Finding 961374 (2023-002)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-03-26

AI Summary

  • Core Issue: The Organization's report to the PRF Portal had inconsistencies with its accounting records.
  • Impacted Requirements: Compliance with mandatory reporting requirements under the CARES Act and ARP Act.
  • Recommended Follow-Up: Strengthen internal controls to ensure all submissions align with regulatory requirements and supporting records.

Finding Text

Item 2023-002 - Accuracy of Reporting to the PRF Portal: U.S. Department of Health and Human Services, COVID-19: Provider Relief Fund and American Rescue Plan ("ARP") Rural Distribution: Assistance Listing Number 93.498 - Reporting (Material Weakness) Criteria: The Coronavirus Aid, Relief, and Economic Security ("CARES") Act and American Rescue Plan ("ARP") Act of 2021 appropriated funds to reimburse eligible healthcare providers for health care related expenses or lost revenues attributable to COVID-19. These funds were distributed by Health Resources and Services Administration ("HRSA"). HRSA developed the Provider Relief Fund ("PRF") Reporting Portal to enable PRF and ARP Rural recipients to comply with mandatory reporting requirements. Statement of Condition: During our audit of the year ended June 30, 2023, we noted that the Organization's submission to the PRF Portal included inconsistencies with the underlying supporting accounting records. Cause: Due to the timing of the completion of the audit and the portal report submission deadline, certain audit-related adjustments were not included in the report submitted to the PRF portal. Effect: The Organization's report in the PRF portal does not agree to the underlying supporting accounting records. Questioned costs: None Context: Although there were inconsistencies between the actual revenue amounts reported in the PRF portal and the underlying supporting accounting records, the Organization had an adequate amount of lost revenue to earn the PRF funding received. Identification as a repeat finding: This is not a repeat finding. Recommendation: We recommend that the Organization strengthen its system of internal controls to ensure that all reporting that is done and submitted is consistent with requirements and instructions as provided by regulatory agencies. Management response: Management is in agreement with the audit finding that the PRF portal submission was not consistent with the underlying supporting accounting records. Measures will be taken to implement controls that will ensure that reports are reviewed and agreed to supporting underlying accounting records before they are submitted.

Categories

Material Weakness Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 384925 2023-001
    Significant Deficiency
  • 384926 2023-001
    Significant Deficiency
  • 384927 2023-001
    Significant Deficiency
  • 384928 2023-001
    Significant Deficiency
  • 384929 2023-001
    Significant Deficiency
  • 384930 2023-001
    Significant Deficiency
  • 384931 2023-001
    Significant Deficiency
  • 384932 2023-002
    Material Weakness
  • 961367 2023-001
    Significant Deficiency
  • 961368 2023-001
    Significant Deficiency
  • 961369 2023-001
    Significant Deficiency
  • 961370 2023-001
    Significant Deficiency
  • 961371 2023-001
    Significant Deficiency
  • 961372 2023-001
    Significant Deficiency
  • 961373 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.42M
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $971,070
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $925,530
93.696 Certified Community Behavioral Health Clinic Expansion Grants $664,276
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $639,949
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $520,108
93.914 Hiv Emergency Relief Project Grants $498,985
93.686 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B (b) $471,494
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $334,061
93.917 Hiv Care Formula Grants $304,290
93.958 Block Grants for Community Mental Health Services $250,826
93.307 Minority Health and Health Disparities Research $161,144
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $121,176
93.941 Hiv Demonstration, Research, Public and Professional Education Projects $64,434
93.855 Allergy, Immunology and Transplantation Research $60,535
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $58,493
93.242 Mental Health Research Grants $44,397
93.865 Child Health and Human Development Extramural Research $14,146