Audit 330486

FY End
2023-09-30
Total Expended
$15.72M
Findings
2
Programs
2
Organization: Dch Healthcare Authority (AL)
Year: 2023 Accepted: 2024-12-02

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
512684 2023-001 Material Weakness - L
1089126 2023-001 Material Weakness - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $15.46M Yes 1
93.155 Rural Health Research Centers $255,867 - 0

Contacts

Name Title Type
JUZBTEWW8EZ5 Bob Tracz Auditee
2057505114 Greg Taylor Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Authority has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activity of DCH Health Care Authority (the “Authority”) under the programs of the federal government for the year ended September 30, 2023. The information in this SEFA is presented in accordance with the requirements of Title 2 US Code of Federal Regulations Part 200, Uniform Administration Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). All federal awards received directly and indirectly from federal agencies are included in the SEFA. Because the SEFA presents only a selected portion of the operations of the Authority, it is not intended to and does not present the financial position, changes in net position or cash flows of the Authority. The Authority has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Basis of Accounting Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Authority has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. As outlined in the May 2023 OMB Compliance Supplement, the amounts reported in the accompanying SEFA related to the COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution, Assistance Listing No. 93.498, are reported based upon the PRF reporting portal submission guidelines established by HRSA. Nine separate reporting periods were established by HRSA based on the dates of receipt of PRF payments. Each reporting period has a specific period of availability which begins on January 1, 2020 and extends through specified deadlines, as indicated below:   The accompanying SEFA includes those qualifying expenditures that were reported in the HRSA PRF portal for Period 4 and Period 5. The total amount of approximately $94,719,000 in PRF payments was recognized by the Authority as nonoperating revenue totaling approximately $4,746,000, $22,197,000, $52,540,000, and $15,236,000 during the fiscal years ended September 30, 2023, 2022, 2021, and 2020, respectively.
Title: Grant Contingencies Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Authority has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. The federal grant programs are subject to financial and compliance audits by the grantors or their representatives. Such audits could lead to requests for reimbursement to the grantor agencies for expenditures disallowed under terms of the grants. Management believes disallowances, if any, will not be material.
Title: Categorization of Expenditures Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Authority has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. The categorization of expenditures by program included in the SEFA is based upon the grant documents. Changes in the categorization of expenditures occur based upon revisions to the Assistance Listing, which is issued in June and December of each year. The SEFA for the year ended September 30, 2023 reflects Assistance Listing changes issued through May 2023.

Finding Details

Material Weakness Assistance Listing Number: 93.498 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distributions Criteria: Reporting Condition: The Authority is required to prepare and submit accurate provider relief fund reporting. These reports are to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs – None. Context: The Period 4 and Period 5 PRF portal submissions were tested with no issues noted, based on our testing, related to Period 5. When testing the Period 4 underlying financial information, errors in the information reported were identified, thus resulting in errors in the total portal reported expenditures being less than actual expenditures that were incurred. Effect: Errors were made in reporting total expenditures on the Period 4 PRF portal submission. Total expenditures amount in the portal is less than actual expenditures reported. Cause: The Authority did not correctly include all eligible expenditures on the Period 4 PRF portal submission. Identification of prior year finding: N/A Recommendation: Effective controls should be implemented to ensure all expenditures submitted through the Department of Health and Human Services PRF portal that meet the criteria established in the terms and conditions are reported. Management Response: See management’s corrective action plan included at the end of the report.
Material Weakness Assistance Listing Number: 93.498 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distributions Criteria: Reporting Condition: The Authority is required to prepare and submit accurate provider relief fund reporting. These reports are to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs – None. Context: The Period 4 and Period 5 PRF portal submissions were tested with no issues noted, based on our testing, related to Period 5. When testing the Period 4 underlying financial information, errors in the information reported were identified, thus resulting in errors in the total portal reported expenditures being less than actual expenditures that were incurred. Effect: Errors were made in reporting total expenditures on the Period 4 PRF portal submission. Total expenditures amount in the portal is less than actual expenditures reported. Cause: The Authority did not correctly include all eligible expenditures on the Period 4 PRF portal submission. Identification of prior year finding: N/A Recommendation: Effective controls should be implemented to ensure all expenditures submitted through the Department of Health and Human Services PRF portal that meet the criteria established in the terms and conditions are reported. Management Response: See management’s corrective action plan included at the end of the report.