the Organization did not utilize other COVID-19 supplemental funding before utilizing COVID-19 funds. Cause ? The Organization charged provider relief funds on expenses that did not meet the definition of a qualifying expenditure. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over the program should be monitored to ensure reporting is prepared using complete and accurate information and to ensure that allowable costs are charged to the PRF program.