Finding 392216 (2023-001)

Significant Deficiency
Requirement
A
Questioned Costs
$1
Year
2023
Accepted
2024-04-03

AI Summary

  • Core Issue: A spreadsheet error led to the over-reporting of expenses in the COVID-19 Provider Relief Fund submission.
  • Impacted Requirements: Funds must only cover expenses related to coronavirus and not those reimbursed by other sources.
  • Recommended Follow-Up: Implement a review process to catch calculation errors and ensure compliance with HHS guidelines.

Finding Text

2023-001 - Significant Deficiency Federal agency: U.S. Department of Health and Human Services (HHS) Federal program title: COVID-19 Provider Relief Fund (PRF) - Period 4 Assistance Listing No.: 93.498 Condition: The System over-reported expenses within the HHS Health Resources and Services Administration (HRSA) Reporting Portal Period 4 submission due to a spreadsheet allocation calculation error. 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. The funds may not be used to reimburse expenses or lost revenues that have been reimbursed from other sources or that other sources are obligated to reimburse. Cause: Although the System has a process in place to identify and report allowable expenses, an appropriate review process was not in place to detect and correct spreadsheet calculation errors. Effect: The System reported expenses within the HHS HRSA Reporting Portal Period 4 submission which were not accurately calculated. Questioned Costs: The spreadsheet calculation error resulted in $201,976 of questioned costs. Context: Upon testing the compliance requirements of this program, it was determined that a spreadsheet calculation error resulted in overstating expenditures. However, the Period 4 reporting submission included unused lost revenues that the System believes could offset the the issue identified above. Recommendation: We recommend the Authority design and implement controls, including levels of review, to ensure qualifying expenses submitted are in accordance with the HHS guidelines with supporting documentation retained. Views of Responsible Officials and Planned Corrective Actions: See corrective action plan.

Corrective Action Plan

FINDINGS - FEDERAL AWARD PROGRAMS AUDITS SIGNIFICANT DEFICIENCY 2023-001 COVID-19 Provider Relief Fund (PRF) – Period 4 Recommendation: • We recommend the System design and implement controls, including levels of review, to ensure qualifying expenses submitted are in accordance with the HHS guidelines with supporting documentation retained. • Action Taken: Management agrees with this finding as stated and the additional actions that will be taken by the System. Management will design controls to establish an adequate review process to ensure consistent and accurate calculations and reconciliations in accordance with HHS guidelines. Rick Cassady, CFO

Categories

Questioned Costs Allowable Costs / Cost Principles Reporting Significant Deficiency

Other Findings in this Audit

  • 968658 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $6.82M
93.155 Rural Health Research Centers $22,750