Audit 34568

FY End
2022-06-30
Total Expended
$17.84M
Findings
6
Programs
10
Year: 2022 Accepted: 2023-04-20
Auditor: Forvis LLP

Organization Exclusion Status:

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Contacts

Name Title Type
N5RNGYND27N5 Talia Peterson Auditee
9018423160 Christy Yoakum Auditor
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Notes to SEFA

Title: Note 1: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 and the State of Tennessee Audit Manual wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule, if any, 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: Christ Community Health Services, Inc. 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 and state financial assistance (the Schedule) includes the federal and state award activity of Christ Community Health Services, Inc. under programs of the federal government for the year ended June 30, 2022. 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) and the State of Tennessee Audit Manual. Because the Schedule presents only a selected portion of the operations of Christ Community Health Services, Inc., it is not intended to and does not present the financial position, results of operations, changes in net assets, or cash flows of Christ Community Health Services, Inc.
Title: Note 4: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 and the State of Tennessee Audit Manual wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule, if any, 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: Christ Community Health Services, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Christ Community Health Services, Inc. did not have any federal loan programs for the year ended June 30, 2022.
Title: Note 5:Personal Protective Equipment (PPE) (Unaudited) 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 and the State of Tennessee Audit Manual wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule, if any, 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: Christ Community Health Services, Inc. has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Christ Community Health Services, Inc. did not receive any donated PPE from a federal source during the year ended June 30, 2022.

Finding Details

Health Center Program Cluster ? Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00881-20 and 1 H8FCS41120-01 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not maintain documentation supporting procurement requirements for the purchase of goods or services charged to federal awards. Questioned cost ? None Context ? Documentation was not originally maintained by the Organization to support that proper procurement procedures in accordance with the Organization?s policy were followed related to vendor selection. Documentation was later compiled in response to audit inquiries. Effect ? The Organization did not have documentation supporting the procurement activities completed. Cause ? The Organization was not properly following the documentation requirements of their federal procurement policy. Identification as a repeat finding, if applicable ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? ? Vice President of Support Services was hired to lead the procurement process. ? The Procurement Department implemented the use of bids, as they foster competition whenever feasible. All procurement is conducted in a competitive manner with open access to acceptable suppliers. ? The VP of Support Services oversees the procurement policy and will ensure future adherence. The CFO, Talia Peterson, and VP of Support Services, Susan Banning, are responsible for this corrective action plan. Implementation of the above items have already begun and will be completed by August 2023.
Health Center Program Cluster ? Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00881-20 and 1 H8FCS41120-01 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not maintain documentation supporting procurement requirements for the purchase of goods or services charged to federal awards. Questioned cost ? None Context ? Documentation was not originally maintained by the Organization to support that proper procurement procedures in accordance with the Organization?s policy were followed related to vendor selection. Documentation was later compiled in response to audit inquiries. Effect ? The Organization did not have documentation supporting the procurement activities completed. Cause ? The Organization was not properly following the documentation requirements of their federal procurement policy. Identification as a repeat finding, if applicable ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? ? Vice President of Support Services was hired to lead the procurement process. ? The Procurement Department implemented the use of bids, as they foster competition whenever feasible. All procurement is conducted in a competitive manner with open access to acceptable suppliers. ? The VP of Support Services oversees the procurement policy and will ensure future adherence. The CFO, Talia Peterson, and VP of Support Services, Susan Banning, are responsible for this corrective action plan. Implementation of the above items have already begun and will be completed by August 2023.
Health Center Program Cluster ? Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00881-20 and 1 H8FCS41120-01 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not maintain documentation supporting procurement requirements for the purchase of goods or services charged to federal awards. Questioned cost ? None Context ? Documentation was not originally maintained by the Organization to support that proper procurement procedures in accordance with the Organization?s policy were followed related to vendor selection. Documentation was later compiled in response to audit inquiries. Effect ? The Organization did not have documentation supporting the procurement activities completed. Cause ? The Organization was not properly following the documentation requirements of their federal procurement policy. Identification as a repeat finding, if applicable ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? ? Vice President of Support Services was hired to lead the procurement process. ? The Procurement Department implemented the use of bids, as they foster competition whenever feasible. All procurement is conducted in a competitive manner with open access to acceptable suppliers. ? The VP of Support Services oversees the procurement policy and will ensure future adherence. The CFO, Talia Peterson, and VP of Support Services, Susan Banning, are responsible for this corrective action plan. Implementation of the above items have already begun and will be completed by August 2023.
Health Center Program Cluster ? Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00881-20 and 1 H8FCS41120-01 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not maintain documentation supporting procurement requirements for the purchase of goods or services charged to federal awards. Questioned cost ? None Context ? Documentation was not originally maintained by the Organization to support that proper procurement procedures in accordance with the Organization?s policy were followed related to vendor selection. Documentation was later compiled in response to audit inquiries. Effect ? The Organization did not have documentation supporting the procurement activities completed. Cause ? The Organization was not properly following the documentation requirements of their federal procurement policy. Identification as a repeat finding, if applicable ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? ? Vice President of Support Services was hired to lead the procurement process. ? The Procurement Department implemented the use of bids, as they foster competition whenever feasible. All procurement is conducted in a competitive manner with open access to acceptable suppliers. ? The VP of Support Services oversees the procurement policy and will ensure future adherence. The CFO, Talia Peterson, and VP of Support Services, Susan Banning, are responsible for this corrective action plan. Implementation of the above items have already begun and will be completed by August 2023.
Health Center Program Cluster ? Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00881-20 and 1 H8FCS41120-01 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not maintain documentation supporting procurement requirements for the purchase of goods or services charged to federal awards. Questioned cost ? None Context ? Documentation was not originally maintained by the Organization to support that proper procurement procedures in accordance with the Organization?s policy were followed related to vendor selection. Documentation was later compiled in response to audit inquiries. Effect ? The Organization did not have documentation supporting the procurement activities completed. Cause ? The Organization was not properly following the documentation requirements of their federal procurement policy. Identification as a repeat finding, if applicable ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? ? Vice President of Support Services was hired to lead the procurement process. ? The Procurement Department implemented the use of bids, as they foster competition whenever feasible. All procurement is conducted in a competitive manner with open access to acceptable suppliers. ? The VP of Support Services oversees the procurement policy and will ensure future adherence. The CFO, Talia Peterson, and VP of Support Services, Susan Banning, are responsible for this corrective action plan. Implementation of the above items have already begun and will be completed by August 2023.
Health Center Program Cluster ? Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 H80CS00881-20 and 1 H8FCS41120-01 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not maintain documentation supporting procurement requirements for the purchase of goods or services charged to federal awards. Questioned cost ? None Context ? Documentation was not originally maintained by the Organization to support that proper procurement procedures in accordance with the Organization?s policy were followed related to vendor selection. Documentation was later compiled in response to audit inquiries. Effect ? The Organization did not have documentation supporting the procurement activities completed. Cause ? The Organization was not properly following the documentation requirements of their federal procurement policy. Identification as a repeat finding, if applicable ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? ? Vice President of Support Services was hired to lead the procurement process. ? The Procurement Department implemented the use of bids, as they foster competition whenever feasible. All procurement is conducted in a competitive manner with open access to acceptable suppliers. ? The VP of Support Services oversees the procurement policy and will ensure future adherence. The CFO, Talia Peterson, and VP of Support Services, Susan Banning, are responsible for this corrective action plan. Implementation of the above items have already begun and will be completed by August 2023.