Finding 1179949 (2021-004)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2021
Accepted
2026-03-17

AI Summary

  • Core Issue: The District did not report all expenditures of Provider Relief Funds within the required timeframe, leading to an oversight in managing excess funds.
  • Impacted Requirements: Compliance with the allowable costs and spending deadlines set by the Provider Relief Fund guidelines.
  • Recommended Follow-Up: Management should ensure adherence to all fund conditions and conduct a thorough review of expenditures before grant deadlines to confirm all eligible expenses are reported.

Finding Text

Finding 2021-004 Program Name/CFDA 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 Questioned Cost: None Compliance Requirement: Allowable Costs/ Cost Principle Condition: During the audit, it was determined the District did not initially report expending all of its Provider Relief Funds within the period of availability. Based on its initial Provider Relief Fund report submitted, the District received more Provider Relief Funds than it expended using lost revenues but did not return the excess funds when the District filed its Period 1 portal submission. However, HRSA allowed the District to re-file its report at a later date with additional identified allowable expenses, and HRSA provided confirmation that the District is not required to return any of the grant funds. Criteria: The Provider Relief Funds were provided under the Coronavirus Aid, Relief, and Economic Security Act (Pub. L. No. 116-136, 134 Stat. 563) and are to be used to prevent, prepare for, and respond to coronavirus and that the funds shall reimburse the recipient only for healthcare related expenses or lost revenues that are attributable to coronavirus and costs not reimbursed by another source. The funds were required to be spent by June 30, 2021. Cause: As a result of the COVID-19 pandemic, the finance team were faced with administrative and operational matters requiring immediate attention to help ensure the District remained operational. The constraints resulted in management’s oversight of spending the Provider Relief Funds on allowable expenses by the deadline to use the funds. Effect: The District received more Provider Relief Funds than it reported as eligible expenses for reimbursement and the District did not return the excess funds when filing its Period 1 portal submission. As described above, it was later confirmed by HRSA that the District is not required to return any of the grant funds. Recommendation: We recommend that management comply with all the terms and conditions of the Provider Relief Funds. We also recommend management review expenditures before the end of grant deadlines to verify all eligible expenses have been accounted for and reported properly. View of Responsible Management agrees with the finding above. Officials:

Corrective Action Plan

The District hired a new Chief Financial Officer in 2023 and was able to catch the District up on three years of financials statements and all missing audits. The new CFO made the following changes to ensure compliance: 1. Update internal controls and monitoring. The new CFO created a Federal Funding Monitoring and Reporting Policy that specifies that responsibilities over compliance, expenditures, and reporting. 2. Implement Process Improvements. The new CFO and Accounts Payable were able to identify grant fund expenditures and work closely to make sure all future grant expenditures are identified and tracked. 3. Communicate with External Audit Team. The new CFO communicates regularly with the external audit team to ensure they are aware of the grant funds received and the type of audit that is required and coordinate audits with plenty of time to complete the audit before deadlines.

Categories

Allowable Costs / Cost Principles Cash Management Significant Deficiency

Other Findings in this Audit

  • 1179947 2021-002
    Material Weakness Repeat
  • 1179948 2021-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 PROVIDER RELIEF FUND AND AMERICAN RESCUE PLAN (ARP) RURAL DISTRIBUTION $3.86M
93.461 HRSA COVID-19 CLAIMS REIMBURSEMENT FOR THE UNINSURED PROGRAM AND THE COVID-19 COVERAGE ASSISTANCE FUND $351,360
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $10,878