Finding 30511 (2022-001)

Reference Number Finding 2022-001 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ALN 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) Condition ? Hendrick is required to prepare and submit period two and period three Provider Relief Fund reports. The reports are to be prepared using accurate financial information and submitted by the deadline established. Questioned costs ? N/A Context ? The period one and period two Provider Relief Fund reports were submitted and included a lost revenue calculation under option 1, which compared 2020 and 2021 revenue to 2019 revenue. Under option 1, quarterly revenues were required to be reported by payor class. Hendrick incorrectly allocated quarterly revenue by payor class based on a payor mix derived from gross revenue, rather than net patient service revenue. Effect ? Hendrick did not properly report lost revenues by financial class. Cause ? Hendrick did not appropriately report revenue by payor class. Identification as a repeat finding ? Not a repeat finding. Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Views of Responsible Officials and Planned Corrective Actions ? Management agrees with this finding and will review procedures regarding lost revenue calculations to ensure amounts reported are accurate for future reporting periods. Management notes that while net patient service revenue was not appropriately reported based on financial class, if the PRF reporting was revised for the errors identified, there would be no impact on lost revenues and PRF funding would still be retained based by Hendrick.