Finding 36374 (2022-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2022-10-31
Audit: 34163
Organization: Family Care Health Centers (MO)
Auditor: Bkd LLP

AI Summary

  • Core Issue: The Center inaccurately reported lost revenues by including non-patient service revenues, leading to significant discrepancies.
  • Impacted Requirements: Compliance with reporting standards (45 CFR 75.342) was not met due to errors in financial information submission.
  • Recommended Follow-Up: Update policies and procedures for federal grant reporting to ensure accurate and complete financial data is used.

Finding Text

2022-001 Provider Relief Fund Federal Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) Condition ? The 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 ? None Context ? The period one provider relief fund report was tested. The Center included revenues outside of patient service revenues within the reported lost revenues calculations which were materially different than total patient service revenue for the quarters reported. Following discovery of the error, the calculation was revised to use just patient service revenue and the amount of lost revenues continued to be greater than the amount awarded. Effect ? Errors were made in reporting quarterly Total Revenue/Net Charges from Patient Care. Lost revenues were not accurately reported. Cause ? The Center did not exclude non-patient service revenue amounts from their calculation. 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 - See management's corrective action plan attached.

Corrective Action Plan

View of Responsible Officials and Planned Corrective Actions Corrective Action - Post-error discovery management verified there was sufficient lost revenue to cover the funds awarded. Management considered Option 1 again on a quarter-by-quarter basis using only PSR and determined sufficient lost revenues. The CFO (or designee) will identify and read all updates prior to filing any future reports. Responsible Person - Kevin L. Maddox, Chief Financial Officer Timeline - Effective May 16, 2022

Categories

Reporting

Other Findings in this Audit

  • 612816 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $2.88M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.10M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $432,715
93.498 Provider Relief Fund $326,510
93.217 Family Planning_services $297,236
93.435 Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke- $63,000
93.884 Grants for Primary Care Training and Enhancement $60,360
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $50,460
93.191 Graduate Psychology Education Program and Patient Navigator and Chronic Disease Prevention Program $37,458
93.778 Medical Assistance Program $15,698
21.019 Coronavirus Relief Fund $-113,174