Finding 21322 (2022-003)

Significant Deficiency
Requirement
ABL
Questioned Costs
$1
Year
2022
Accepted
2023-09-28
Audit: 26287
Auditor: Forvis

AI Summary

  • Core Issue: West Springs Hospital reported duplicated expenses and failed to update revenue adjustments in their Period 3 report, leading to inaccuracies in financial reporting.
  • Impacted Requirements: The Organization did not comply with reporting standards for federal funds, specifically regarding allowable costs and maintaining accurate financial records.
  • Recommended Follow-Up: Implement stronger internal controls over financial reporting to prevent duplication and ensure timely updates to revenue calculations.

Finding Text

Finding: Reporting and Activities Allowed or Unallowed, Allowable Costs/Cost Principles CFDA No. 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution U.S. Department of Health and Human Services Criteria: Reporting (45 CFR 75.342) and Activities Allowed or Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116- 139, 134 Stat. 622 and 623). The Provider Relief Fund (PRF) was established in the Coronavirus Aid, Relief, and Economic Security Act (CARES Act, P.L. 116-136) to reimburse, through grants or other mechanisms, eligible health care providers for increased expenses or lost revenue attributable to Coronavirus Disease 2019 (COVID-19). Entities that receive more than $10,000 (either one time or in the aggregate) are required to report the uses of their funds, including the lost revenue reimbursement and documentation of how the lost revenue was calculated. In addition, the Organization is required to implement and maintain internal controls over financial reporting.. Condition: During our review of the Period 3 report for West Springs Hospital, we noted the Organization included direct expenses from 2020 and 2021 that had already been included on reporting Period 1. In addition, there was an audit entry recorded for fiscal year 2021 that had not been updated with the Period 3 report calculations. Questioned Costs: $306,246 consisting of $170,246 of direct expenses duplicated on reporting Period 3, $110,000 due to an audit entry change not included, and approximately $26,000 due to an input error. Context: Direct expenses from 2020 and 2021 should not have been included and overstated the direct expenses applied to PRF funding by $170,246. The audit entry not included in the Period 3 revenues, reduced revenue by $110,000 along with a keying difference between general ledger data and the report of approximately $26,000. Effect: The federal government relies on the information reported in the Health Resources and Services Administration (HRSA) to be accurate for monitoring purposes. The Organization reported a total lost revenue value of approximately $6,710,000 and received approximately $1,269,000. While the information keyed into the reporting Period 3 PRF expenses and actual revenues was incorrect, the Organization demonstrated an overall lost revenue value in excess of payments received. Causes: The Organization did not have adequate internal controls in place to identify costs were duplicated and that revenue adjustments made during the audit had not been updated in the lost revenue calculations. Identification as a Repeat Finding: Not a repeat finding. Recommendation: The Organization added internal controls over reporting for federal funds to help ensure compliance and changes in guidance are followed. Views of Responsible Officials: The Organization agrees with the finding. See separate auditee document for planned corrective action.

Corrective Action Plan

FISCAL YEAR OF FINDING: June 30, 2022 AUDITOR FINDING: 2022-003 FINDING: Reporting and Activities Allowed or Unallowed, Allowable Costs/Cost Principles CFDA No. 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution The Organization included direct expenses from 2020 and 2021 that had already been included on reporting Period 1. In addition, there was an audit entry recorded for fiscal year 2021 that had not been updated with the Period 3 report calculations. Direct expenses from 2020 and 2021 should not have been included and overstated the direct expenses applied to PRF funding by $170,246. The audit entry not included in the Period 3 revenues, reduced revenue by $110,000 along with a keying difference between general ledger data and the report of approximately $26,000. CLIENT PLANNED ACTION: Amy Cooper, VP of Operations and Aaron Hancey, Interim CFO will establish quality reviewing and approval processes so proper reporting can be done effectively and timely. CLIENT RESPONSIBLE PARTY: John Sheehan, CEO COMPLETION DATE: September 22, 2023

Categories

Questioned Costs Allowable Costs / Cost Principles Subrecipient Monitoring Cash Management Reporting

Other Findings in this Audit

  • 597764 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $1.75M
93.959 Block Grants for Prevention and Treatment of Substance Abuse. $563,090
93.958 Block Grants for Community Mental Health Services $224,583
93.788 Opioid Str $158,779
93.575 477 Cluster / Block Grants for Child Care and Development $142,399
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $45,615
93.069 Emergency Preparedness Grant $7,500