Finding 627629 (2022-001)

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Requirement
AB
Questioned Costs
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Year
2022
Accepted
2023-09-28
Audit: 43782
Organization: St. John's Riverside Hospital (NY)
Auditor: Kpmg LLP

AI Summary

  • Core Issue: The Hospital faces a potential $1.2 million reduction in FEMA funding due to concerns about "duplication of benefits" from other funding sources.
  • Impacted Requirements: FEMA guidelines state that costs are not reimbursable if funding was received from another source for the same expenses.
  • Recommended Follow-Up: The Hospital should collaborate with FEMA to find an acceptable calculation method for duplication of benefits and pursue the appeals process for the disallowed costs.

Finding Text

Criteria In accordance with the Federal Emergency Management Agency (FEMA) Public Assistance Program and Policy Guide, version 2.1, Chapter 2: V.P., costs are not eligible for reimbursement if an entity received funding from another source (i.e. patient revenue, insurance, etc.) for the same work that FEMA funded. This is referred to by FEMA as ?duplication of benefits?. Additionally, FEMA issued a Memorandum on February 15, 2023, titled ?Hypothetical Reasonable Applicant Methods? that illustrates the basic elements of a method for accounting for (estimating) the amount of duplication of benefits within net patient service revenue. Condition and Context In July 2023, the Hospital received an Applicant Review Memo from the Homeland Security Operational Analysis Center (HSOAC) that it has conducted a review for duplication of benefits and summarizing a recommendation for the reduction of the Hospital?s COVID-19 Public Assistance (PA) equipment expenditures within previously obligated FEMA projects, in the amount of $1.2 million. The amount in question was derived from a calculation provided by the HSOAC, which determined a disallowable threshold percentage of equipment using the Hospital?s most recent pre-pandemic year (2019) and calculating a proportion of equipment expenses to total patient care revenue. This threshold percentage is then multiplied by total patient care revenue for the fiscal years ending December 31, 2020 and 2021, respectively, to determine the potential disallowable costs. The Hospital believes that there has been no duplication of benefits based on the use of an alternative methodology. The Hospital intends to appeal the disallowed costs. Based on the fact that FEMA allows for alternative methods to calculate the potential duplication of benefits amount and the lack of clarity of what constitutes a ?Hypothetical Reasonable Applicant Method? in the FEMA guidance, we are unable to obtain sufficient and appropriate audit evidence as to whether the disallowed costs of $1.2 million are allowable. Questioned costs Cannot be determined. Statistical Sample Not applicable Repeat Finding A similar finding was not reported in the prior year audit. Recommendation We recommend the Hospital work with FEMA to identify an acceptable methodology to calculate (estimate) the amount (if any) of the duplication of benefits. Additionally, we also recommend the Hospital follow the FEMA appeals process to resolve their disagreement of the disallowed (deobligated) costs. View of Responsible Official Management agrees with the auditor?s recommendation and will work with FEMA to identify an acceptable methodology to calculate if any duplication of benefits. The Hospital will also appeal the disallowed costs presented by FEMA.

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Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $9.78M
93.498 Covid-19 Provider Relief Fund and American Rescue Plan Rural Distribution $1.17M
84.268 Federal Direct Student Loans $767,882
93.914 Hiv Emergency Relief Project Grants $329,433
84.063 Federal Pell Grant Program $206,959
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $150,282
93.889 National Bioterrorism Hospital Preparedness Program $80,000
93.959 Block Grants for Prevention and Treatment of Substance Abuse $61,839
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $4,781