Audit 302147

FY End
2023-06-30
Total Expended
$3.53M
Findings
2
Programs
1
Year: 2023 Accepted: 2024-04-01
Auditor: Kpmg LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
391985 2023-002 Material Weakness - L
968427 2023-002 Material Weakness - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $3.53M Yes 1

Contacts

Name Title Type
RQ2HY5DC8AC1 David Sunstrom Auditee
8433101125 Kelsey Reynolds Auditor
No contacts on file

Notes to SEFA

Title: (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. De Minimis Rate Used: Y Rate Explanation: The Association has elected 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 the Association of CHRMC (Children’s Hospital and Regional Medical Center) and University Physicians (collectively, the Association) under programs of the federal government for the year ended June 30, 2021. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200 (2 CFR 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 Association, it is not intended to and does not present the balance sheet, statements of revenues, expenses, and changes in net assets, or cash flows of the Association.
Title: (2) Summary of Significant Accounting Policies 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. De Minimis Rate Used: Y Rate Explanation: The Association has elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expendituresare recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement.
Title: (3) Indirect Cost Rate 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. De Minimis Rate Used: Y Rate Explanation: The Association has elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. The Association has elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
Title: (4) Personal Protective Equiment Receipts (unauditited) 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. De Minimis Rate Used: Y Rate Explanation: The Association has elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. The Association has not received any donated personal protective equipment (PPE) from various governmental entities.

Finding Details

Finding #2023-002 Program Information Federal Program: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ALN: 93.498 Federal Agency: United States Department of Health and Human Services Pass-through entity: None Criteria Under the requirements of 2 CFR 200.303 the entity must establish and maintain effective internal controls over federal awards that provides reasonable assurance that the entity is in compliance with federal statues, regulation, and terms and conditions of the Federal award. Under the requirements of the PRF program reporting for an entity that uses option 1 to calculate lost revenues, the entity must report quarterly actual revenue/net charges from patient care. Condition For ALN 93.498, the actual total revenues for the quarter ended June 30, 2023 reported on the PRF period 5 submission do not agree to underlying accounting records for fiscal year ended June 30, 2023 by approximately $1,768,704. This difference affects the amount of revenues reported but does not affect other data within the report, including the amount of PRF funds received that were utilized. Cause The related control in not designed with sufficient precision to ensure actual quarterly total revenues reported agree to underlying accounting records. Effect The amount reported for the actual total revenues for the quarter ended June 30, 2023 on the PRF period 5 submission does not agree to underlying records by approximately $1,768,704. Questioned Costs None Sample Statistically Valid The sample was not intended to be, and was not, a statistically valid sample. Repeat Finding No Recommendation We recommend that management revise their control to ensure that reported actual quarterly total revenues agree to underlying accounting records. Views of Responsible Officials Management of the Association agrees with the findings contained herein.
Finding #2023-002 Program Information Federal Program: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ALN: 93.498 Federal Agency: United States Department of Health and Human Services Pass-through entity: None Criteria Under the requirements of 2 CFR 200.303 the entity must establish and maintain effective internal controls over federal awards that provides reasonable assurance that the entity is in compliance with federal statues, regulation, and terms and conditions of the Federal award. Under the requirements of the PRF program reporting for an entity that uses option 1 to calculate lost revenues, the entity must report quarterly actual revenue/net charges from patient care. Condition For ALN 93.498, the actual total revenues for the quarter ended June 30, 2023 reported on the PRF period 5 submission do not agree to underlying accounting records for fiscal year ended June 30, 2023 by approximately $1,768,704. This difference affects the amount of revenues reported but does not affect other data within the report, including the amount of PRF funds received that were utilized. Cause The related control in not designed with sufficient precision to ensure actual quarterly total revenues reported agree to underlying accounting records. Effect The amount reported for the actual total revenues for the quarter ended June 30, 2023 on the PRF period 5 submission does not agree to underlying records by approximately $1,768,704. Questioned Costs None Sample Statistically Valid The sample was not intended to be, and was not, a statistically valid sample. Repeat Finding No Recommendation We recommend that management revise their control to ensure that reported actual quarterly total revenues agree to underlying accounting records. Views of Responsible Officials Management of the Association agrees with the findings contained herein.