FAC Explorer

Audit 300395

FY End
2023-06-30
Total Expended
$2.37M
Findings
2
Programs
1
Organization: Nevada Regional Medical Center (MO)
Year: 2023 Accepted: 2024-03-29
Auditor: Forvis LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
389449 2023-002 - - L
965891 2023-002 - - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $2.37M Yes 1

Contacts

Name Title Type
KDQCKGFPP929 Michael Jones Auditee
4174483623 David Taylor Auditor
No contacts on file

Notes to SEFA

Title: Note 1: Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Nevada City Hospital, d/b/a Nevada Regional Medical Center, has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal award activity of Nevada City Hospital, d/b/a Nevada Regional Medical Center, 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 Nevada City Hospital, d/b/a Nevada Regional Medical Center, it is not intended to and does not present the financial position, changes in financial position, or cash flows of Nevada City Hospital, d/b/a Nevada Regional Medical Center.
Title: Note 4: Federal Loan Programs Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Nevada City Hospital, d/b/a Nevada Regional Medical Center, has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Nevada City Hospital, d/b/a Nevada Regional Medical Center, did not have any federal loan programs during the year ended June 30, 2023.
Title: Note 5: Personal Protective Equipment (PPE) (Unaudited) Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Nevada City Hospital, d/b/a Nevada Regional Medical Center, has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Nevada City Hospital, d/b/a Nevada Regional Medical Center, did not receive any federally donated Personal Protective Equipment during the year ended June 30, 2023.

Finding Details

Finding 2023-002
Provider Relief Funds ALN No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement – Reporting (45 CFR 75.342) Condition – The Medical Center is required to prepare and submit period 4 provider relief fund reporting. This report is to be prepared using accurate financial information submitted by the deadline established. Questioned Costs – None Context – The period 4 provider relief fund report was tested. The Medical Center reported expenditures for the American Rescue Plan (ARP) Rural payment and expenditures for Other Provider Relief Fund payments. In addition, the Medical Center selected option iii to report lost revenues. Amounts reported for eight of the fourteen attributes tested for the period 4 report were not calculated accurately. Effect – Errors were made in reporting total lost revenues. These errors did not result in a change in the usage of the provider relief fund payments. Cause – The Medical Center did not correctly report the total lost revenues. Identification as a Repeat Finding – Not a repeat finding. Recommendation – Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information.
Finding 2023-002
Provider Relief Funds ALN No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement – Reporting (45 CFR 75.342) Condition – The Medical Center is required to prepare and submit period 4 provider relief fund reporting. This report is to be prepared using accurate financial information submitted by the deadline established. Questioned Costs – None Context – The period 4 provider relief fund report was tested. The Medical Center reported expenditures for the American Rescue Plan (ARP) Rural payment and expenditures for Other Provider Relief Fund payments. In addition, the Medical Center selected option iii to report lost revenues. Amounts reported for eight of the fourteen attributes tested for the period 4 report were not calculated accurately. Effect – Errors were made in reporting total lost revenues. These errors did not result in a change in the usage of the provider relief fund payments. Cause – The Medical Center did not correctly report the total lost revenues. Identification as a Repeat Finding – Not a repeat finding. Recommendation – Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information.