Finding 1162168 (2021-007)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2021
Accepted
2025-11-10
Audit: 371977
Auditor: WIPFLI LLP

AI Summary

  • Core Issue: The District's internal controls for calculating lost revenue due to COVID-19 were ineffective.
  • Impacted Requirements: Compliance with the reporting criteria for the Provider Relief Fund, specifically the accurate calculation of lost revenues for 2019, 2020, and 2021.
  • Recommended Follow-Up: Implement procedures to ensure the accuracy of information submitted for grants and funding to prevent future discrepancies.

Finding Text

Findings 2021.007 – Provider Relief Fund Reporting Portal Program Name/CFD Title: Provider Relief Fund Federal Assistance Listing Number: 93.498 Federal Agency: U.S. Department of Health and Human Services Type of Finding: Noncompliance, Significant Deficiency Compliance Requirement: Reporting Repeat Finding: No Questioned Cost: None Condition: The District’s internal controls over compliance related to the lost revenue calculation were not effective. Criteria: The calculation of lost revenues attributable to Coronavirus, Method 1, requires total actual net revenue from patient care by quarter for 2019 to be compared to total actual net revenue from patient care by quarter for each year, 2020 and 2021. Cause: The District’s lost revenue needed to be recalculated based on updated information after the lost revenue was reported within the Provider Relief Fund reporting portal. Effect: Recalculated lost revenue was less than what was reported to the Provider Relief Fund reporting portal, however, the District had Coronavirus related expenses that made up for the reduced lost revenue. The combined recalculated lost revenue and identified Coronavirus-related expenses were greater than the amount of PRF grant funding received. Recommendation: The District should establish procedures to ensure accuracy of information submitted related to grants and other funding. View of Responsible Official: The District agrees with the finding and the recommendation.

Corrective Action Plan

JCFHD experienced substantial leadership and staff turnover in key financial roles over multiple years, including the CEO, CFO, and finance team. As a result, the individuals who originally prepared the lost revenues calculation were no longer employed at the facility when the Uniform Guidance audit was conducted. This led to challenges in locating complete supporting documentation for the original calculation, resulting in additional calculations being necessary. Under new leadership, JCFHD has prioritized the development and implementation of robust policies and procedures to ensure that all relevant financial documentation is readily accessible for future Uniform Guidance audits. These measures are intended to strengthen internal controls and improve audit readiness. Corrective Action: 1. Provide additional training to finance staff on GAAP financial reporting and disclosure requirements to strengthen internal review and oversight. 2. Implement a documented review process for financial statements and footnotes prepared by external auditors, including CFO and Board-level approval prior to issuance. Completion Date: Within 120 days.

Categories

Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1162167 2021-006
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 PROVIDER RELIEF FUND $4.21M
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $82,892
93.917 HIV CARE FORMULA GRANTS $23,877