Finding 626986 (2022-001)

Significant Deficiency
Requirement
ABL
Questioned Costs
-
Year
2022
Accepted
2022-10-27
Audit: 52585
Organization: Community Health Care, Inc. (IA)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Organization inaccurately reported quarterly Total Revenue from Patient Care, affecting lost revenue calculations for Provider Relief Fund reporting.
  • Impacted Requirements: Compliance with reporting standards (45 CFR 75.342) and cost principles (45 CFR 75.403) was not met due to errors in financial data.
  • Recommended Follow-Up: Update policies for federal grant reporting to ensure accurate and complete information is used, and allow sufficient review time before submission deadlines.

Finding Text

2022-001 Provider Relief Fund Federal Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (45 CFR 75.403) Condition ? The Organization is required to prepare and submit period one Provider Relief Funding Reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs ? Unknown Context ? The period one and period two Provider Relief Fund reports were tested. The Organization selected option one to report lost revenues based on quarterly actuals. The Organization had offsetting errors within their 2019 quarter two and three revenues related to patient care. The error did not impact the amount of Provider Relief Fund revenue that the Organization recognized. Effect ? Errors were made in reporting quarterly Total Revenue from Patient Care. Lost revenues were not accurately reported. Cause ? The Organization overstated revenue for 2019 quarter two and understated revenue for 2019 quarter three. Identification As a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Views of Responsible Officials and Planned Corrective Actions ? During CHC's annual audit, Management discovered $80,305.25 of self-pay revenue had been entered into an incorrect quarter in the provider relief reporting portal. This has resulted in a finding in the current year financial statement audit. Management has evaluated the finding and reviewed whether any funds need to be repaid and evaluated its controls around future provider relief reporting cycles. It has been determined that even if the Self-Pay revenue was reclassified to the correct quarter, lost revenues would have been sufficient to keep the entire award. Therefore, no repayment is necessary. If allowed in future provider relief reporting periods CHC will correct the misreporting. In addition, management will ensure adequate time to review the provider relief reporting prior to the submission deadline. Management believes all necessary steps have been completed to correct the misreporting and believe this matter to be closed.

Categories

Allowable Costs / Cost Principles Reporting

Other Findings in this Audit

  • 50544 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $4.57M
93.498 Provider Relief Fund $812,409
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $734,517
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $407,843
93.217 Family Planning_services $213,581
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $96,427
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $95,357
93.461 Covid-19 Testing for the Uninsured $66,796
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $54,108
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $52,344
93.800 Organized Approaches to Increase Colorectal Cancer Screening $48,858
93.268 Immunization Cooperative Agreements $28,935
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $22,959