Finding 28791 (2022-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2022-10-23
Audit: 28879
Auditor: Terry Horne CPA

AI Summary

  • Core Issue: The 2021 Uniform Data System report submitted to DHHS had incorrect patient revenue data, underreporting charges by about $2.4 million.
  • Impacted Requirements: This finding violates Uniform Guidance and affects financial analysis for grant recipients due to distorted performance indicators.
  • Recommended Follow-Up: Develop a system to ensure all charges, including 340B contract pharmacy charges, are accurately reported and consider revising and resubmitting Table 9D to DHHS.

Finding Text

Finding: 2022-002 Uniform Data System Report Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Uniform Guidance, Special Reporting ? Uniform Data System Condition: The Uniform Data System (UDS) report submitted to the U.S. Department of Health and Human Services (DHHS) for the year ended December 31, 2021, contained incorrect data for patient revenue. The charges and payments were not correctly reported on Table 9D of the UDS report. The charges were understated by approximately $2.4 million. Cause: The above exception resulted from omitting 340B contract pharmacy charges in Table 9D of the Uniform Data System report. Effect: The DHHS reviews the UDS data for financial analysis for grant recipients. Errors in this data causes incorrect financial analysis results and distorted performance indicators. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that a system should be developed to ensure actual charges and payments from all sources including 340B contract pharmacies are reported and reconciled to the UDS report. The DHHS should be informed of the error and the 2021Table 9D should be revised and resubmitted if requested. Views of Responsible Officials: Management concurs. Efforts will be made to ensure that the revenue and expenses from all sources are reconciled to the revenue and expenses on the UDS report. Contact Person: Alice Salthouse, CEO Anticipated Date of Completion: October 31, 2022

Corrective Action Plan

In Finding 2022-002, it was reported that the Uniform Data System report submitted to DHHS for the year ended December 31, 2021 contained incorrect data for patient revenue. The charges and payments were not correctly reported on Table 9D of the UDS report. The charges were understated by approximately $2.4 million. Management recognizes the importance of complying with federal reporting guidelines. In response to Finding 2022-002, efforts will be made to ensure that the revenue and expenses recorded is reconciled to the revenue and expenses on the UDS report. This will be implemented by the Chief Executive Officer by October 31, 2022.

Categories

HUD Housing Programs Reporting

Other Findings in this Audit

  • 28792 2022-002
    Material Weakness Repeat
  • 28793 2022-002
    Material Weakness Repeat
  • 605233 2022-002
    Material Weakness Repeat
  • 605234 2022-002
    Material Weakness Repeat
  • 605235 2022-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.65M
93.224 Covid-19-Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $646,566
93.498 Covid-19-Provider Relief Fund $609,360
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $507,080
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $68,399
93.767 Children's Health Insurance Program $43,500
32.006 Covid-19 Telehealth Program $11,710