Audit 29959

FY End
2022-04-30
Total Expended
$35.11M
Findings
2
Programs
3
Year: 2022 Accepted: 2023-01-30
Auditor: Forvis LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
34939 2022-001 Material Weakness - L
611381 2022-001 Material Weakness - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $28.99M Yes 1
93.461 Covid-19 Testing for the Uninsured $6.11M Yes 0
93.301 Small Rural Hospital Improvement Grant Program $6,000 - 0

Contacts

Name Title Type
VEJRF3T7SXQ6 John Milazzo Auditee
9124667058 Daron Tarlton Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported in the SEFA are reported on the accrual basis of accounting. Such expenditures arerecognized following the cost principles contained in Uniform Guidance, wherein certain types ofexpenditures are not allowable or are limited as to reimbursement.As outlined in the July 2021 OMB Compliance Supplement, the amounts reported in the accompanyingSEFA related to the Provider Relief Fund (PRF) are reported based upon the PRF reporting portalsubmission guidelines established by the Health Resource and Service Administration (HRSA). Separatereporting periods were established by HRSA based on the dates of receipt of PRF payments. Eachreporting period has a specific period of availability which begins on January 1, 2020 and extends throughspecified deadlines, as indicated for Periods 1 through 5 below:The accompanying SEFA includes those qualifying expenditures that were reported in the HRSA PRF portalfor Periods 1 and 2. The System recognized PRF payments of $9,006,332 and $19,982,000 as revenue inits consolidated financial statements during the fiscal years ended April 30, 2022, and 2021, respectively. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activityof Southeast Georgia Health System, Inc. (the System) for the year ended April 30, 2022. The informationin this SEFA is presented in accordance with the requirements of Title 2 US Code of Federal RegulationsPart 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for FederalAwards (Uniform Guidance). All federal awards received directly and indirectly from federal agencies arereported in the accompanying SEFA. Because the SEFA presents only a selected portion of the operationsof the System, it is not intended to and does not present the financial position, changes in net assets orcash flows of the System.

Finding Details

Section III: Findings and Questioned Costs Related to the Audit of Federal Awards Finding 2022-001 Material Weakness and Material Noncompliance over Reporting Assistance Listing 93.498 Criteria: The Department of Health and Human Services provided terms and conditions associated with the Provider Relief Fund (?PRF?). The use of the PRF distributions is required to be reported to the Department of Health and Human Services by recipients through the PRF reporting portal by calendar quarter and by nature and/or function. Management should have effectively designed controls in place to prevent, or detect and correct, material noncompliance with the reporting requirements of PRF. Condition: Management submitted expenses through the Department of Health and Human Services PRF reporting portal that did not reconcile to the underlying expense details by calendar quarter and by nature and/or function as provided by management, and therefore did not comply with PRF reporting requirements. Management?s process for reporting through the PRF portal lacked effective controls to prevent, or detect and correct, such reporting noncompliance on a timely basis. Cause: Effective controls were not designed and implemented sufficient to prevent, or detect and correct, inaccurate reporting and classification of coronavirus-related expenses by calendar quarter and by nature and/or function to the Department of Health and Human Services through the PRF reporting portal. Effect: Inaccurate information was reported through the Department of Health and Human Services PRF reporting portal with respect to classification of expenses by calendar quarter and by nature and/or function, resulting in material noncompliance with PRF reporting requirements. Questioned Costs: N/A Context: For PRF reporting periods 1 and 2, which include periods of availability that ended during the System?s fiscal year ended April 30, 2022, management reported through the PRF reporting portal healthcare related expenses totaling $9,775,041, and general and administrative expenses totaling $19,213,291. The results of audit procedures determined that the entire $28,988,332 in expenses should have been classified as general and administrative during PRF reporting periods 1 and 2. Identification of Prior Year Audit Findings: N/A Auditor?s Recommendation: Effective controls over compliance should be implemented to ensure the classification of allowable costs reported to the Department of Health and Human Services through the PRF reporting portal is accurate with respect to calendar quarter and nature and/or function, and in compliance with PRF reporting requirements. Views of responsible officials: Management agrees with the findings and will implement controls to ensure future PRF reporting compliance. See management?s Corrective Action Plan.
Section III: Findings and Questioned Costs Related to the Audit of Federal Awards Finding 2022-001 Material Weakness and Material Noncompliance over Reporting Assistance Listing 93.498 Criteria: The Department of Health and Human Services provided terms and conditions associated with the Provider Relief Fund (?PRF?). The use of the PRF distributions is required to be reported to the Department of Health and Human Services by recipients through the PRF reporting portal by calendar quarter and by nature and/or function. Management should have effectively designed controls in place to prevent, or detect and correct, material noncompliance with the reporting requirements of PRF. Condition: Management submitted expenses through the Department of Health and Human Services PRF reporting portal that did not reconcile to the underlying expense details by calendar quarter and by nature and/or function as provided by management, and therefore did not comply with PRF reporting requirements. Management?s process for reporting through the PRF portal lacked effective controls to prevent, or detect and correct, such reporting noncompliance on a timely basis. Cause: Effective controls were not designed and implemented sufficient to prevent, or detect and correct, inaccurate reporting and classification of coronavirus-related expenses by calendar quarter and by nature and/or function to the Department of Health and Human Services through the PRF reporting portal. Effect: Inaccurate information was reported through the Department of Health and Human Services PRF reporting portal with respect to classification of expenses by calendar quarter and by nature and/or function, resulting in material noncompliance with PRF reporting requirements. Questioned Costs: N/A Context: For PRF reporting periods 1 and 2, which include periods of availability that ended during the System?s fiscal year ended April 30, 2022, management reported through the PRF reporting portal healthcare related expenses totaling $9,775,041, and general and administrative expenses totaling $19,213,291. The results of audit procedures determined that the entire $28,988,332 in expenses should have been classified as general and administrative during PRF reporting periods 1 and 2. Identification of Prior Year Audit Findings: N/A Auditor?s Recommendation: Effective controls over compliance should be implemented to ensure the classification of allowable costs reported to the Department of Health and Human Services through the PRF reporting portal is accurate with respect to calendar quarter and nature and/or function, and in compliance with PRF reporting requirements. Views of responsible officials: Management agrees with the findings and will implement controls to ensure future PRF reporting compliance. See management?s Corrective Action Plan.