Finding 20116 (2022-001)

Material Weakness
Requirement
ABL
Questioned Costs
-
Year
2022
Accepted
2022-10-13
Audit: 21769
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Health Center failed to accurately report Total Revenue/Net Charges from Patient Care in the period one provider relief fund report.
  • Impacted Requirements: Compliance with reporting standards (45 CFR 75.342) and cost principles outlined in the American Rescue Plan.
  • Recommended Follow-Up: Enhance monitoring of policies and procedures for federal grant reporting to ensure complete and accurate financial information is used.

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 Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622 and 623) Condition ? The Health Center is required to prepare and submit period one provider relief fund reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned costs ? Unknown Context ? The period one PRF report was tested. The Organization obligated the period one provider relief funds received utilizing both expenditures incurred and lost revenues. The Organization selected option one to report lost revenues based on quarterly actual amounts. The Organization participates in the 340b Program but did not include 340b pharmacy revenue in the Total Revenue/Net Charges for Patient Care amounts reported. Effect ? Errors were made in reporting quarterly Total Revenue/Net Charges from Patient Care. Cause ? The Organization did not identify certain material patient service revenue components to be included in the lost revenue calculation. Identification as a repeat finding ? Not a repeat finding Recommendation ? Policies and procedures over federal grant reporting should be monitored to ensure reports are prepared using complete and accurate information.

Corrective Action Plan

Views of Responsible Officials and Planned Corrective Actions ? AAPHC has evaluated the lost revenue calculation used in the period one Provider Relief Fund reporting and has determined that there would still have been sufficient lost revenue incurred to fully obligate the funds received if 340b pharmacy revenue had been included in the calculation. Management intends to correct the lost revenue previously reported when completing the required reporting for the period four funding cycle. Responsible Official: Milton Jordan, Chief Financial Officer Anticipated completion date: March 31, 2023

Categories

Allowable Costs / Cost Principles HUD Housing Programs Reporting

Other Findings in this Audit

  • 596558 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Covid-19 Health Center Program $5.42M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.87M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.28M
93.498 Provider Relief Fund $1.26M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $1.16M
93.217 Family Planning_services $379,828
93.393 Cancer Cause and Prevention Research $32,000
93.461 Covid-19 Testing for the Uninsured $106