Finding 9290 (2023-004)

Significant Deficiency Repeat Finding
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-01-22
Audit: 12740
Organization: Family First Health Corporation (PA)
Auditor: Cohnreznick LLP

AI Summary

  • Core Issue: The Center inaccurately reported the methodology for provider relief funds, stating expenditures instead of lost revenues.
  • Impacted Requirements: This finding highlights a significant deficiency in internal controls over compliance with HRSA reporting requirements.
  • Recommended Follow-Up: Implement procedures to ensure accurate reporting before submission to avoid potential fund repayment.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number: 93.498 Compliance Requirement: Reporting Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria: In accordance with the reporting requirements of the U.S. Department of Health and Human Services, the Center is required to accurately report to HRSA the methodology applied to the provider relief funds received. Condition/Context: In connection with the Reporting test for the Provider Relief Funds, we noted that the Center inaccurately reported the methodology used to HRSA as expenditures attributable to coronavirus as opposed to lost revenues. Cause: Personnel in charge of the submission inadvertently reported the incorrect methodology. Effect: HRSA could deem the report to be invalid and require the Center to pay back the funds. Questioned Costs: None Identification as a Repeat Finding Yes- see 2022-004 Auditor's Recommendation: The Center should ensure that the reporting over the provider relief funds is accurate prior to submission. Views of Responsible Officials: Procedures will be put in place to review accuracy of reporting prior to submission.

Corrective Action Plan

Planned Corrective Action: This was a repeat finding for Family First Health. Going forward future submissions will be reviewed for accuracy prior to submitting. Completion Date: 4/1/2024 Accounting Name of Contact Person: Jenny Englerth, President/CEO; Brent Doores, CFO

Categories

Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 9285 2023-003
    Material Weakness Repeat
  • 9286 2023-003
    Material Weakness Repeat
  • 9287 2023-003
    Material Weakness Repeat
  • 9288 2023-003
    Material Weakness Repeat
  • 9289 2023-003
    Material Weakness Repeat
  • 585727 2023-003
    Material Weakness Repeat
  • 585728 2023-003
    Material Weakness Repeat
  • 585729 2023-003
    Material Weakness Repeat
  • 585730 2023-003
    Material Weakness Repeat
  • 585731 2023-003
    Material Weakness Repeat
  • 585732 2023-004
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Covid-19 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.01M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.60M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.27M
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $880,011
93.558 Temporary Assistance for Needy Families $788,926
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $774,535
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $539,957
32.006 Covid-19 Telehealth Program $205,991
93.788 Opioid Str $152,703
93.268 Covid-19 Immunization Cooperative Agreements $87,877
93.527 Covid-19 Fy 2023 Expanding Covid-19 Vaccination $85,355
93.556 Promoting Safe and Stable Families $84,272
93.217 Family Planning_services $72,500
93.667 Social Services Block Grant $36,308
93.994 Maternal and Child Health Services Block Grant to the States $14,376