Finding 499773 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-09-30
Audit: 322618
Organization: Arnot Ogden Medical Center (NY)
Auditor: Bonadio & CO LLP

AI Summary

  • Core Issue: $402,814 of Provider Relief Funds were not reported in the Schedule of Expenditures of Federal Awards or the required Period 5 report to HRSA.
  • Impacted Requirements: The Organization failed to comply with reporting regulations, leading to an incomplete submission and a misstated SEFA for 2023.
  • Recommended Follow-Up: Ensure accurate reporting of all funds in future submissions and review internal processes to prevent similar omissions.

Finding Text

Condition The Organization received Provider Relief Funds (PRF) of $3,225,365 within the period of January 1, 2022 to June 30, 2022. However, $402,814 of these funds received by Arnot Medical Services (AMS) were not included in the original Schedule of Expenditures of Federal Awards (SEFA) produced by the Organization, nor the Period 5 reporting that was required to be submitted to Health Resources and Services Administration (HRSA). The Tax Identification Number (TIN) of AMS was included in the Period 5 report, but the dollar amount received did not populate during report submission and was omitted. Criteria The Organization is required to submit Period 5 PRF reports to HRSA covering funds received during the period January 1, 2022 through July 31, 2022. The report requires the Organization to account for and certify that eligible expenses and lost revenues are used to determine proper usage and recognition of funds. Cause The payments that were excluded from the report submitted to HRSA and from the SEFA were general distribution payments that were received by a subsidiary of the Organization. The report submitted by the Organization identified that it was reporting on this subsidiary’s general distribution payments. However, management did not report on these funds or include these funds in the Organization’s SEFA. Effect The Organization did not comply with reporting regulations required by the Department of Health and Human Services as the Organization’s report submitted to HRSA is incomplete and the Organization’s 2023 SEFA was misstated.

Corrective Action Plan

Management intended to report the Provider Relief Funding in the HRSA reporting system for subsidiary entities with the parent entity, however, it has now come to our attention that the field did not appropriately populate despite having included the TIN of the subsidiary.  The Organization has indicated that there is more than enough lost revenue and eligible expenses in the appropriate period to claim this funding in its entirety as was our intention, therefore there is no risk that funding was inappropriately utilized.  The Organization will implement procedures and a responsible party to oversee the preparation of a complete Schedule of Expenditures of Federal Awards that reconciles to the general ledger and other external reporting.

Categories

Reporting

Other Findings in this Audit

  • 1076215 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $3.23M
84.268 Federal Direct Student Loans $214,308
93.155 Rural Health Research Centers $151,458
84.063 Federal Pell Grant Program $127,542
93.889 National Bioterrorism Hospital Preparedness Program $120,000
93.917 Hiv Care Formula Grants $109,994
93.395 Cancer Treatment Research $49,943
84.007 Federal Supplemental Educational Opportunity Grants $9,675