Finding 979309 (2023-101)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-06-26

AI Summary

  • Core Issue: The Center inaccurately reported Lost Revenue on the PRF Report, impacting its eligibility for grant funds.
  • Impacted Requirements: The PRF Report must include a correct calculation of Lost Revenue based on actual revenue from patient care services.
  • Recommended Follow-Up: Ensure PRF Reports are reviewed and approved by knowledgeable management not involved in preparation.

Finding Text

Criteria: The Provider Relief Fund grant requires the submission of the PRF Report. One of the critical line items on the PRF Report is the calculation of Lost Revenue. The Center opted to utilize actual revenue/net patient charges (the Actuals) from patient care services for the computation of Lost Revenue. The Lost Revenue calculation serves as a pivotal component of the PRF Report, enabling the Center to demonstrate its eligibility for receiving grant funds and ensure compliance with the program's requirements. Condition: The Center intended to utilize the Provider Relief Fund (PRF) grant under the provision of Lost Revenue, and it met the eligibility criteria based on the 2020 budgeted method. However, the Center failed to accurately report its use of the Lost Revenue on the required PRF Report for the period ended March 31, 2023. Instead, the Center mistakenly reported that actual expenditures incurred would be charged to the grant. Cause: The Center lacked proper internal control over preparing and reviewing the required PRF Reports. Effect: The Center did not report the required Lost Revenue calculation on the PRF Report. Recommendation: We recommend that the PRF Reports are reviewed and approved by a management team member who is not involved in the preparation and has sufficient knowledge of the program's requirements.

Categories

Eligibility Internal Control / Segregation of Duties

Other Findings in this Audit

  • 402867 2023-101
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $7.31M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.64M
93.498 Provider Relief Fund $2.04M
93.917 Hiv Care Formula Grants $1.81M
93.217 Family Planning_services $1.08M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $913,916
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $757,589
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $647,825
93.884 Grants for Primary Care Training and Enhancement $535,821
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $524,691
93.247 Advanced Nursing Education Grant Program $441,081
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $422,629
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $247,444
93.822 Health Careers Opportunity Program $187,508
93.516 Affordable Care Act (aca) Public Health Training Centers Program $161,288
93.530 Affordable Care Act - Teaching Health Center Graduate Medical Education Payments Program $147,200
93.924 Ryan White Hiv/aids Dental Reimbursement and Community Based Dental Partnership Grants $128,670
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $72,273
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $52,195
93.569 Community Services Block Grant $23,000
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $20,494
93.110 Maternal and Child Health Federal Consolidated Programs $20,000
93.273 Alcohol Research Programs $17,323
93.867 Vision Research $16,014
93.767 Children's Health Insurance Program $12,957
14.900 Lead-Based Paint Hazard Control in Privately-Owned Housing $10,490
93.113 Environmental Health $10,019
93.994 Maternal and Child Health Services Block Grant to the States $9,796
93.135 Centers for Research and Demonstration for Health Promotion and Disease Prevention $9,036