2022 002 Assistance Listing Number, Federal Agency, and Program Name 93.498, Department of Health and Human Services, Provider Relief Fund and American Rescue Plan Rural Distribution Federal Award Identification Number and Year N/A Pass through Entity N/A Finding Type Significant deficiency Repeat Finding No Criteria Per 2 CFR 200.508(b), an auditee must prepare appropriate financial statements, including the schedule of expenditures of federal awards, in accordance with 200.510 financial statements. Per 2 CFR 200.510(b), the auditee must also prepare a schedule of expenditures of federal awards for the period covered by the auditee's financial statements, which must include the total federal awards expended, as determined in accordance with 200.502 basis for determining federal awards expended. Additionally, per the frequently asked questions published by HRSA, and in conjunction with the compliance supplement issued by the office of management and budget, recipients with fiscal year ends of June 30, 2021 should report the total expenditures from the Period 1 provider relief fund portal submission on the SEFA. Condition The Corporation did not prepare a complete and accurate SEFA for the year ended June 30, 2021. Questioned Costs N/A Identification of How Questioned Costs Were Computed N/A Context The Corporation's SEFA was understated for the year ended June 30, 2021 by $1,271,104. Management has acknowledged the SEFA was understated for 2021. The SEFA for June 30, 2022 is complete and accurate. Cause and Effect Management of the Corporation misunderstood guidance regarding preparation of the SEFA for the year ended June 30, 2021, resulting in the SEFA being incomplete for the year ended June 30, 2021. The $1,271,104 of funds not reported on the 2021 SEFA have been included on the SEFA for the year ended June 30, 2022. Recommendation Management should continue to monitor the SEFA reporting requirements issued by OMB and ensure all federal funding received is properly included on the SEFA in the proper period. Views of Responsible Officials and Corrective Action Plan While technically considered a significant deficiency and audit finding in accordance with CFR guidance for federal award audit compliance purposes, management considers this finding to be an isolated incident. Management had prepared and provided a SEFA summary that properly identified all federal funding, including all of the CARES Act funding, received as of June 30, 2021. Management also prepared and provided information regarding amounts of the CARES Act funding expended and recognized as revenue within the financial statements for the years ended June 30, 2020 and 2021. However, there was interpretation that the amount that was supposed to be reported for the CARES Act funding on the SEFA for the period ended June 30, 2021, should be the amount expended and recognized as revenue as of the financial statements ended June 30, 2020, to align with the Period 1 portal reporting. As such, the amount reported for the final SEFA used for the June 30, 2021 compliance audit excluded $1,271,104 that was appropriately reported as deferred grant revenue liability as of June 30, 2020. The amount of CARES Act funding for the Period 1 portal reporting correctly included the $1,271,104. There was a significant amount of collective confusion regarding the Period 1 CARES Act portal reporting which was for the period ended June 30, 2020, in relation to the SEFA reporting and compliance audit reporting for that same period of time, which was unusually deferred by the federal government from June 30, 2020 to June 30, 2021. The results of the auditors procedures demonstrated that all the information management populated in the CARES Act portal for the June 30, 2020 reporting compliance Period 1 was accurate and that there were no other findings.