Audit 297187

FY End
2023-06-30
Total Expended
$8.41M
Findings
2
Programs
9
Year: 2023 Accepted: 2024-03-25

Organization Exclusion Status:

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Contacts

Name Title Type
JL8GKB2LKVT6 Zhanna Crabtree Auditee
3047342040 Justin Schumaker Auditor
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Notes to SEFA

Title: BASIS OF PRESENTATION Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of expenditures associated with the U.S. Department of Health and Human Services (HHS) Provider Relief Fund and American Rescue Plan (ARP) Rural Distributions and a portion of the U.S. Department of Agriculture (USDA) Community Facilities Loans and Grants. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Pass-through entity identifying numbers are presented where available. For the awards related to the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution program (PRF), the HHS has indicated the amounts on the Schedule be reported corresponding to reporting requirements of the Health Resources and Services Administration (HRSA) PRF Reporting Portal. Payments from the HHS for PRF are assigned to 'Payment Received Periods' (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Period's deadline to use the funds (i.e., after the end of the Period of Availability). The Schedule includes $275,972 received from the HHS between July 1, 2021 and December 31, 2021. In accordance with guidance from the HHS, these amounts were presented as Period 4. Such amounts were recognized as other operating revenue in the Organization’s financial statements in the years ended June 30, 2022 and 2023. The tax identification number of the Organization is 550709223. For the awards related to the U.S. Department of Agriculture Community Facilities Loans and Grants the USDA has indicated that the amount of outstanding loans issued under the Community Facilities Loans and Grants must be included in the borrowers Schedule. De Minimis Rate Used: N Rate Explanation: The Organization has not elected to use the 10% de minimis indirect cost rate. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Cabin Creek Health Systems, Inc. (the Organization) under programs of the federal government for the year ended June 30, 2023. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the financial position, changes in net position or cash flows of the Organization.
Title: LOAN AND LOAN GUARANTEE PROGRAMS Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of expenditures associated with the U.S. Department of Health and Human Services (HHS) Provider Relief Fund and American Rescue Plan (ARP) Rural Distributions and a portion of the U.S. Department of Agriculture (USDA) Community Facilities Loans and Grants. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Pass-through entity identifying numbers are presented where available. For the awards related to the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution program (PRF), the HHS has indicated the amounts on the Schedule be reported corresponding to reporting requirements of the Health Resources and Services Administration (HRSA) PRF Reporting Portal. Payments from the HHS for PRF are assigned to 'Payment Received Periods' (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Period's deadline to use the funds (i.e., after the end of the Period of Availability). The Schedule includes $275,972 received from the HHS between July 1, 2021 and December 31, 2021. In accordance with guidance from the HHS, these amounts were presented as Period 4. Such amounts were recognized as other operating revenue in the Organization’s financial statements in the years ended June 30, 2022 and 2023. The tax identification number of the Organization is 550709223. For the awards related to the U.S. Department of Agriculture Community Facilities Loans and Grants the USDA has indicated that the amount of outstanding loans issued under the Community Facilities Loans and Grants must be included in the borrowers Schedule. De Minimis Rate Used: N Rate Explanation: The Organization has not elected to use the 10% de minimis indirect cost rate. The Schedule includes $1,422,408 received from the USDA. In accordance with guidance from the USDA, these amounts represent $1,422,408 in outstanding loans at the beginning of the audit period (i.e., the June 30, 2023, balance). There were no interest subsidies, cash, administrative cost allowances or new loans made or received during the year ended June 30, 2023 (the audit period covered by the Schedule). The balance of the loan as of June 30, 2023 amounted to $1,294,440.

Finding Details

Federal Program: Community Facilities Loans and Grants Cluster: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Federal Agency: U.S. Department of Agriculture Pass-through Agency: N/A Award Number: N/A Award Year: 2023 Compliance Requirement: Special Tests and Provisions Questioned Costs: None Criteria: Section 4.5 of the USDA's Community Facilities Loan Agreement stipulates that the borrower must maintain a debt service reserve account with monthly deposits of $1,117 each month until there is an accumulated sum $133,980. Condition and Context: The Organization did not remit funds to the debt service reserve account for the year end 2023 and the account had a balance of $71,030 at year end. The Organization did not have sufficient internal controls in place to monitor on-going compliance with the loan agreement. Effect: The Organization has failed to comply with the terms of the debt covenants. Cause: The Organization did not have sufficient internal controls in place to monitor on-going compliance with the loan agreement. Recommendation: We recommend that management implement procedures to ensure that all grant and loan agreements are reviewed on an on-going basis and that compliance requirements are recorded and tracked to ensure on-going compliance. View of Responsible Officials: Management agrees with this finding and has implemented controls to monitor on-going compliance with both financial and non-financial covenants. Additionally, when management became aware of the non-compliance, a payment was made to the debt service account in July 2023 for the 2023 missed payments.
Federal Program: Community Facilities Loans and Grants Cluster: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Federal Agency: U.S. Department of Agriculture Pass-through Agency: N/A Award Number: N/A Award Year: 2023 Compliance Requirement: Special Tests and Provisions Questioned Costs: None Criteria: Section 4.5 of the USDA's Community Facilities Loan Agreement stipulates that the borrower must maintain a debt service reserve account with monthly deposits of $1,117 each month until there is an accumulated sum $133,980. Condition and Context: The Organization did not remit funds to the debt service reserve account for the year end 2023 and the account had a balance of $71,030 at year end. The Organization did not have sufficient internal controls in place to monitor on-going compliance with the loan agreement. Effect: The Organization has failed to comply with the terms of the debt covenants. Cause: The Organization did not have sufficient internal controls in place to monitor on-going compliance with the loan agreement. Recommendation: We recommend that management implement procedures to ensure that all grant and loan agreements are reviewed on an on-going basis and that compliance requirements are recorded and tracked to ensure on-going compliance. View of Responsible Officials: Management agrees with this finding and has implemented controls to monitor on-going compliance with both financial and non-financial covenants. Additionally, when management became aware of the non-compliance, a payment was made to the debt service account in July 2023 for the 2023 missed payments.