Finding 627743 (2022-001)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-09-17
Audit: 41232
Organization: Carson Tahoe Health System (NV)

AI Summary

  • Core Issue: The Health System misclassified expenses in their reports to HRSA, leading to inaccurate financial presentations.
  • Impacted Requirements: Grant compliance mandates accurate categorization of costs to ensure proper reporting and adherence to program guidelines.
  • Recommended Follow-Up: Review and correct the reporting process to ensure only actual expenditures are reported in the correct categories.

Finding Text

Federal Agency U.S. Department of Health and Human Services Federal Program Name: Provider Relief Funds Assistance Listing Number: 93.498 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Period: January 1, 2020 ? December 31, 2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Other Matter Criteria: Grant compliance requires that costs are reported to the appropriate categories for presentation purposes. Such reporting requirements are required to ensure that expenses are presented accurately in accordance with all program requirements. Condition: The Health System included expenses in their period 4 reporting to Health Resources & Services Administration (HRSA) that were recorded in the incorrect categories and periods. Context: CLA noted during reporting testing that the Health System performed an allocation of expenditures for their reporting to HRSA, rather than actual expenditures that were allowable in accordance with the program. Cause: The Health System reported expenditures on an allocation basis when only a single category was required to report the expenditures.

Categories

Allowable Costs / Cost Principles Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 51301 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $8.45M
93.958 Block Grants for Community Mental Health Services $872,864
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $345,705