Finding 480701 (2022-003)

Material Weakness
Requirement
L
Questioned Costs
$1
Year
2022
Accepted
2024-08-08
Audit: 316928
Organization: Humboldt Park Health, Inc. (IL)

AI Summary

  • Core Issue: The Organization failed to maintain proper documentation for expenses reported, leading to unsupported costs of $993,058.
  • Impacted Requirements: Noncompliance with HHS guidelines requiring retention of documentation for expenses submitted in the HRSA portal.
  • Recommended Follow-Up: Implement stronger controls and review processes to ensure compliance with documentation retention and reporting requirements.

Finding Text

Assistance Listing, Federal Agency, and Program Name 93.498, U.S. Department of Health and Human Services (HHS), COVID-19: Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Award Identification Number and Year N/A Pass through Entity N/A Direct funded Finding Type Material weakness and material noncompliance with laws and regulations Repeat Finding No Criteria Per the Phase 2 General Distribution Relief Fund Payment Terms and Conditions, recipients shall maintain appropriate records and cost documentation, as outlined in the terms and conditions of the funding received. The terms and conditions require that the funding recipient retain proper documentation for the expenses submitted within the HRSA portal. Condition The Organization’s lacked effective controls to ensure documentation for expenses reported within the Organization’s period 2 portal submission were retained. The Organization was able to produce documentation for total expenses of $7,516,920, while the Organization had reporting to HRSA that it had incurred $8,509,978 of expenses. As a result, the Organization was unable to provide support for $993,058 of the total expenses reported. Questioned Costs $993,058 Identification of How Questioned Costs Were Computed Questioned costs were computed by taking total expenses reported per the Organization’s period 2 portal submission of $8,509,978, as compared to the total expenses the Organization could support, per internal documentation, which totaled $7,516,920. Context The single audit for the Organization included expenses reported during the first quarter of calendar year 2020 through the fourth quarter of calendar year 2021 related to funding received in Period 2. As a result of the funding received, the Organization was required to attest to the applicable expenses incurred, which are defined by HHS. The Organization was not able to reproduce listings that agreed to the total expenses reported in the period 2 portal submission. In particular, support for various allocations made reflecting qualified expenses were not retained. Due to this, the Organization reported $993,058.38 of expenses in the Organization’s Period 2 portal submission for which the Organization could not support. Cause and Effect Appropriate review and retention of support for expense allocations made, which validated portions of the total expenses reported in the Organization’s portal submissions, was not complete to ensure the reports followed required retention guidelines. As a result, the Organization was not able to provide support for expenses reported in it's period 2 portal submission. Recommendation We recommended that the Organization implement controls, including levels of review and document retention, to ensure that reports are completed and submitted in accordance with the guidelines established by HHS. Views of Responsible Officials and Corrective Action Plan The Organization will review its processes surrounding the retention of documentation used to report expenses and will implement additional levels of review to ensure that the proper documentation is retained for future reporting period portal submissions.

Corrective Action Plan

Condition: The Organization’s lacked effective controls to ensure documentation for expenses reported within the Organization’s period 2 portal submission were retained. The Organization was able to produce documentation for total expenses of $7,516,920, while the Organization had reporting to HRSA that it had incurred $8,509,978 of expenses. As a result, the Organization was unable to provide support for $993,058 of the total expenses reported. Planned Corrective Action: The Organization will review its processes surrounding the retention of documentation used to report expenses and will implement additional levels of review to ensure that the proper documentation is retained for future reporting period portal submissions. Contact person responsible for corrective action: Tom Garvey, Interim CFO Anticipated Completion Date: 9/30/2023

Categories

Questioned Costs Allowable Costs / Cost Principles HUD Housing Programs Material Weakness Reporting

Other Findings in this Audit

  • 480702 2022-004
    Material Weakness
  • 1057143 2022-003
    Material Weakness
  • 1057144 2022-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
14.128 Mortgage Insurance_hospitals $24.99M
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan Rural Distribution $10.80M
93.461 Covid-19 Testing for the Uninsured $367,655
93.788 Opioid Str $61,031