EIN: 311565719
UEI: GSA_MIGRATION
Data as of August 26, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on September 26, 2022. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by March 26, 2023 (1249 days ago).
What is a management decision? →Assistance Listing Number, Federal Agency, and Program Name: 93.498, U.S. Department of Health and Human Services, COVID 19 Provider Relief Fund Federal Award Identification Number and Year: N/A Pass through Entity: N/A Finding Type: Material weakness and material noncompliance with laws and regulations Repeat Finding: No Criteria: According to 2 CFR ? 200.303 the Organization must establish and maintain effective internal controls over federal awards that provide reasonable assurance that the non Federal entity is managing the federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. Step Six of the Steps on Reporting on Use of Funds section of the June 11, 2021 Provider Relief Fund (PRF) General and Targeted Distribution Post Payment Notice of Reporting Requirements requires recipients that apply PRF payments toward lost revenues to use one of the following three options for calculating lost revenues: Option i: of the difference between actual patient care revenues; Option ii: of the difference between budgeted (prior to March 27, 2020) and actual patient care revenues. Option iii: calculated by any reasonable method of estimating revenues. Condition The Organization does not have a review process in place related to the required reporting submissions to the U.S. Department of Health and Human Services for the PRF program. The Organization calculated the portion of its Period 1 and Period 2 PRF payments applied toward lost revenues using Option (iii); however, the Organization completed its Period 1 and Period 2 PRF Reporting Portal submissions and attested to calculating lost revenues using Option (ii). Questioned Costs: None Identification of How Questioned Costs Were Computed: N/A Context: There was no independent review completed on the reporting submissions to evaluate their completeness and accuracy. Cause and Effect: The lack of an independent review of the reporting submission could result in an increased risk of incomplete or inaccurate information included in the reporting submission. Recommendation: The Organization should implement a process to ensure an independent review of the reporting submissions is completed prior to finalization. Views of Responsible Officials and Corrective Action Plan: Management agrees with the finding and will implement a process to ensure an independent review of the reporting submissions is completed. Management has contacted the Health Resources & Services Administrator (HRSA) to determine any required corrective actions related to the incorrect reporting. HRSA informed management that it was not possible to re open the portal to self correct the reporting error.
Show full finding ▾Hide full finding ▴Assistance Listing Number, Federal Agency, and Program Name: 93.498, U.S. Department of Health and Human Services, COVID 19 Provider Relief Fund Federal Award Identification Number and Year: N/A Pass through Entity: N/A Finding Type: Material weakness and material noncompliance with laws and regulations Repeat Finding: No Criteria: According to 2 CFR ? 200.303 the Organization must establish and maintain effective internal controls over federal awards that provide reasonable assurance that the non Federal entity is managing the federal award in compliance with Federal statutes, regulations, and the terms and conditions of the federal award. Step Six of the Steps on Reporting on Use of Funds section of the June 11, 2021 Provider Relief Fund (PRF) General and Targeted Distribution Post Payment Notice of Reporting Requirements requires recipients that apply PRF payments toward lost revenues to use one of the following three options for calculating lost revenues: Option i: of the difference between actual patient care revenues; Option ii: of the difference between budgeted (prior to March 27, 2020) and actual patient care revenues. Option iii: calculated by any reasonable method of estimating revenues. Condition The Organization does not have a review process in place related to the required reporting submissions to the U.S. Department of Health and Human Services for the PRF program. The Organization calculated the portion of its Period 1 and Period 2 PRF payments applied toward lost revenues using Option (iii); however, the Organization completed its Period 1 and Period 2 PRF Reporting Portal submissions and attested to calculating lost revenues using Option (ii). Questioned Costs: None Identification of How Questioned Costs Were Computed: N/A Context: There was no independent review completed on the reporting submissions to evaluate their completeness and accuracy. Cause and Effect: The lack of an independent review of the reporting submission could result in an increased risk of incomplete or inaccurate information included in the reporting submission. Recommendation: The Organization should implement a process to ensure an independent review of the reporting submissions is completed prior to finalization. Views of Responsible Officials and Corrective Action Plan: Management agrees with the finding and will implement a process to ensure an independent review of the reporting submissions is completed. Management has contacted the Health Resources & Services Administrator (HRSA) to determine any required corrective actions related to the incorrect reporting. HRSA informed management that it was not possible to re open the portal to self correct the reporting error.
Finding Number: 2021-001 Condition: The Organization does not have a review process in place related to the required reporting submissions to the U.S. Department of Health and Human Services for the PRF program. The Organization calculated the portion of its Period 1 and Period 2 PRF payments applied toward lost revenues using Option (iii); however, the Organization completed its Period 1 and Period 2 PRF Reporting Portal submissions and attested to calculating lost revenues using Option (ii). Planned Corrective Action: Management agrees with the finding and will implement a process to ensure an independent review of the reporting submissions is completed. Management has contacted the Health Resources & Services Administrator (HRSA) to determine any required corrective actions related to the incorrect reporting. HRSA informed management that it was not possible to re-open the portal to self-correct the reporting error. Contact person responsible for corrective action: Lorinda Schalk, Sr. Vice President of Finance & Operations Anticipated Completion Date: 09/30/2022
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