Finding 1173795 (2023-003)

Material Weakness Repeat Finding
Requirement
ABL
Questioned Costs
-
Year
2023
Accepted
2026-02-16
Audit: 387440

AI Summary

  • Core Issue: The Organization inaccurately reported lost revenues for the Provider Relief Fund by using post-pandemic budgets instead of compliant pre-pandemic budgets.
  • Impacted Requirements: Reporting must adhere to specific guidelines (45 CFR 75.342) and methodologies outlined in Provider Relief Fund guidance.
  • Recommended Follow-Up: Management should enhance controls to ensure accurate preparation and review of Provider Relief Fund reports to meet compliance standards.

Finding Text

Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or specific requirement – Reporting (45 CFR 75.342) and Activities Allowed/ Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622, Pub. L. No. 116-260, Pub. L. No. 117-2) Condition – The Organization is required to prepare and submit period five Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Cause - Management prepared the Period 5 Provider Relief Fund report using budgets approved for fiscal years 2021 through 2023 to calculate and support reported lost revenues. These budgets were approved after the onset of the COVID-19 public health emergency. Provider Relief Fund Reporting Guidance requires lost revenues to be supported using pre-pandemic budgets approved prior to the public health emergency or other allowable methodologies. Accordingly, the lost revenues reported for the 2021 through 2023 periods were inaccurate because the methodology selected by the Organization was not compliant with PRF reporting requirements. An allowable methodology would have included a comparison of the 2020 pre-pandemic budget to 2020 actual results, along with a comparison of 2019 actual revenues to actual revenues for 2021 through the second quarter of 2023. Effect or potential effect - Lost revenues reported in the Period 5 Provider Relief Fund report were not calculated in accordance with Provider Relief Fund reporting guidance. As a result, lost revenues for the 2021 through 2023 periods were inaccurately reported and may not be allowable for purposes of supporting the use of Provider Relief Fund expenditures. Questioned Cost – Unknown Context - The Organization prepared the Period 5 Provider Relief Fund report using post-pandemic budgets to calculate and support reported lost revenues, rather than using a compliant pre-pandemic budget or other allowable methodology in accordance with Provider Relief Fund reporting guidance. Identification as a repeat finding – Not a repeat finding Recommendation - Management should strengthen controls over the preparation and review of Provider Relief Fund reports to ensure lost revenues are calculated and reported in accordance with Provider Relief Fund reporting guidance.

Corrective Action Plan

We agree with the finding as stated and the corrective action plan follows. 1. Person responsible for the corrective action: Terry Terry, Chief Financial Officer 2. Corrective Action: a. Policies and procedures have been modified to ensure that reports are complete and accurate. b. Additional procedures have been implemented to reconcile and verify all details prior to submission of reports 3. The Corrective Action has been implemented and will be reviewed no less than annually to ensure that no additional procedures are needed for compliance.

Categories

Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

  • 1173791 2023-002
    Material Weakness Repeat
  • 1173792 2023-002
    Material Weakness Repeat
  • 1173793 2023-002
    Material Weakness Repeat
  • 1173794 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $2.17M
93.498 PROVIDER RELIEF FUND AND AMERICAN RESCUE PLAN (ARP) RURAL DISTRIBUTION $1.46M
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $549,042
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $372,391
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $278,273
93.137 COMMUNITY PROGRAMS TO IMPROVE MINORITY HEALTH $120,000
93.738 PPHF: RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH PROGRAM FINANCED SOLELY BY PUBLIC PREVENTION AND HEALTH FUNDS $62,507
93.592 FAMILY VIOLENCE PREVENTION AND SERVICES/DISCRETIONARY $56,750
93.359 NURSE EDUCATION, PRACTICE QUALITY AND RETENTION GRANTS $29,941
93.837 CARDIOVASCULAR DISEASES RESEARCH $21,040
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $17,760
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $13,560
93.378 INTEGRATED CARE FOR KIDS MODEL $13,420
14.218 COMMUNITY DEVELOPMENT BLOCK GRANTS/ENTITLEMENT GRANTS $5,125