Finding 22301 (2022-001)

- Repeat Finding
Requirement
Activities Allowed/Unallowed
Questioned Costs
-
Year
2022
Accepted
2023-03-15
Audit: 20283
Organization: Monadnock Community Hospital (NH)

AI Summary

  • Core Issue: The final report on lost revenues and COVID-related expenditures was inaccurate, violating grant agreement terms.
  • Impacted Requirements: Accurate reporting of lost revenues and expenditures is essential for compliance with federal funding guidelines.
  • Recommended Follow-Up: Implement stronger review processes before submitting reports to ensure accuracy and compliance.

Finding Text

Finding 2022-001: Accuracy of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: COVID-19 Provider Relief Funds Program Year: Provider Relief Reporting Period 2 CFDA #: 93.498 Criteria: Management was responsible for reporting accurate lost revenues and COVID-related expenditures based on the terms of the grant agreement. Condition: During compliance testing, it was identified that certain lost revenues included in the final report were not accurate based on the definitions of the grant agreement. Further, certain COVID-related expenditures included in the final report were partially reimbursed by another funding source and were therefore ineligible for reimbursement from this grant. Context: The lost revenues and COVID-related expenditures reported for the period were not accurate. Cause: The supporting documentation retained that calculated lost revenues had certain inaccuracies in the revenues reported for January 2020. Certain COVID-related expenditures were claimed for reimbursement from two funding sources. Effect: As a result of the condition, the Hospital's required reporting for this grant was misstated, however the Hospital was able to recalculate the appropriate lost revenues and COVID-related expenditures and, in conclusion, report that there were enough losses to charge to this federal award to support the propriety of all funds received. Recommendation: In the future, the Hospital should ensure it implements appropriate processes and controls to ensure a review is performed prior to submission to the awarding agency. Views of Responsible Officials: Management acknowledges the finding and will submit an amended report to the awarding agency, as applicable.

Corrective Action Plan

Identifying Number: 2022-001: Accuracy of Reporting Criteria: Management was responsible for reporting accurate lost revenues based on the terms of the grant agreement. Condition: During compliance testing, it was identified that certain lost revenues included in the final report were not accurate based on the definitions of the grant agreement. Context: The lost revenue amount reported for the period was not accurate. Cause: The supporting documentation retained that calculated lost revenues had certain inaccuracies in the revenues reported for January 2020. Effect: As a result of the condition, the Hospital's required reporting for this grant was misstated, however the Hospital was able to recalculate the appropriate lost revenues and, in conclusion, report that there were enough losses to charge to this federal award to support the propriety of all funds received. Recommendation: In the future, the Hospital should ensure it implements appropriate processes and controls to ensure a review is performed prior to submission to the awarding agency. Contact: Richard Scheinblum, Chief Financial Officer Corrective Actions Taken or Planned: Management acknowledges the finding and will ensure appropriate review of supporting calculations and COVID-related expenditures utilized within the report. An amended report will be filed with the awarding agency, as applicable. On December 27, 2022, management received a confirmation letter from HRSA, Division of Financial Integrity, acknowledging that the procedural finding has been satisfactorily resolved. The Corrective Action is subject to review during the next audit.

Categories

Cash Management Eligibility Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $980,355
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $253,029