Finding 624572 (2022-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-01-03

AI Summary

  • Core Issue: Internal controls for the Provider Relief Fund (PRF) lost revenue calculation are in place, but there is no documentation to prove they were performed.
  • Impacted Requirements: This deficiency violates Section 200.303 of the Uniform Guidance, which mandates effective internal controls and documentation for federal awards.
  • Recommended Follow-Up: Management should enhance processes to ensure documentation is retained for reviews of lost revenue calculations to comply with federal requirements.

Finding Text

Finding 2022-002 ? Internal Control Deficiency over L. Reporting Identification of the federal program: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498 Provider Relief Funds Award Period of Performance: July 1, 2021 ? June 30, 2022 Criteria or Specific Requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: ?The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in ?Standards for Internal Control in the Federal Government? issued by the Comptroller General of the United States or the ?Internal Control Integrated Framework?, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition: Per discussion with management, the Company has processes and internal controls in place to ensure the lost revenue calculation submitted for PRF was complete and accurate and complied with the terms and conditions as reported in the HRSA Portal filings. However, management did not retain documentation evidencing the performance of these controls. Effect or potential effect: There is no documentation to support the performance of internal controls for the lost revenue calculation. Questioned Costs: None Context: Total PRF lost revenues were $26,172,865. Management selected budget versus actual to calculate lost revenues. The amounts reported agreed to the budget and actual revenues as reported in the portal. Identification as a repeat finding, if applicable: The finding is a repeat finding. Recommendation: Management should refine its process and retain documentation evidencing that management reviewed the completeness and accuracy of the lost revenue calculation. View of Responsible Officials: Management agrees with the finding. Management will develop internal controls to review and approve supporting documentation and calculations of the Provider Relief Fund federal lost revenues.

Categories

Internal Control / Segregation of Duties Period of Performance Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 48129 2022-001
    Material Weakness Repeat
  • 48130 2022-002
    Material Weakness Repeat
  • 624571 2022-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $6.19M