Finding 41443 (2022-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-07-02
Audit: 37719
Organization: Frio Hospital District (TX)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The District inaccurately reported quarterly Total Revenue/Net Charges from Patient Care due to errors in summarizing patient service revenue.
  • Impacted Requirements: Compliance with reporting requirements under 45 CFR 75.342 for the COVID-19 Provider Relief Fund.
  • Recommended Follow-Up: Update policies and procedures for federal grant reporting to ensure accurate and complete financial information is used in future reports.

Finding Text

COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or specific requirement ? Reporting (45 CFR 75.342) Condition ? The District is required to prepare and submit period two and three provider relief fund reporting. These reports are to be prepared using accurate financial information and submitted by the deadline established. Questioned costs ? None. Context ? The period two and period three provider relief fund reports were tested. The District initially selected option 3 to report lost revenues based on quarterly actuals. When testing the underlying financial information, errors in the information were identified whereby certain months of the quarterly actuals were incorrectly excluded, thus resulting in errors in the reported total revenue/net charges from patient care. Effect ? Errors were made in reporting quarterly Total Revenue/Net Charges from Patient Care. Lost revenues were not accurately reported. However, the District utilized allowable costs for Period 2 and 3 funding received, so that no lost revenues were utilized as a basis for the funds received, and as such, there were no questioned costs. Cause ? The District did not correctly summarize patient service revenue in their calculation. Identification as a repeat finding, if applicable ? This is a repeat finding. See 2021-002. 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. See attached corrective action plan for the District?s response to finding.

Corrective Action Plan

Corrective Action Plan for Finding 2022-001 We are in receipt of the Finding Required to be Reported by Uniform Guidance, regarding other instance of noncompliance with respect to Reporting. Management agrees with the finding. Policies and procedures over federal grant reporting will be modified to ensure reports are prepared using complete and accurate information. We will increase compensating controls by introducing additional oversight and review for future COVID-19 Provider Relief Fund reporting. Michael Ruff, CFO, will be responsible to ensure that the corrective action plan is followed. The District had enough expenditures for Period 2 and 3 funding received so that no lost revenues were actually utilized as a basis for the funds received. The corrective action plan will be implemented by September 30, 2023.

Categories

Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

  • 617885 2022-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund (prf) and American Rescue Plan (arp) Rural Distribution $1.33M