Audit 54750

Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed or Unallowed and Allowable Costs/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 report on the use of Provider Relief Fund (PRF) distributions received. This report is to be prepared using accurate financial information following the accrual basis of accounting and other guidance issued by the U.S. Department of Health and Human Services (HHS). Questioned Costs ? Unknown Context ? The Period 1 PRF report was tested. The Organization utilized PRF distributions received on lost revenues incurred through June 30, 2021, calculated using Option iii. Certain adjustments impacting patient service revenue, including the estimated settlements for the 2021 Medicare and Medicaid cost reports were omitted from the lost revenue calculation. Effect ? Errors were made in calculating quarterly revenue from patient care used in lost revenue reporting. Cause ? The Organization did not include certain patient service revenue components when completing their lost revenue calculation. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over federal grant reporting should be monitored to ensure reports are prepared using complete and accurate information. Views of Responsible Officials and Planned Corrective Actions ? Planned Corrective Actions: OCHC has evaluated its lost revenue calculation used in the Period 1 Provider Relief Fund reporting and has determined that the lost revenue reported was not overstated. OCHC further identified that if the revenue amounts noted in finding 2022-001 had been included, the health center would likely have been able to report a higher amount of lost revenue. The health center has already repaid the Provider Relief Funds received in excess of the lost revenue amount previously reported and does not intend to make any additional changes to its Period 1 report. Responsible Official: Lindsay Pearson, CFO and Scott Crouch, CEO Anticipated Completion Date: March 31, 2023 Heather Center Response: The Health Center CEO, Scott Crouch and CFO, Lindsay Pearson discussed the planned corrective actions. They both feel comfortable with the amount of lost revenue reported. While the Health Center could have claimed additional lost revenue, by including the cost report amounts, at the time of the Provider Relief Fund reporting deadline, the cost reports for FY21, were not finalized. The Health Center used a more conservative approach in their lost revenue calculation, to avoid overstating this amount.

Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed or Unallowed and Allowable Costs/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 report on the use of Provider Relief Fund (PRF) distributions received. This report is to be prepared using accurate financial information following the accrual basis of accounting and other guidance issued by the U.S. Department of Health and Human Services (HHS). Questioned Costs ? Unknown Context ? The Period 1 PRF report was tested. The Organization utilized PRF distributions received on lost revenues incurred through June 30, 2021, calculated using Option iii. Certain adjustments impacting patient service revenue, including the estimated settlements for the 2021 Medicare and Medicaid cost reports were omitted from the lost revenue calculation. Effect ? Errors were made in calculating quarterly revenue from patient care used in lost revenue reporting. Cause ? The Organization did not include certain patient service revenue components when completing their lost revenue calculation. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over federal grant reporting should be monitored to ensure reports are prepared using complete and accurate information. Views of Responsible Officials and Planned Corrective Actions ? Planned Corrective Actions: OCHC has evaluated its lost revenue calculation used in the Period 1 Provider Relief Fund reporting and has determined that the lost revenue reported was not overstated. OCHC further identified that if the revenue amounts noted in finding 2022-001 had been included, the health center would likely have been able to report a higher amount of lost revenue. The health center has already repaid the Provider Relief Funds received in excess of the lost revenue amount previously reported and does not intend to make any additional changes to its Period 1 report. Responsible Official: Lindsay Pearson, CFO and Scott Crouch, CEO Anticipated Completion Date: March 31, 2023 Heather Center Response: The Health Center CEO, Scott Crouch and CFO, Lindsay Pearson discussed the planned corrective actions. They both feel comfortable with the amount of lost revenue reported. While the Health Center could have claimed additional lost revenue, by including the cost report amounts, at the time of the Provider Relief Fund reporting deadline, the cost reports for FY21, were not finalized. The Health Center used a more conservative approach in their lost revenue calculation, to avoid overstating this amount.