Finding 370124 (2021-004)

Material Weakness
Requirement
ABL
Questioned Costs
$1
Year
2021
Accepted
2024-02-22

AI Summary

  • Core Issue: The Hospital reported approximately $284,000 in expenses reimbursed by other sources, violating HHS guidelines for the Provider Relief Fund.
  • Impacted Requirements: Funds must only cover expenses or lost revenues directly related to coronavirus that have not been reimbursed elsewhere.
  • Recommended Follow-Up: The Hospital should establish stronger controls and review processes to ensure compliance with HHS guidelines and retain necessary documentation.

Finding Text

Federal agency: U.S. Department of Health and Human Services (HHS) Federal program title: COVID-19 Provider Relief Fund (PRF) – Period 1 Assistance Listing No.: 93.498 Criteria: Provider Relief Funds were provided under the Coronavirus Aid, Relief, and Economic Security Act and are to be used to prevent, prepare for, and respond to coronavirus. The funds shall reimburse the recipient only for expenses or lost revenues that are attributable to coronavirus and that have not been reimbursed from other sources or that other sources are obligated to reimburse. Condition: The Hospital reported expenses within the HHS Health Resources and Services Administration (HRSA) Reporting Portal that were reimbursed by other sources. Cause: Although the Hospital has a process in place to identify and report allowable expenses, the Hospital did not take into consideration HHS guidance as it relates to cost-based reimbursement. Effect and questioned costs: The Hospital reported expenses that were reimbursed by other sources of approximately $284,000, however there are additional coronavirus related expenses and lost revenues that were reported in the Period 1 portal submission to cover the identified issue. Recommendation: We recommend the Hospital design and implement controls, including levels of review, to ensure reports are submitted in accordance with the HHS guidelines with supporting documentation retained. Views of responsible officials and planned corrective actions: See management’s corrective action plan.

Corrective Action Plan

Material Weakness 2021-004 Actions by Management: Management agrees with the finding as stated and the additional actions that will be taken by the Hospital will endeavor to utilize all grant funds prudently, comply with federal statues, and regulations. The Hospital will implement internal controls and account management requirements.

Categories

Questioned Costs Cash Management Reporting

Other Findings in this Audit

  • 946566 2021-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.57M
97.030 Community Disaster Loans $2.90M
40.038 Community Development Projects $1.90M
93.461 Covid-19 Testing for the Uninsured $234,697
93.697 Covid-19 Testing for Rural Health Clinics $100,000
64.003 Emergency Medical Services (ems) Matching Awards $39,345