RECOVERY INNOVATIONS, INC.

2022-002 Department of Health and Human ServicesFederal Financial Assistance Listing #93.498COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural DistributionApplicable Federal Award Number and Year ? Period 2 and Period 3 TIN #711018775Activities Allowed or Unallowed and Allowable Costs/Cost PrinciplesMaterial Weakness in Internal Control Over ComplianceReportingMaterial Weakness in Internal Control Over Compliance and Material NoncomplianceCriteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal controlover the federal award that provides assurance that the Organization is managing the federal award incompliance with federal statutes, regulations, and conditions of the federal award. The Organization selectedoption iii to calculate lost revenue, the alternative method, which consists of a comparison of actual results withvarious modifications during the period of availability to actual results in 2019, the year prior to the Pandemic.Condition: There was a lack of review and approval over Period 2 Provider Relief Funds lost revenue calculationand reporting. For Period 2 and Period 3, the Organization?s lost revenue calculation did not take intoconsideration applicable audit adjustments for fiscal years 2021 and 2022. In addition, the Period 2 lost revenueon the Special Report to HHS did not agree to the supporting documentation.Cause: The Organization did not have an internal control process in place to ensure review and approval of thelost revenue calculation claimed under the federal program and the report submitted to the Department ofHealth and Human Services (HHS) for Period 2. In addition, without the inclusion of the audit adjustments, therevenue included in the Period 2 and Period 3 was not materially correct.Effect: The lost revenue reported within the special report submitted to the Department of Health and HumanServices for Period 2 and Period 3 was overstated by $1,040,821 and $1,442,473, respectively when consideringthe audit adjustments by quarter.Questioned Costs: None reported. Lost revenues supported was in excess of the amounts received.Context/Sampling: Key line items were tested on the Period 2 and 3 HHS report. Four out of eight key lines hadvariances for Period 2 and six out of ten key lines had variances for Period 3.Repeat Finding from Prior Years: No Recommendation: We recommend that the Organization implement procedures to ensure the lost revenuecalculation claimed agrees to the supporting documentation, includes consideration of audit adjustments byquarter, and includes a secondary review and approval of the calculation.Views of Responsible Officials: Management agrees with the finding.