Finding 42025 (2022-002)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-08-01
Audit: 39259
Organization: Southwest Health System, Inc. (CO)
Auditor: Blue and CO LLC

AI Summary

  • Core Issue: There is a material weakness in reporting lost revenues related to COVID-19, with discrepancies between reported patient service revenues and audited financial statements.
  • Impacted Requirements: Compliance with HRSA reporting guidelines for lost revenues from Q1 2019 to Q4 2022 is not being met due to inadequate internal controls.
  • Recommended Follow-Up: The Health System should establish and implement internal control procedures to ensure accurate reporting on the HRSA portal moving forward.

Finding Text

MATERIAL WEAKNESS Federal Agency: U.S. Department of Health and Human Services Assistance Listing Number: 93.498 ? COVID-19 ? Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution 2022-002: Reporting of Lost Revenues Attributable to Coronavirus Compliance Requirement(s): Reporting Criteria: Reporting requirements stipulate that when submitting information related to lost revenues attributable to coronavirus on the Health Resources and Services Administration (?HRSA?) Provider Relief Funding reporting portal, patient service revenues must be entered on a quarterly basis from the first quarter of 2019 through the fourth quarter of 2022. Condition ? During our testing of the underlying information supporting lost revenue reported by the Health System, we noted two years where patient service revenue per the filing did not reconcile to the audited financial statements. Cause ? The cause of this deficiency is due to the lack of internal controls to ensure proper reporting of lost revenues on the reporting portal. Effect ? The effect is misstatement of quarterly and annual revenues for 2022 and 2021 reported to HRSA on the reporting portal. Recommendation ? We recommend that the Health System implement internal control procedures to ensure proper reporting on the HRSA reporting portal in future reporting periods. Management?s Response ? We will implement internal control procedures to ensure proper reporting of lost revenues, as is required under the reporting guidelines stipulated by HRSA, in future reporting periods.

Corrective Action Plan

CORRECTIVE ACTION PLAN July 26, 2023 U.S. Department of Health and Human Services Southwest Health System, Inc. respectively submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Blue & Co., LLC 2650 Eastpoint Pkwy., Suite 300 Louisville, Kentucky 40223 Audit period: Year ended December 31, 2022. The findings from the schedule of findings and questioned costs for the year ended December 31, 2022 are discussed below. The findings are numbered consistently with the numbers assigned in the Schedule. FINDINGS ? FINANCIAL STATEMENT AUDIT 2022-001 Condition: We did not evaluate program requirements to determine our eligibility to recognize grant revenue when it was earned under the terms of the program. Action: We will implement internal control processes to ensure the proper recognition of grant revenue when it is earned. FINDINGS ? FEDERAL AWARD PROGRAM AUDITS 2022-002 Condition: During our testing of the underlying information supporting lost revenue reported by the Health System, we noted two years where patient service revenue per the filing did not reconcile to the audited financial statements. Action: Management will implement internal control procedures to ensure proper reporting of lost revenues, as is required under the reporting guidelines stipulated by HRSA, in future reporting periods. If the U.S. Department of Health and Human Services has questions regarding this plan, please call Shelle Diehm, Interim CFO, at (970) 564-2145. Sincerely, Shelle Diehm Interim CFO

Categories

Material Weakness Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 618467 2022-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $2.29M
93.697 Covid-19 Testing for Rural Health Clinics $400,000