Audit 342521

FY End
2023-12-31
Total Expended
$913,557
Findings
2
Programs
1
Year: 2023 Accepted: 2025-02-14
Auditor: Galindez LLC

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
523264 2023-001 Significant Deficiency Yes L
1099706 2023-001 Significant Deficiency Yes L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $913,557 Yes 1

Contacts

Name Title Type
Q1WEJ6M7N2R9 Jose Gratacos Auditee
7876580000 Henry Flores Auditor
No contacts on file

Notes to SEFA

Title: Note 1 - Basis of Presentation Accounting Policies: a. The Schedule is prepared from the Hospital’s accounting records and is not intended to present its financial position or the results of its operations. b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America. c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first. d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement. e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: n/a The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of Hospital Comunitario Buen Samaritano, Inc. (the Hospital), under programs of the federal government for the year ended December 31, 2023. The information included in the Schedule is prepared in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (the Uniform Guidance). Therefore, some amounts presented in the Schedule may differ from amounts presented in or used in the preparation of the financial statements of the Hospital. Because the Schedule presents only a selected portion of the operations of the Hospital, it is not intended to, and does not, present the financial position, results of operations and cash flows of the Hospital. Funds received from the federal programs, as detailed in the Schedule, are included as grants revenue in the statement of operations and changes in net assets for the year ended on December 31, 2022 (See Note 5 to the Schedule).
Title: Note 2 - Summary of Significant Accounting Policies Accounting Policies: a. The Schedule is prepared from the Hospital’s accounting records and is not intended to present its financial position or the results of its operations. b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America. c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first. d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement. e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: n/a a. The Schedule is prepared from the Hospital’s accounting records and is not intended to present its financial position or the results of its operations. b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America. c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first. d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement. e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Note 3 - Assistance Listing Number (ALN) Accounting Policies: a. The Schedule is prepared from the Hospital’s accounting records and is not intended to present its financial position or the results of its operations. b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America. c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first. d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement. e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: n/a The Assistance Listing Number (ALN) included in the Schedule are determined based on the program name, review of grant contract information and the public descriptions of federal assistance listings published by the U.S. Government on sam.gov.
Title: Note 4 - Major Federal Program Accounting Policies: a. The Schedule is prepared from the Hospital’s accounting records and is not intended to present its financial position or the results of its operations. b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America. c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first. d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement. e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: n/a The major federal program is identified in the Summary of Auditors’ Results Section in the Schedule of Findings and Questioned Costs. The federal program is presented by federal agency.
Title: Note 5 - Provider Relief Fund Accounting Policies: a. The Schedule is prepared from the Hospital’s accounting records and is not intended to present its financial position or the results of its operations. b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America. c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first. d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement. e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: n/a During the year ended December 31, 2022, the Hospital received grants under the Provider Relief Fund (PRF) amounting to $913,557. Such funds were used by the Hospital for allowable activities under the program requirements during fiscal year 2022, and accordingly, were recorded as revenue and expense during 2022. The PRF is administered by the Health Resources and Services Administration (HRSA) and provides relief funds to hospitals and other healthcare providers involved in the COVID-19 response. The funding supports healthcare related expenses or lost revenue attributable to COVID-19. As provided by the 2023 OMB Compliance Supplement (the 2023 Compliance Supplement), due to delays in the launch of HRSA’s PRF reporting portal, PRF funds received during the year ended December 31, 2022, and expended during the fiscal year ended December 31, 2022 fall within the HRSA reporting period 5, and accordingly, should be included in the Schedule for the fiscal year ended December 31, 2023. As such, the Schedule includes the PRF funds received during the year ended 2022 and reported by the Hospital during the year ended December 31, 2023 for the amount of $913,557.

Finding Details

Finding No. 2023-001 – Reporting - Late filing of data collection form and reporting package Federal Programs Assistance Listing Number 93.498 – COVID -19 Provider Relief Fund Name of Federal Agency U.S. Department of Health and Human Services Category Internal Control/Compliance; Significant Deficiency Criteria 2 CFR 200.512 (a) (1) establishes that the audit must be completed, and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditors' report(s), or nine months after the end of the audit period. Condition The Hospital did not submit the required data collection form and reporting package within the required period of September 30, 2024 (9 months after the end of fiscal year). Cause This condition was caused by the fact that the financial statements, which are part of the reporting package, were not ready to be released by the required date of September 30, 2024 (9 months after the end of fiscal year). Finding No. 2023-001 – Reporting - Late filing of data collection form and reporting package – (continued) Effect Federal grantors were prevented from being informed on a timely basis of the current audit findings and results. Consequently, any action, further requirements or support from the federal grantor could not be executed on a timely basis or at all. Context No context for this finding since this is a single audit annual reporting requirement to submit the Data Collection Form and the Reporting Package to the Federal Audit Clearinghouse. Identification of a repeat finding Yes. This is an immediate repeat of prior year finding 2022-001. Questioned costs None Recommendation The single audit reporting package must be submitted within the required due dates. Also, we strongly suggest that the accounting department take the steps necessary to ensure that senior management receives current and accurate financial information on a timely basis. Enhancing communication and coordination between departments involved in financial reporting to ensure that necessary data and approvals are obtained without delay. Reviewing and updating internal policies for timely financial statement preparation, including resource allocation and responsibility assignments, with regular oversight by senior management. Views of responsible officials and planned corrective actions The Hospital’s management agrees with this finding. Please refer to the corrective action plan on page 40.
Finding No. 2023-001 – Reporting - Late filing of data collection form and reporting package Federal Programs Assistance Listing Number 93.498 – COVID -19 Provider Relief Fund Name of Federal Agency U.S. Department of Health and Human Services Category Internal Control/Compliance; Significant Deficiency Criteria 2 CFR 200.512 (a) (1) establishes that the audit must be completed, and the data collection form described in paragraph (b) of this section and reporting package described in paragraph (c) of this section must be submitted within the earlier of 30 calendar days after receipt of the auditors' report(s), or nine months after the end of the audit period. Condition The Hospital did not submit the required data collection form and reporting package within the required period of September 30, 2024 (9 months after the end of fiscal year). Cause This condition was caused by the fact that the financial statements, which are part of the reporting package, were not ready to be released by the required date of September 30, 2024 (9 months after the end of fiscal year). Finding No. 2023-001 – Reporting - Late filing of data collection form and reporting package – (continued) Effect Federal grantors were prevented from being informed on a timely basis of the current audit findings and results. Consequently, any action, further requirements or support from the federal grantor could not be executed on a timely basis or at all. Context No context for this finding since this is a single audit annual reporting requirement to submit the Data Collection Form and the Reporting Package to the Federal Audit Clearinghouse. Identification of a repeat finding Yes. This is an immediate repeat of prior year finding 2022-001. Questioned costs None Recommendation The single audit reporting package must be submitted within the required due dates. Also, we strongly suggest that the accounting department take the steps necessary to ensure that senior management receives current and accurate financial information on a timely basis. Enhancing communication and coordination between departments involved in financial reporting to ensure that necessary data and approvals are obtained without delay. Reviewing and updating internal policies for timely financial statement preparation, including resource allocation and responsibility assignments, with regular oversight by senior management. Views of responsible officials and planned corrective actions The Hospital’s management agrees with this finding. Please refer to the corrective action plan on page 40.