Audit 309622

FY End
2023-12-19
Total Expended
$6.12M
Findings
2
Programs
10
Organization: Southeasthealth System, Inc. (MO)
Year: 2023 Accepted: 2024-06-24
Auditor: Forvis LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
401661 2023-001 Significant Deficiency - C
978103 2023-001 Significant Deficiency - C

Contacts

Name Title Type
GM3PJEN9NTK5 Krista Berry Auditee
5733316028 Jean Nyberg Auditor
No contacts on file

Notes to SEFA

Title: Note 1 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. The Health System has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. Additional note: All additional notes included in the reporting package must be entered in this section and will be automatically numbered sequentially by the IDES system as they are entered. The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal award activity of SoutheastHEALTH System, Inc. (the “Health System”), under programs of the federal government for the period from January 1, 2023 to December 19, 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 Health System, it is not intended to and does not present the financial position, results of operations, changes in net assets, or cash flows of the Health System.
Title: Note 2 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. The Health System has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. Additional note: All additional notes included in the reporting package must be entered in this section and will be automatically numbered sequentially by the IDES system as they are entered. Federal Direct Student Loan balances are not included in the Health System’s consolidated financial statements.  Loans disbursed during the year are included in federal expenditures presented in the Schedule.
Title: Note 3 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. The Health System has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. Additional note: All additional notes included in the reporting package must be entered in this section and will be automatically numbered sequentially by the IDES system as they are entered. Personal Protective Equipment (PPE) (Unaudited) – SoutheastHEALTH System, Inc. did not receive donated PPE from a federal source during the year ended December 19, 2023.

Finding Details

Criteria or Specific Requirement – Cash Management (2 CFR 200.305 (b)) Condition – The Organization drew down funds and determined later on these were not allowable expenditures. A subsequent draw down was reduced by the same amount during the audit period. Questioned Costs – None. Context – Out of a population of ten cash draws, a sample of two draws were selected for testing. The sampling methodology used is not and is not intended to be statistically valid. Of the two draws tested, one draw included a request for invoices which were determined later to not be allowable expenses, and a subsequent draw was reduced to offset the difference. Effect – The System's cash management system is not operating within the requirements determined by Department of Education (DOE). Cause – Management of the Organization does not have sufficient controls in place to ensure funds drawn in advance are allowable expenditures. Identification as a Repeat Finding – Not applicable. Recommendation - Management should review cash management processes and establish appropriate controls to ensure funds drawn are for allowable expenditures. Views of Responsible Officials and Planned Corrective Actions – We have since developed an organization policy for cash management for federally sponsored grant programs. SEH has provided and will continue to provide staff education on this policy in the future.
Criteria or Specific Requirement – Cash Management (2 CFR 200.305 (b)) Condition – The Organization drew down funds and determined later on these were not allowable expenditures. A subsequent draw down was reduced by the same amount during the audit period. Questioned Costs – None. Context – Out of a population of ten cash draws, a sample of two draws were selected for testing. The sampling methodology used is not and is not intended to be statistically valid. Of the two draws tested, one draw included a request for invoices which were determined later to not be allowable expenses, and a subsequent draw was reduced to offset the difference. Effect – The System's cash management system is not operating within the requirements determined by Department of Education (DOE). Cause – Management of the Organization does not have sufficient controls in place to ensure funds drawn in advance are allowable expenditures. Identification as a Repeat Finding – Not applicable. Recommendation - Management should review cash management processes and establish appropriate controls to ensure funds drawn are for allowable expenditures. Views of Responsible Officials and Planned Corrective Actions – We have since developed an organization policy for cash management for federally sponsored grant programs. SEH has provided and will continue to provide staff education on this policy in the future.