Corrective Action Plan Finding 2022-001 Name of Contact Person: Tracy Biesecker Corrective Action Plan: Management will implement enhanced controls over the preparation of schedules used to input amounts into the Portal and someone independent of compiling the data review the schedules before the amounts are submitted to HRSA. Specifically, amounts reported will be compiled in a source worksheet with all necessary supporting detail. These amounts will be reviewed by a person independent of the source worksheet preparer. Amounts will be submitted to HRSA only after the preparer and independent reviewer agree to the proper classification, valuation and other criteria of the data submitted. This process will be evidenced by a preparer and reviewer signature indicating an attestation that all amounts are properly classified and valued in accordance with the terms and conditions of the PRF. Proposed Completion Date: March 31, 2023