Finding 1224365 (2022-003)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2026-07-22
Audit: 407672
Organization: Russellville Hospital, Inc. (AL)
Auditor: WARREN AVERETT

AI Summary

  • Core Issue: The Hospital failed to maintain effective internal controls, leading to incorrect reporting of $100,000 in federal assistance and missing the audit submission deadline.
  • Impacted Requirements: Non-compliance with 2 CFR Part 200.303(a) and Section 200.512 of the Uniform Guidance regarding accurate reporting and timely audit submissions.
  • Recommended Follow-up: Strengthen internal controls to prevent reporting errors and ensure timely completion and submission of future audits.

Finding Text

FINDING 2022-003 – Reporting, Non-compliance (Material Weakness) Federal Program: U.S. Department of Health and Human Services – ALN 93.498, COVID-19 Provider Relief Fund (PRF), U.S. Department of Agriculture – ALN 10.766, USDA Community Facilities Loans and Grants Cluster Criteria: 2 CFR Part 200.303(a) states that the auditee must establish and maintain effective internal control over the federal award that provides reasonable assurance that the auditee is managing the federal award in compliance with federal statutes, regulations, and terms and conditions of the federal award. Specific criteria are established by the U.S. Department of Health and Human Services (HHS) with respect to allowable cost and reporting requirements for this program, including: Section 7 of the Data Elements of the Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Reporting Requirements states that “The reporting entity must enter other assistance received by quarter during the period of availability. If the reporting entity is reporting on behalf of subsidiaries, the assistance received for each category must be aggregated across each of the subsidiaries included in the report.” Section 200.512 of the Uniform Guidance states that the audit, the data collection form, and the reporting package must be submitted within 30 calendar days after the auditee receives the auditors’ report or nine months after the end of the audit period (whichever is earlier). Condition and Context: Internal controls surrounding the review process performed were not effective in detecting and correcting the proper reporting prior to submission. In the Hospital's Health Resources and Services Administration (HRSA) Period 4 reporting in the PRF reporting portal, the Hospital erroneously entered $100,000 as other assistance for Federal Emergency Management Agency (FEMA) programs. The $100,000 related to Rural Health Clinic COVID-19 Testing and Mitigation funds received and was also properly entered as such resulting in a duplication error of $100,000. Additionally, The Hospital did not complete and submit its audit report prior to the required deadline. Cause and Effect: Management review was not effective in detecting and correcting the omission of reporting for other assistance received by the Hospital or the incorrect reporting of funds. The Hospital was not in compliance with the audit filing requirement. Questioned Costs: None Repeat Finding: Yes, See 2021-003. Recommendation: We recommend that the Hospital strengthen internal controls to prevent errors in reporting. We recommend the Hospital ensure future audits are completed and submitted in a timely manner. Views of Responsible Officials of the Auditee: Management agrees with the finding and the auditors’ recommendation. See Management’s full response in the Corrective Action Plan at the end of this report.

Corrective Action Plan

The hospital will work with an outside consultant with more in-depth understanding of the reporting requirements prior to additional submissions. We are also catching up on the audit submissions and will remain on task with timely submission. Anticipated completion date: 09/30/2026

Categories

Allowable Costs / Cost Principles Material Weakness Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1224363 2022-003
    Material Weakness Repeat
  • 1224364 2022-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $3.82M
93.498 Covid-19 Provider Relief Fund $1.22M
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $725,329
93.155 Covid-19 Rural Health Research Centers $255,876
93.697 COVID-19 TESTING AND MITIGATION FOR RURAL HEALTH CLINICS $200,000
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $11,915