EIN: 471108168
UEI: FSDHXLM4DAC1
Data as of August 21, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on May 30, 2023. 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 November 30, 2023 (996 days ago).
What is a management decision? →During the process of testing claimed pandemic related healthcare expenses, it was noted that employee benefits were incorrectly assigned to contract labor. Cause: Due to the amount of detailed information that was required to be compiled by management in order to enter data into the PRF reporting portal, management had a formula error in its employee benefit calculation. Effect: Management included amounts in the PRF reporting portal which were not eligible based on the terms and conditions of the PRF distributions and subsequent HRSA guidance. Management also reported unreimbursed expenses within the PRF reporting portal which were used to replace the amount of employee benefits assigned to contract labor. Questioned Costs: None. Recommendation: We recommend that management continue to monitor and enhance its internal controls over federal award compliance to ensure that only eligible costs are included in amounts expended. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding summarized above.
Show full finding ▾Hide full finding ▴Federal Program: CFDA #93.498 US Department of Health and Human Services Provider Relief Fund and American Rescue Plan (ARP) Distribution Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that general funds are to only be used to prevent, prepare for and respond to coronavirus, and that funds may only be used for healthcare related expenses or lost revenue that is attributable to the coronavirus. Funds received for infection control were more restrictive in nature and could only be used for testing and reporting costs, additional patient care personnel, or expense incurred to improve infection control. Condition: During the process of testing claimed pandemic related healthcare expenses, it was noted that employee benefits were incorrectly assigned to contract labor. Cause: Due to the amount of detailed information that was required to be compiled by management in order to enter data into the PRF reporting portal, management had a formula error in its employee benefit calculation. Effect: Management included amounts in the PRF reporting portal which were not eligible based on the terms and conditions of the PRF distributions and subsequent HRSA guidance. Management also reported unreimbursed expenses within the PRF reporting portal which were used to replace the amount of employee benefits assigned to contract labor. Questioned Costs: None. Recommendation: We recommend that management continue to monitor and enhance its internal controls over federal award compliance to ensure that only eligible costs are included in amounts expended. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding summarized above.
Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that general funds are to only be used to prevent, prepare for and respond to coronavirus, and that funds may only be used for healthcare related expenses or lost revenue that is attributable to the coronavirus. Funds received for infection control were more restrictive in nature and could only be used for testing and reporting costs, additional patient care personnel, or expense incurred to improve infection control. Condition: During the process of testing claimed pandemic related healthcare expenses, it was noted that employee benefits were incorrectly assigned to contract labor.. Planned Corrective Action: Management will continue to monitor and enhance its internal controls over federal award compliance to ensure that only eligible costs are included in amounts expended. Planned Completion Date: Ongoing Person Responsible: Brian Stuhr, CFO
During the process of testing the amounts reported in the PRF reporting portal, it was noted that expenses were not reduced by certain other funds received by the Company. Cause: Due to the amount of detailed information that was required to be compiled by management in order to enter data into the PRF reporting portal, management had a formula error in its netting of eligible expenses. Effect: Management included previously reimbursed expenses within the unreimbursed expense section of the PRF reporting portal. Questioned Costs: None. Recommendation: We recommend that management continue to monitor and enhance its internal controls over federal award compliance to ensure that reported expenses are reduced by amounts reimbursed from other sources. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding summarized above.
Show full finding ▾Hide full finding ▴Federal Program: CFDA #93.498 US Department of Health and Human Services Provider Relief Fund and American Rescue Plan (ARP) Distribution Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that funds are to only be used to prevent, prepare for and respond to coronavirus, and that the recipient will not use funds to reimburse expenses that have been reimbursed from other sources. Condition: During the process of testing the amounts reported in the PRF reporting portal, it was noted that expenses were not reduced by certain other funds received by the Company. Cause: Due to the amount of detailed information that was required to be compiled by management in order to enter data into the PRF reporting portal, management had a formula error in its netting of eligible expenses. Effect: Management included previously reimbursed expenses within the unreimbursed expense section of the PRF reporting portal. Questioned Costs: None. Recommendation: We recommend that management continue to monitor and enhance its internal controls over federal award compliance to ensure that reported expenses are reduced by amounts reimbursed from other sources. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding summarized above.
Criteria: The terms and conditions of the CARES Act Provider Relief Fund (PRF) distributions state that funds are to only be used to prevent, prepare for and respond to coronavirus, and that the recipient will not use funds to reimburse expenses that have been reimbursed from other sources. Condition: During the process of testing the amounts reported, it was noted that expenses were not reduced by certain other funds received by the Company. Planned Corrective Action: Management will continue to monitor and enhance its internal controls over federal award compliance to ensure that expenses are reduced by amounts reimbursed from other sources. Planned Completion Date: Ongoing Person Responsible: Brian Stuhr, CFO
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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