Finding 393146 (2023-003)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-04-12

AI Summary

  • Core Issue: The Hospital made errors in its HRSA filing for the Provider Relief Fund, specifically regarding ARP Rural Expenses.
  • Impacted Requirements: Accurate reporting of COVID-19 expenses and lost revenues is mandatory for compliance with HRSA guidelines.
  • Recommended Follow-Up: The Hospital should implement measures to ensure future filings accurately reflect all costs to avoid similar issues.

Finding Text

Criteria – The Hospital is required to submit filings with The Health Resource and Service Administration (HRSA) under the Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution programs. Such filings include reporting COVID-19 expenses and lost revenues, as defined. Condition – The Hospital’s Provider Relief Fund filing with HRSA for Reporting Period 4 (through December 31, 2022) contained errors in the amounts reported for American Rescue Plan (ARP) Rural Expenses. Context – The errors had no impact on the amount of Provider Relief Funds the Hospital was allowed to retain due to the excess of COVID-19 costs and lost revenues over the amount of program funds received. Cause – The Hospital inadvertently reported no expenses related to ARP Rural Expenses and included those amounts under Unreimbursed Expenses Attributable to Coronavirus. Effect – The cost amounts reported to HRSA for Reporting Period 4 were inaccurate. Recommendation – We recommend that the Hospital ensure that future filings with HRSA accurately report all costs. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure the accuracy of costs in any future filings.

Corrective Action Plan

Condition – The Hospital’s Provider Relief Fund filing with HRSA for Reporting Period 4 (through December 31, 2022) contained errors in the amounts reported for American Rescue Plan (ARP) Rural Expenses. Recommendation – We recommend that the Hospital ensure that future filings with HRSA accurately report all costs. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure the accuracy of costs in any future filings (filings related to the Provider Relief Funds are complete). Anticipated Date of Completion – In progress. Action Taken – We have reviewed the recommendations and will be discussing potential improvements in the near future. Person Responsible for Corrective Action Plan – Margaret Fontana, Chief Financial Officer.

Categories

Reporting

Other Findings in this Audit

  • 393147 2023-004
    Significant Deficiency
  • 393148 2023-005
    Significant Deficiency
  • 393149 2023-001
    Material Weakness Repeat
  • 393150 2023-001
    Material Weakness Repeat
  • 393151 2023-002
    Material Weakness Repeat
  • 393152 2023-002
    Material Weakness Repeat
  • 969588 2023-003
    Significant Deficiency
  • 969589 2023-004
    Significant Deficiency
  • 969590 2023-005
    Significant Deficiency
  • 969591 2023-001
    Material Weakness Repeat
  • 969592 2023-001
    Material Weakness Repeat
  • 969593 2023-002
    Material Weakness Repeat
  • 969594 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $980,175
93.498 Provider Relief Fund $859,076