Finding 43904 (2022-003)

-
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-09-27

AI Summary

  • Core Issue: The Provider Relief Fund report submitted on March 31, 2023, included inaccurate revenue figures that did not match the audited financial statements.
  • Impacted Requirements: Accurate reporting of financial data is required under the award terms, leading to an understatement of lost revenue by $3,253,834.
  • Recommended Follow-Up: Update the 2022 revenue data in future HRSA PRF reports to ensure compliance and accuracy.

Finding Text

Finding No. 2022-03 - Lost Revenue Reporting - Compliance Finding Criteria: Under the terms and conditions of the awards, accurate amounts that agree with the entity's financial records are required to be reported in the Provider Relief Fund report. Condition: The Period 4 Provider Relief Fund (PRF) report was submitted on March 31, 2023, based on preliminary internal financial statement net patient service revenues for the various quarters in 2022. The 4th quarter did not include final year-end balances after year-end post-closing and audit entries were posted to the trial balance. As a result, the PRF submission reported actual revenues for 2022 that were not accurate and did not agree to the audited financial statements. Context: This finding is consistent with prior years and due to timing of PRF reporting in advance of year end audited financial statements. Effect: The actual net patient service revenue in the audited financial statements for 2022 was lower by $3,253,834, which resulted in an understatement of lost revenue in the PRF report to be claimed in future periods by the same amount. The reporting did not impact the PRF funding received and retained by the auditee due to the error. Cause: Adjustments were made during the audit in conjunction with management that impacted the actual 2022 net patient service revenues after the reporting of the PRF report to HRSA for Period 4. Questioned Costs: None reported. Recommendation: We recommend the auditee update the revenue data for 2022 actual revenue in future HRSA PRF reporting periods. Views of Responsible Official: Management agrees with this finding. See corrective action plan.

Corrective Action Plan

Finding 2022-003 ? Lost Revenue Reporting Cluster/Grantor: Department of Health and Human Services ? Health Resources and Services Administration (?HRSA?) Award Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distributions Award Year: January 1, 2021 ? December 31, 2021 Assistant Listing Number: 93.498 The management of Loretto Health have reviewed finding 2022-003: Lost Revenue Reporting. We present the following corrective action plan: Loretto Health will adopt the recommendation from the auditor to update the revenue data for 2022 to actual revenue in future HRSA PRF reporting periods.

Categories

Reporting

Other Findings in this Audit

  • 43905 2022-004
    Significant Deficiency Repeat
  • 620346 2022-003
    -
  • 620347 2022-004
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $3.64M
93.498 Provider Relief Fund $1.01M