EIN: 576000094
UEI: HF9NKLBNLLL7
Data as of August 27, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on June 29, 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 December 29, 2022 (1337 days ago).
What is a management decision? →The Hospital received payments under the COVID-19 Uninsured Program for patients who were insured at the time of service and lacked related controls over compliance to prevent, or detect and correct, such material noncompliance. Effect: Management failed to prevent, or detect and correct, material noncompliance such that the Hospital received payments from HRSA for the COVID-19 Uninsured Program which were ineligible under the terms and conditions of the program. Cause: Lack of effectively designed and implemented controls, such as detail review of patient insurance criteria, to ensure that patients were uninsured at the time of service. Auditors? Recommendation: Management should design and implement effective controls over compliance, including monitoring and conducting reviews of the complete listing of HRSA payments received under the COVID-19 Uninsured Program, to ensure patients were uninsured at the time of service. Management Response: See management?s corrective action plan included at the end of the report. Questioned Costs: Three HRSA payments were identified for patients who were insured at the time of service. These payments totaled $406.15.
Show full finding ▾Hide full finding ▴Finding 2021-001 Material Weakness and Material Noncompliance Assistance Listing Number: 93.461 COVID-19 Testing for the Uninsured Criteria: The Health Resources and Services Administration (?HRSA?) provided terms and conditions associated with the COVID-19 Uninsured Program. Those terms and conditions noted that uninsured individuals means individuals who, as of the date of service for which the recipient seeks payment, are not enrolled in 1) a Federal health care program (as defined under section 1128B(f) of the Social Security Act (42 U.S.C. 1320a-7b(f)), including an individual who is eligible for medical assistance only because of subsection (a)(10)(A)(ii)(XXIII) of Section 1902 of the Social Security Act; or 2) a group health plan or health insurance coverage offered by a health insurance issuer in the group or individual market (as such terms are defined in section 2791 of the Public Health Service Act (42 U.S.C. 300gg-91)), or a health plan offered under chapter 89 of title 5, United States Code. Management should have effectively designed controls in place to prevent, or detect and correct, material noncompliance with the direct and material compliance requirements of the program. Condition: The Hospital received payments under the COVID-19 Uninsured Program for patients who were insured at the time of service and lacked related controls over compliance to prevent, or detect and correct, such material noncompliance. Effect: Management failed to prevent, or detect and correct, material noncompliance such that the Hospital received payments from HRSA for the COVID-19 Uninsured Program which were ineligible under the terms and conditions of the program. Cause: Lack of effectively designed and implemented controls, such as detail review of patient insurance criteria, to ensure that patients were uninsured at the time of service. Auditors? Recommendation: Management should design and implement effective controls over compliance, including monitoring and conducting reviews of the complete listing of HRSA payments received under the COVID-19 Uninsured Program, to ensure patients were uninsured at the time of service. Management Response: See management?s corrective action plan included at the end of the report. Questioned Costs: Three HRSA payments were identified for patients who were insured at the time of service. These payments totaled $406.15.
Contact Person: Ken Miller Managements Response: We will run all HRSA accounts through Passport in an attempt to identify any additional insurances that may have been available at the time of service. For any accounts where additional insurances are identified we will refund HRSA and re-file with appropriate insurer if we are still within timely filing limits. Completion Date: 9/30/22
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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