Finding 58484 (2022-005)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 54656
Organization: Regional West Health Services (NE)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: RWHS reported inaccurate actual and budgeted revenue for multiple quarters, violating federal reporting requirements.
  • Impacted Requirements: Internal controls over federal awards were insufficient, failing to ensure compliance with 2 CFR 200.327 and 200.328.
  • Recommended Follow-Up: Management should implement procedures to guarantee accurate revenue reporting as per federal award terms.

Finding Text

Identification of the Federal Program: U.S. Department of Health and Human Services ? COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Distribution ? 93.498 Criteria: RWHS must establish and maintain effective internal control over federal awards that provides reasonable assurance that RWHS is managing the federal awards in compliance with federal statutes, regulations and terms and conditions of the federal award. 2 CFR 200.327 and 2 CFR 200.328 require the auditee to collect financial information and monitor its activities under federal awards to assure compliance with applicable federal requirements and performance expectations are being achieved and report these items in accordance with program requirements. Terms and conditions of the federal award require the quarterly revenue on an actual and budgeted basis to be reported to the federal agency by March 31, 2023. Condition: RWHS submitted instances of inaccurate actual revenue for quarters 3 and 4 of 2021 and 2022 and inaccurate budgeted revenue for quarters 2 and 3 of 2021. Cause: RWHS did not have a control in place to assure proper reporting of the quarterly revenue totals. Effect: The quarterly revenue totals reported to the federal agency were inaccurate in 2021 and 2022. Questioned Costs: None reported. Context: Sampling was not used. Repeat Finding from Prior Year: No Recommendation: We recommend management implement procedures to ensure that the required revenue totals are reported accurately in accordance with the terms and conditions of the federal award. Views of Responsible Officials: Management agrees with the finding. See Corrective Action Plan.

Corrective Action Plan

Material Weakness: Criteria: RWHS must establish and maintain effective internal control over federal awards that provides reasonable assurance that RWHS is managing the federal awards in compliance with federal statutes, regulations and terms and conditions of the federal award. 2 CFR 200.327 and 2 CFR 200.328 require the auditee to collect financial information and monitor its activities under federal awards to assure compliance with applicable federal requirements and performance expectations are being achieved and report these items in accordance with program requirements. Terms and conditions of the federal award require the quarterly revenue on an actual and budgeted basis to be reported to the federal agency by March 31, 2023. Condition: RWHS submitted instances of inaccurate actual revenue for quarters 3 and 4 of 2021 and 2022 and inaccurate budgeted revenue for quarters 2 and 3 of 2021. Planned Corrective Action: Management will implement procedures to ensure that the required revenue totals are reported accurately in accordance with the terms and conditions of the federal award. Contact Person: Alan Townsend, CFO Anticipated Completion Date: December 31, 2023

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 58485 2022-006
    Material Weakness
  • 58486 2022-007
    Material Weakness
  • 634926 2022-005
    Material Weakness
  • 634927 2022-006
    Material Weakness
  • 634928 2022-007
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $5.90M
93.697 Testing for Rural Health Clinics $149,462
93.461 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $123