Audit 322618

FY End
2023-12-31
Total Expended
$4.01M
Findings
2
Programs
8
Organization: Arnot Ogden Medical Center (NY)
Year: 2023 Accepted: 2024-09-30
Auditor: Bonadio & CO LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
499773 2023-001 Significant Deficiency - L
1076215 2023-001 Significant Deficiency - L

Programs

Contacts

Name Title Type
EU7HYNNFBMA5 Elyse Bellinger Auditee
6077354507 Aimee Jozic Auditor
No contacts on file

Notes to SEFA

Title: GENERAL Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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. De Minimis Rate Used: N Rate Explanation: The Organization does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance. The accompanying Schedule of Expenditures of Federal Awards (the Schedule) has been prepared in accordance with accounting principles generally accepted in the United States of America. Amounts included in the Schedule are actual expenditures for the year ended December 31, 2023. The accompanying Schedule presents the activity of all federal award programs of Arnot Health, Inc. (the Organization). 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 Organization’s operations, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Organization.
Title: BASIS OF ACCOUNTING Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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. De Minimis Rate Used: N Rate Explanation: The Organization does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance. Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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.
Title: INDIRECT COSTS Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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. De Minimis Rate Used: N Rate Explanation: The Organization does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance. The Organization does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance.
Title: PROVIDER RELIEF FUNDS Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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. De Minimis Rate Used: N Rate Explanation: The Organization does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance. The Schedule includes grant activity related to the Department of Health and Human Services (HHS) Provider Relief Fund and American Rescue Plan (ARP) Distribution Assistance Listing Number 93.448. As required based on guidance in the 2023 OMB Compliance Supplement, the Schedule includes all Period 5 funds received between January 1, 2022 to June 30, 2022 and expended by June 30, 2023 as reported to HHS via the Provider Relief Funding Reporting Portal. Given the timing covered by Period 5, certain expenses were reflected in the organization’s 2022 consolidated financial statements. Additionally, lost revenue does not represent an expenditure in the Organization’s consolidated financial statements and thus is a reconciling item between the federal expenses in the Organization’s consolidated financial statements and amount included on the Schedule.

Finding Details

Condition The Organization received Provider Relief Funds (PRF) of $3,225,365 within the period of January 1, 2022 to June 30, 2022. However, $402,814 of these funds received by Arnot Medical Services (AMS) were not included in the original Schedule of Expenditures of Federal Awards (SEFA) produced by the Organization, nor the Period 5 reporting that was required to be submitted to Health Resources and Services Administration (HRSA). The Tax Identification Number (TIN) of AMS was included in the Period 5 report, but the dollar amount received did not populate during report submission and was omitted. Criteria The Organization is required to submit Period 5 PRF reports to HRSA covering funds received during the period January 1, 2022 through July 31, 2022. The report requires the Organization to account for and certify that eligible expenses and lost revenues are used to determine proper usage and recognition of funds. Cause The payments that were excluded from the report submitted to HRSA and from the SEFA were general distribution payments that were received by a subsidiary of the Organization. The report submitted by the Organization identified that it was reporting on this subsidiary’s general distribution payments. However, management did not report on these funds or include these funds in the Organization’s SEFA. Effect The Organization did not comply with reporting regulations required by the Department of Health and Human Services as the Organization’s report submitted to HRSA is incomplete and the Organization’s 2023 SEFA was misstated.
Condition The Organization received Provider Relief Funds (PRF) of $3,225,365 within the period of January 1, 2022 to June 30, 2022. However, $402,814 of these funds received by Arnot Medical Services (AMS) were not included in the original Schedule of Expenditures of Federal Awards (SEFA) produced by the Organization, nor the Period 5 reporting that was required to be submitted to Health Resources and Services Administration (HRSA). The Tax Identification Number (TIN) of AMS was included in the Period 5 report, but the dollar amount received did not populate during report submission and was omitted. Criteria The Organization is required to submit Period 5 PRF reports to HRSA covering funds received during the period January 1, 2022 through July 31, 2022. The report requires the Organization to account for and certify that eligible expenses and lost revenues are used to determine proper usage and recognition of funds. Cause The payments that were excluded from the report submitted to HRSA and from the SEFA were general distribution payments that were received by a subsidiary of the Organization. The report submitted by the Organization identified that it was reporting on this subsidiary’s general distribution payments. However, management did not report on these funds or include these funds in the Organization’s SEFA. Effect The Organization did not comply with reporting regulations required by the Department of Health and Human Services as the Organization’s report submitted to HRSA is incomplete and the Organization’s 2023 SEFA was misstated.