Finding 619223 (2022-001)

-
Requirement
ABL
Questioned Costs
$1
Year
2022
Accepted
2023-04-26

AI Summary

  • Core Issue: The Medical Center inaccurately reported $2,018 in expenses due to using incorrect contract labor rates in their Period 2 Provider Relief Fund report.
  • Impacted Requirements: Compliance with financial reporting standards (45 CFR 75.403 and 45 CFR 75.342) was not met, leading to potential unallowable costs.
  • Recommended Follow-Up: Update policies and procedures for federal grant reporting to ensure accurate calculations of incremental costs.

Finding Text

COVID-19 Provider Relief Fund Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or specific requirement ? Activities Allowed/Unallowed and Allowable Costs and Cost Principles (45 CFR 75.403) and Reporting (45 CFR 75.342) Condition ? The Medical Center is required to prepare and submit Period 2 Provider Relief Fund reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Reported use of the funds should be supported by underlying accounting records. Questioned costs ? $2,018 ? Calculated as the error value of the incremental costs included on the Period 2 report for which the incorrect underlying contract labor rate was utilized in the calculation. Context ? The Period 2 Provider Relief Fund report was tested. The Medical Center utilized incremental costs of contract labor as a component of their reported expenditures. When testing the underlying calculations of incremental costs, errors in the calculations were identified whereby certain incorrect contract labor rates were utilized in the calculation, thus resulting in errors in the reported expenditures. Effect ? Reported expenses are calculated incorrectly. Expenses may not be allowable. Cause ? The Medical Center did not correctly calculate incremental costs. Identification as a repeat finding, if applicable ? Not a repeat finding. Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure incremental costs are prepared using accurate information. Views of responsible officials and planned corrective actions ? See attached corrective action plan for the Medical Center?s response to finding.

Categories

Questioned Costs Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $3.90M
93.461 Covid-19 Hrsa Covid-19 Testing for the Uninsured $6,944