Audit 310873

FY End
2023-09-30
Total Expended
$4.89M
Findings
2
Programs
2
Year: 2023 Accepted: 2024-06-28

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
404097 2023-001 Material Weakness - ABL
980539 2023-001 Material Weakness - ABL

Contacts

Name Title Type
CHGEEXTCMRM9 Marie Castro Auditee
4322211523 Andrea Sartin Auditor
No contacts on file

Notes to SEFA

Title: 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, if any, 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 District 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 Midland County Hospital District (the District) 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 District, it is not intended to and does not present the financial position, changes in net position or cash flows of the District. The schedule includes the expenditures of the following entities: 1.) Midland County Hospital District (75-1584559) 2.) Premier Family I, Inc. (75-2656723)
Title: 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. Negative amounts, if any, 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 District has elected not 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 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, if any, shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years.
Title: 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. Negative amounts, if any, 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 District has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The District has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance.
Title: 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, if any, 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 District has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The District did not have any federal loan programs during the year ended September 30, 2023.
Title: FEMA Expenditures 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, if any, 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 District has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Non-federal entities must record expenditures for Federal Emergency Agency (FEMA) projects on the Schedule when: 1) FEMA has approved the non-federal entity’s project worksheet and, 2) the nonfederal entity has incurred eligible expenditures. The 2023 expenditures for Federal Assistance Listing Number 97.036 were incurred by the District prior to fiscal year 2023 and the project worksheet was approved in fiscal year 2023.

Finding Details

COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or specific requirement: Activities Allowed or Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622 and 623) and Reporting (45 CFR 75.342). Condition: The District included certain expenditures within the Period 4 reporting that were not eligible under HRSA guidelines. Questioned costs: $1,754,432 – Calculated as the value of reported utility and insurance expenditures that were not related to the District’s prevention, preparation and/or response to the COVID-19 pandemic. Context: The Period 4 Provider Relief Fund (PRF) report was submitted and included utility and insurance expenditures. These expenditures were not directly related to the prevention, preparation, or response to the COVID-19 pandemic as required by HRSA guidelines. Cause: Internal controls were not in place to ensure the District appropriately charged expenditures to this award as required by HRSA guidelines. Effect: The District submitted expenditures under the PRF program that were not directly related to the prevention, preparation, or response to the COVID-19 pandemic as required by HRSA guidelines. Identification as a repeat finding: N/A Recommendation: Policies and procedures over federal grant reporting should be modified to ensure distributions are utilized for expenses directly related to the prevention, preparation, and response to coronavirus as required. Views of responsible officials and planned corrective actions: See attached corrective action plan for the District’s response to finding.
COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or specific requirement: Activities Allowed or Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No. 116-139, 134 Stat. 622 and 623) and Reporting (45 CFR 75.342). Condition: The District included certain expenditures within the Period 4 reporting that were not eligible under HRSA guidelines. Questioned costs: $1,754,432 – Calculated as the value of reported utility and insurance expenditures that were not related to the District’s prevention, preparation and/or response to the COVID-19 pandemic. Context: The Period 4 Provider Relief Fund (PRF) report was submitted and included utility and insurance expenditures. These expenditures were not directly related to the prevention, preparation, or response to the COVID-19 pandemic as required by HRSA guidelines. Cause: Internal controls were not in place to ensure the District appropriately charged expenditures to this award as required by HRSA guidelines. Effect: The District submitted expenditures under the PRF program that were not directly related to the prevention, preparation, or response to the COVID-19 pandemic as required by HRSA guidelines. Identification as a repeat finding: N/A Recommendation: Policies and procedures over federal grant reporting should be modified to ensure distributions are utilized for expenses directly related to the prevention, preparation, and response to coronavirus as required. Views of responsible officials and planned corrective actions: See attached corrective action plan for the District’s response to finding.