Finding 522498 (2023-003)

Significant Deficiency Repeat Finding
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2025-02-10

AI Summary

  • Core Issue: The Center failed to properly categorize $671,618 in PRF expenses as eligible, leading to non-compliance with federal reporting requirements.
  • Impacted Requirements: Compliance with 2 CFR 200.303(a) and PRF reporting terms was not met, resulting in unsupported expense claims.
  • Recommended Follow-Up: Management should establish procedures to ensure guidance is reviewed and that all reported information is accurate and well-documented before submission.

Finding Text

Finding 2023-003: Significant Deficiency in Internal Control - Reporting Assistance Listing Number: 93.498 COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Agency: U.S. Department of Health and Human Services Pass-Through Agency: Not applicable Award Number / Year: N/A / 2023 Criteria: Non-federal entities in receipt of federal funds must comply with the requirements of 2 CFR 200.303(a), which require an entity to establish and maintain effective internal control over the Federal award to ensure compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Recipients of Provider Relief Funds (PRF) payments must also comply with the reporting requirements described in the PRF terms and conditions and specified in directions issued by the U.S. Department of Health and Human Services. Condition/Context: The Center reported $671,618 of total other PRF expenses incurred in the period 4 submission which were categorized as Mortgage/Rent. However, the expenses incurred in this category were not determined to be eligible expenses under the terms and conditions of 2 CFR 200.303(a). Effect: The amounts reported to Health Resources & Services Administration (HRSA) did not have the necessary supporting documentation that was used to prepare and submit the initial reporting. Questioned Costs: None Cause: The Center misinterpreted the definitions of eligible expenses that should be included in the submission. Recommendation: We recommend that management implement procedures to ensure that the most recent guidance is reviewed and understood, and that information used in preparation of the reports are reviewed, with errors addressed and maintained prior to reporting. Management's Response: Management agrees with the finding and has subsequently supported other eligible expenses that were not included in the original submission. These amounts exceeded the funding received.

Corrective Action Plan

Corrective Action: Management agrees with the finding and has subsequently supported other eligible expenses that were not included in the original submission. These amounts exceeded the funding received. Anticipated Completion Date: November 15, 2024 Contact Person: Marco Giordano, Vice President and Chief Financial Officer

Categories

Reporting Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 522499 2023-004
    Significant Deficiency Repeat
  • 1098940 2023-003
    Significant Deficiency Repeat
  • 1098941 2023-004
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $671,618
21.027 Coronavirus State and Local Fiscal Recovery Funds $150,000
93.959 Block Grants for Prevention and Treatment of Substance Abuse $76,727