FAC Explorer

Audit 317629

FY End
2023-12-31
Total Expended
$13.04M
Findings
2
Programs
3
Organization: Goshen Medical Center, Inc. (NC)
Year: 2023 Accepted: 2024-08-21
Auditor: Nunn Brashear & Uzzell P A

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
484741 2023-001 - Yes E
1061183 2023-001 - Yes E

Programs

ALN Program Spent Major Findings
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $12.56M Yes 1
10.766 Community Facilities Loans and Grants $257,744 - 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $225,733 - 0

Contacts

Name Title Type
GZL5M9553K16 Ryan Beddingfield Auditee
9102672057 Danna Layne, CPA Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: See Form Tab De Minimis Rate Used: N Rate Explanation: N/A The SEFSA inclused federal and State grant activity under the programs of the federal government and the State of NC for the year ended December 31, 2023. The information is presented in accordance with the Title 2 US Code of Federal Regulations Part 200 and the State Single Audit Act. Because the SEFSA presents only a selected portion of the operations, it is not intended to and does not represent the financial position, changes in net position or cash flows.
Title: Summary of Accounting Policies Accounting Policies: See Form Tab De Minimis Rate Used: N Rate Explanation: N/A Expenditures are reported on the accrual basis of accounting. Goshen Medical Center has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Cluster of Programs Accounting Policies: See Form Tab De Minimis Rate Used: N Rate Explanation: N/A Health Center Program Cluster

Finding Details

Finding 2023-001
75 applications at 3 locations were tested. Eleven errors were found, 7 incorrect calculations of income, fees would not change and 4 incorrect calculations where fees would change. GMC has responsibility of ensuring proper billing of patient services that are supplemented by the federal government. Findings had various effects depending on the issues noted above. In most instances where fees would change, more income would be due to Goshen from patients. Applicagtion calculations were not checked by another employee. Procedures and standards inconsistently followed. Review process of the sliding fee scale application should include a recalculation by the site leader. Front desk employees should receive continuing education classes. Management concurs.
Finding 2023-001
75 applications at 3 locations were tested. Eleven errors were found, 7 incorrect calculations of income, fees would not change and 4 incorrect calculations where fees would change. GMC has responsibility of ensuring proper billing of patient services that are supplemented by the federal government. Findings had various effects depending on the issues noted above. In most instances where fees would change, more income would be due to Goshen from patients. Applicagtion calculations were not checked by another employee. Procedures and standards inconsistently followed. Review process of the sliding fee scale application should include a recalculation by the site leader. Front desk employees should receive continuing education classes. Management concurs.