Audit 305210

FY End
2023-09-30
Total Expended
$14.13M
Findings
2
Programs
1
Year: 2023 Accepted: 2024-05-01
Auditor: Horne

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
395604 2023-001 Material Weakness - L
972046 2023-001 Material Weakness - L

Programs

ALN Program Spent Major Findings
93.498 Covid-19 Provider Relief Funds $14.13M Yes 1

Contacts

Name Title Type
NF98WD3BA738 Stuart Hill Auditee
5013804655 Zach Wilson 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. Any 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: The Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying Schedule of Expenditures of Federal Awards (the "Schedule") includes the federal grant activity of White County Medical Center d/b/a Unity Health (the "Medical Center") under programs of the federal government for the year ended September 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 Medical Center, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Medical Center.
Title: Note 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. Any 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: The Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. 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. Any 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.
Title: Note 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. Any 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: The Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.

Finding Details

Criteria: In order for management and the Board of Directors to effectively manage the Medical Center, the internal and year-end financial statement information must be complete, accurate and prepared in a timely manner. Effective reviews over the transactions must be in place to ensure material transactions are appropriately recorded in the financial statements. Condition: Our audit procedures revealed that there was a breakdown in the systematic method of ensuring that timely and complete monthly reconciliation and closing procedures take place. As a result, material adjustments were made to investments and net patient accounts receivable during the audit. Cause: Various general ledger accounts were not reconciled, analyzed and/or adjusted in a timely manner. Effect: The Medical Center’s consolidated financial statements contained material misstatements which were corrected during the audit process. The Medical Center’s monthly and year-end internal financial statements were not accurate.
Criteria: In order for management and the Board of Directors to effectively manage the Medical Center, the internal and year-end financial statement information must be complete, accurate and prepared in a timely manner. Effective reviews over the transactions must be in place to ensure material transactions are appropriately recorded in the financial statements. Condition: Our audit procedures revealed that there was a breakdown in the systematic method of ensuring that timely and complete monthly reconciliation and closing procedures take place. As a result, material adjustments were made to investments and net patient accounts receivable during the audit. Cause: Various general ledger accounts were not reconciled, analyzed and/or adjusted in a timely manner. Effect: The Medical Center’s consolidated financial statements contained material misstatements which were corrected during the audit process. The Medical Center’s monthly and year-end internal financial statements were not accurate.