Finding 11923 (2023-003)

Material Weakness
Requirement
AB
Questioned Costs
-
Year
2023
Accepted
2024-02-06
Audit: 15889
Organization: Perham Hospital District (MN)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Organization miscalculated lost revenue by inconsistently using net and gross revenues, leading to an overstatement of $282,934.
  • Impacted Requirements: The Organization failed to maintain effective internal controls as required by 2 CFR 200.303(a), which affects compliance with federal award management.
  • Recommended Follow-Up: Enhance internal control policies to ensure adherence to the approved methodology for calculating lost revenues.

Finding Text

Department of Health and Human Services Federal Assistance Listing #93.498 COVID‐19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year – Period 4 TIN #411271856 Activities Allowed or Unallowed and Allowable Costs/Costs Principles Material Weakness in Internal Control Over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. The Organization selected option iii to calculate lost revenue, which consists of utilizing an alternative reasonable method. Condition: The Organization selected option iii to calculate lost revenue using budgeted net revenues to actual net revenues. The Organization utilized net revenues for part of the calculation and then utilized gross revenues in later quarters. This inconsistency of net and gross revenues caused a miscalculation of the Organization’s total lost revenue. Cause: These errors indicate there is a lack of policies governing the review and approval of the lost revenue calculation to its supporting documents. Effect: The Organization did not follow their methodology for calculating lost revenues, resulting in overstating the amount of lost revenues to be claimed by $282,934. While the Organization had an error in the total amount of lost revenue calculated, the Organization has excess amounts of lost revenues to carryforward of $3,663,347. Questioned Costs: None reported. Context: Lost revenue was tested for all twelve quarters that were reported. Controls did not appear to be operating effectively for three of the quarters tested. Repeat Finding from Prior Years: No Recommendation: We recommend that the Organization enhance internal control policies to ensure that the lost revenue calculation follows the selected lost revenue methodology per the Organization’s memo. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

Finding 2023-003 Federal Agency Name: Department of Health and Human Services Assistance Listing Number: #93.498 Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Finding Summary: The Organization selected option iii to calculate lost revenue using budgeted net revenues to actual net revenues. The Organization utilized net revenues for part of the calculation and then utilized gross revenues in later quarters. This inconsistency of net and gross revenues caused a miscalculation of the Organization’s total lost revenue. Corrective Action Plan: Management will correct the lost revenue calculation using budgeted net revenues to actual net revenues. Management will enhance internal control procedures around the secondary review of the lost revenue calculation. Responsible Individuals: Justine Anderson, CFO Anticipated Completion Date: October 31, 2023

Categories

Allowable Costs / Cost Principles Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 11924 2023-004
    Material Weakness
  • 588365 2023-003
    Material Weakness
  • 588366 2023-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $1.76M
93.301 Small Rural Hospital Improvement Grant Program $11,400