Audit 300594

FY End
2023-06-30
Total Expended
$2.31M
Findings
2
Programs
1
Organization: Jefferson County Hospital (IA)
Year: 2023 Accepted: 2024-03-29
Auditor: Denman CPA LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
389689 2023-001 Significant Deficiency - L
966131 2023-001 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $2.31M Yes 1

Contacts

Name Title Type
UE2AK1AAHA86 Brent Feickert Auditee
6414724111 Steve Schweizer Auditor
No contacts on file

Notes to SEFA

Title: NOTE 1 BASIS OF PRESENTATION Accounting Policies: NOTE 2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Expenditures reported in the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: NOTE 3 INDIRECT COST RATE Jefferson County Hospital d/b/a Jefferson County Health Center has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying Schedule of Expenditures of Federal Awards (Schedule) includes the federal award activity of Jefferson County Hospital d/b/a Jefferson County Health Center under programs of the federal government for the year ended June 30, 2023. The information in this Schedule is presented in accordance with the requirements of Uniform Guidance. Because the Schedule presents only a selected portion of the operations of Jefferson County Hospital d/b/a Jefferson County Health Center, it is not intended to and does not present the financial position, changes in financial position or cash flows of Jefferson County Hospital d/b/a Jefferson County Health Center.

Finding Details

Finding 2023-001 – Incorrect Provider Relief Fund Reporting Criteria Management is responsible for reporting the use of the provider relief funds through a submittal on the Provider Relief Fund Reporting Portal. The submission is to include detailed information documenting the Health Center’s methodology for utilizing the provider relief funding received. The accepted methodologies include applying the funding to allowable unreimbursed expenses or to lost revenue, as defined by the U.S. Department of Health and Human Services (HHS). In accordance with HHS guidelines, management must retain supporting documentation for the unreimbursed expenses or the calculation of lost revenues. Condition The Health Center submitted its reporting on the use of provider relief funds to the Provider Relief Fund Reporting Portal as required. However, the information was incorrectly reported to the Provider Fund Reporting Portal. Cause The Chief Financial Officer position of the Health Center experienced turnover between the phase 1 reporting and the phase 4 reporting periods. Communication and transition between the previous and current staff responsible for completing the Provider Fund Reporting Portal was not sufficient to ensure proper completion of the reporting requirements within the allotted reporting time frame. Effect The information reported within the Portal including Lost Revenues, Reportable Other PRF Expenses and Unused Lost Revenues Available for Future Reporting Periods is misstated within the Reporting Portal. However, the Health Center had Unused Lost Revenue Available for Future Reporting Periods from the phase 1 reporting period in excess of Total Reportable PRF and ARP Payments received during this phase 4 reporting period, as such, all funding received was properly utilized. Recommendation The Health Center should report the use of their provider relief funds in accordance with guidance set forth by the Department of Health and Human Services. The provider relief fund submission should be supported by the Health Center’s financial records. The Health Center should consult with HHS as to whether re-submittal of the Provider Fund Reporting Portal is appropriate. Response Management agrees with the recommendation and will take appropriate action. Conclusion Response accepted.
Finding 2023-001 – Incorrect Provider Relief Fund Reporting Criteria Management is responsible for reporting the use of the provider relief funds through a submittal on the Provider Relief Fund Reporting Portal. The submission is to include detailed information documenting the Health Center’s methodology for utilizing the provider relief funding received. The accepted methodologies include applying the funding to allowable unreimbursed expenses or to lost revenue, as defined by the U.S. Department of Health and Human Services (HHS). In accordance with HHS guidelines, management must retain supporting documentation for the unreimbursed expenses or the calculation of lost revenues. Condition The Health Center submitted its reporting on the use of provider relief funds to the Provider Relief Fund Reporting Portal as required. However, the information was incorrectly reported to the Provider Fund Reporting Portal. Cause The Chief Financial Officer position of the Health Center experienced turnover between the phase 1 reporting and the phase 4 reporting periods. Communication and transition between the previous and current staff responsible for completing the Provider Fund Reporting Portal was not sufficient to ensure proper completion of the reporting requirements within the allotted reporting time frame. Effect The information reported within the Portal including Lost Revenues, Reportable Other PRF Expenses and Unused Lost Revenues Available for Future Reporting Periods is misstated within the Reporting Portal. However, the Health Center had Unused Lost Revenue Available for Future Reporting Periods from the phase 1 reporting period in excess of Total Reportable PRF and ARP Payments received during this phase 4 reporting period, as such, all funding received was properly utilized. Recommendation The Health Center should report the use of their provider relief funds in accordance with guidance set forth by the Department of Health and Human Services. The provider relief fund submission should be supported by the Health Center’s financial records. The Health Center should consult with HHS as to whether re-submittal of the Provider Fund Reporting Portal is appropriate. Response Management agrees with the recommendation and will take appropriate action. Conclusion Response accepted.