Audit 368553

COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria: Reporting (45 CFR 75.342) Condition: The Hospital is required to prepare and submit the Period 4 Provider Relief Fund report to the U.S. Department of Health and Human Services. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned costs: None. Context: The Period 4 Provider Relief Fund report was tested. The Hospital selected option 3 to report lost revenues based on quarterly actual amounts. An error in the input of lost revenues in one quarter reported was identified that resulted in lost revenues being overstated by $1,423,684. After correcting the error, there is sufficient lost revenue to cover amounts received and as such, there are no questioned costs. Cause: Internal controls over compliance were not in place to ensure the Hospital properly input lost revenue in their report under option 3. Effect: Errors were made in input of quarterly lost revenue. Lost revenue was not accurately reported. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Identification as a repeat finding: Not a repeat finding. Views of responsible officials and planned corrective actions: Management agrees with the finding. This is not a repeat finding. Policies and procedures over federal grant reporting will be modified to ensure reports are prepared using complete and accurate information. We will increase compensating controls by introducing additional oversight and review for future COVID-19 Provider Relief Fund reporting, if any. Leticia Rodriguez, CEO, will be responsible to ensure this is accomplished. The corrective action plan will be implemented by December 31, 2024.