Finding 50426 (2022-001)

Material Weakness
Requirement
L
Questioned Costs
$1
Year
2022
Accepted
2023-07-04
Audit: 43428
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Organization misreported $391,267 in provider relief payments as COVID-19 expenses that were not actually incurred.
  • Impacted Requirements: Reporting criteria under 45 CFR 75.342 and cost principles from relevant public laws were not met.
  • Recommended Follow-Up: Implement stronger internal controls to ensure accurate reporting and review of financial information.

Finding Text

Federal Program: Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution, Assistance Listing No. 93.498 Federal Agency: U.S. Department of Health and Human Services Payment Received Period: Period 4, July 1, 2021 to December 31, 2021 2022-001 Criteria ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (Pub.L.No.116- 136 Stat. 563 and Pub.L.No. 116-139, 134 Stat. 622 and 623) ? The Organization is required to prepare and submit period four provider relief fund report to the U.S. Department of Health and Human Services. This report is to be prepared using accurate financial information and submitted by the deadline established. Condition ? The Organization incorrectly reported all period four provider relief payments were applied to unreimbursed expenses attributable to COVID-19 within the HHS Provider Relief Fund (PRF) portal. Total expenditures reported had not been incurred by the Organization. Questioned Costs ? $391,267. Context ? The Organization inaccurately reported for period four $391,267 of Total Other PRF Expenses. Actual expenses incurred were $0. The Organization's reported unused lost revenues of $602,714 should have been applied to the $391,267 of payments received. Effect ? Expenses and quarterly lost revenues were improperly reported in the PRF portal. Cause ? The Organization?s internal controls were not adequate to detect reporting errors. Identification as a Repeat Finding, if Applicable ? Not a repeat finding. Recommendation ? We recommend implementing controls to ensure amounts reported are accurate. Views of Responsible Officials and Planned Corrective Actions ? Management concurs with the finding and recommendation and will implement controls to ensure all reporting is reviewed for accuracy.

Corrective Action Plan

Contact Name: Becky Blair, CFO Contact Phone Number: 870-448-5733 Audit Period Ending: December 31, 2022 Audit Firm: FORVIS, LLP Federal Program: Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution, Assistance Listing No. 93.498 Federal Agency: U.S. Department of Health and Human Services Payment Received Period: Period 4, July 1, 2021 to December 31, 2021 Finding Number: 2022-001 Statement Condition: The Organization incorrectly reported all period four provider relief payments were applied to unreimbursed expenses attributable to COVID-19 within the HHS Provider Relief Fund (PRF) portal. Total expenditures reported had not been incurred by the Organization. Response: Management concurs with the finding and recommendation and will implement controls to ensure all reporting is reviewed for accuracy.

Categories

Questioned Costs Allowable Costs / Cost Principles Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 626868 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Grants for New and Expanded Services Under the Health Center Program $3.58M
93.224 Covid-19 - Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.34M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.26M
93.526 Grants for Capital Development in Health Centers $591,671
93.498 Covid-19 - Provider Relief Fund (prf) and American Rescue Plan (arp) Rural Distribution $391,267
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $78,394
93.011 Covid-19 - National Organizations of State and Local Officials $47,630
10.855 Distance Learning and Telemedicine Loans and Grants $36,969