Audit 311013

FY End
2023-09-30
Total Expended
$5.19M
Findings
2
Programs
2
Year: 2023 Accepted: 2024-06-28

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
404253 2023-001 Material Weakness Yes L
980695 2023-001 Material Weakness Yes L

Contacts

Name Title Type
HBNGEG1CNFE1 Alma Alexander Auditee
3612756191 Cheyenne Tanner 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 DeWitt Medical District d/b/a Cuero Regional Hospital (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.
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.

Finding Details

COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria: Reporting (45 CFR 75.342) Condition: The District is required to prepare and submit the Period 4 Provider Relief Fund report to the U.S. Department of Health and Human Services. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned costs: None. Context: The Period 4 Provider Relief Fund report was tested. The District selected option 3 to report lost revenues based on quarterly actual amounts. An error in the input of lost revenues in one quarter reported was identified that resulted in lost revenues being overstated by $780,356. After correcting the error, there is sufficient lost revenue to cover amounts received and as such, there are no questioned costs. Cause: Internal controls over compliance were not in place to ensure the District properly input lost revenue in their report under option 3. Effect: Errors were made in input of quarterly lost revenue. Lost revenue was not accurately reported. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Identification as a repeat finding: This is a repeat finding. See 2022-001. Views of responsible officials and planned corrective actions: Management agrees with the finding. This is a repeat finding due to the Period 4 Provider Relief Fund report being submitted prior to completion of the 2022 Single Audit. Policies and procedures over federal grant reporting will be modified to ensure reports are prepared using complete and accurate information. We will increase compensating controls by introducing additional oversight and review for future COVID-19 Provider Relief Fund reporting. Lynn Falcone, CEO, will be responsible to ensure this is accomplished. The corrective action plan will be implemented by September 30, 2024.
COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria: Reporting (45 CFR 75.342) Condition: The District is required to prepare and submit the Period 4 Provider Relief Fund report to the U.S. Department of Health and Human Services. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned costs: None. Context: The Period 4 Provider Relief Fund report was tested. The District selected option 3 to report lost revenues based on quarterly actual amounts. An error in the input of lost revenues in one quarter reported was identified that resulted in lost revenues being overstated by $780,356. After correcting the error, there is sufficient lost revenue to cover amounts received and as such, there are no questioned costs. Cause: Internal controls over compliance were not in place to ensure the District properly input lost revenue in their report under option 3. Effect: Errors were made in input of quarterly lost revenue. Lost revenue was not accurately reported. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Identification as a repeat finding: This is a repeat finding. See 2022-001. Views of responsible officials and planned corrective actions: Management agrees with the finding. This is a repeat finding due to the Period 4 Provider Relief Fund report being submitted prior to completion of the 2022 Single Audit. Policies and procedures over federal grant reporting will be modified to ensure reports are prepared using complete and accurate information. We will increase compensating controls by introducing additional oversight and review for future COVID-19 Provider Relief Fund reporting. Lynn Falcone, CEO, will be responsible to ensure this is accomplished. The corrective action plan will be implemented by September 30, 2024.