Audit 46363

FY End
2022-03-31
Total Expended
$5.69M
Findings
2
Programs
4
Year: 2022 Accepted: 2023-03-16
Auditor: Forvis LLP

Organization Exclusion Status:

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Contacts

Name Title Type
ECG5VCJG5WN7 Judy Southall Auditee
8707984064 Corey Jennings Auditor
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Notes to SEFA

Title: Basis of Presentation Accounting Policies: Summary of Significant Accounting Policies - Expenditures reported on 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: N Rate Explanation: Cabun Rural Health Services, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Cabun Rural Health Services, Inc. under programs of the federal government for the year ended March 31, 2022. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of Cabun Rural Health Services, Inc., it is not intended to and does not present the financial position, changes in net assets or cash flows of Cabun Rural Health Services, Inc.

Finding Details

U.S. Department of Health and Human Services Federal Assistance Listing Number 93.498 Provider Relief Fund Criteria: Reporting (45 CFR 75.342) The Organization is required to prepare and submit period one 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. Condition: The Organization incorrectly reported all provider relief payments were applied to unreimbursed expenses attributable to COVID-19 within the HHS Provider Relief Fund (PRF) portal. Total expenditures reported had not been incurred by the Organization. Questioned Costs: Unknown. Context: The Organization inaccurately reported for period one $815,135 of Total Other PRF Expresses. Actual expenses incurred were $304,018. The Organization's calculated lost revenue for period one was reported as $0 but should have reported lost revenues using Option III. Effect: Expenses and quarterly lost revenues were improperly reported in the PRF portal. Cause: The Organization?s internal controls were not adequate to detect reporting errors. Identification as a Repeat Finding, if Applicable: Not a repeat finding. Recommendation: We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Additionally, we recommend Management submit their lost revenue calculation and narrative to the Health Resources and Services Administration. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding and recommendation and will implement controls to ensure all reporting is reviewed for accuracy. Corrective action plan was completed in September 2021 at the next PRF filing period and the correct numbers were reported. Actual lost revenue for period one calculated under the alternative method of calculating lost revenue attributable to coronavirus was $511,117. Under the alternative method, the Organization is required to submit a narrative describing its method of estimated lost revenues which was not submitted.
U.S. Department of Health and Human Services Federal Assistance Listing Number 93.498 Provider Relief Fund Criteria: Reporting (45 CFR 75.342) The Organization is required to prepare and submit period one 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. Condition: The Organization incorrectly reported all provider relief payments were applied to unreimbursed expenses attributable to COVID-19 within the HHS Provider Relief Fund (PRF) portal. Total expenditures reported had not been incurred by the Organization. Questioned Costs: Unknown. Context: The Organization inaccurately reported for period one $815,135 of Total Other PRF Expresses. Actual expenses incurred were $304,018. The Organization's calculated lost revenue for period one was reported as $0 but should have reported lost revenues using Option III. Effect: Expenses and quarterly lost revenues were improperly reported in the PRF portal. Cause: The Organization?s internal controls were not adequate to detect reporting errors. Identification as a Repeat Finding, if Applicable: Not a repeat finding. Recommendation: We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Additionally, we recommend Management submit their lost revenue calculation and narrative to the Health Resources and Services Administration. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding and recommendation and will implement controls to ensure all reporting is reviewed for accuracy. Corrective action plan was completed in September 2021 at the next PRF filing period and the correct numbers were reported. Actual lost revenue for period one calculated under the alternative method of calculating lost revenue attributable to coronavirus was $511,117. Under the alternative method, the Organization is required to submit a narrative describing its method of estimated lost revenues which was not submitted.