Finding 637673 (2022-002)

Significant Deficiency
Requirement
ABL
Questioned Costs
-
Year
2022
Accepted
2023-01-30

AI Summary

  • Core Issue: The Center failed to submit accurate financial reports for the COVID-19 Provider Relief Fund, leading to an overstatement of lost revenues.
  • Impacted Requirements: Compliance with reporting criteria under Assistance Listing Number 93.498, including accurate financial data and timely submissions.
  • Recommended Follow-Up: Implement regular reconciliations of accounts and ensure monthly financial statements are completed on time to improve reporting accuracy.

Finding Text

Significant Deficiency in Internal Control Over Compliance / Compliance Finding Reference Number: 2022-002 Criteria: Assistance Listing Number 93.498 - COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Condition: The Center is required to prepare and submit complete and accurate Period 1 Provider Relief Fund reporting to the U.S. Department of Health and Human Services (HHS). The reporting is to be prepared using accurate financial information and submitted by the established deadlines. The Center elected to obligate Period 1 Provider Relief Funds to lost revenues utilizing Option 2 based on 2020 budgeted revenues. Cause: The Center experienced an increase in turnover of accounting personnel in addition to constraints arising as a result of COVID-19, which delayed the completion of the financial statements for fiscal year 2021. On the Period 1 submission, the Center?s actual net revenue from patients for certain quarters did not agree to underlying support, due to delayed financial reporting. Effect or Potential Effect: On the Period 1 submission, the Center?s actual net revenue from patients for certain quarters did not agree to underlying support, due to delayed financial reporting. This resulted in an overstatement of lost revenues. Subsequent to the Period 1 submission, the Center identified additional expenditures attributable to COVID-19 which will be reported in future submissions along with the correction of lost revenues to mitigate any impact to the program. Recommendation: We recommend performing timely reconciliations of general ledger accounts and completion of monthly financial statements to ensure the accuracy of amounts reported to internal and external users. Views of Responsible Officials and Planned Corrective Actions: See corrective action plan.

Categories

Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 61231 2022-002
    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 $4.66M
93.224 Covid-19 - American Rescue Plan Act Funding for Health Centers $2.15M
93.498 Covid-19 - Provider Relief Fund $1.64M
93.461 Covid-19 - Covid-19 Testing for the Uninsured $529,215
93.217 Family Planning_services $507,730
93.224 Covid-19 - Health Center Cares Act Funding $374,836
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $292,500
93.926 Healthy Start Initiative $124,400
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $104,172