Audit 349285

FY End
2024-06-30
Total Expended
$988,543
Findings
2
Programs
1
Organization: Citizens Medical Center (TX)
Year: 2024 Accepted: 2025-03-27

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
538270 2024-001 Significant Deficiency - L
1114712 2024-001 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
21.027 Coronavirus State and Local Fiscal Recovery Funds $988,543 Yes 1

Contacts

Name Title Type
MMCTF68CCA43 Duane Woods Auditee
3615725009 Tracy Young Auditor
No contacts on file

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 or other applicable regulatory guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Medical Center has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award activity of Citizens Medical Center (Medical Center) under programs of the federal government for the year ended June 30, 2024. 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 Medical Center, it is not intended to and does not present the financial position, changes in net position, or cash flows of the Medical Center.
Title: Note 2. Summary of Significant Accounting Policies 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 or other applicable regulatory guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Medical Center has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. 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 or other applicable regulatory guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement.
Title: Note 3. Indirect Cost Rate 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 or other applicable regulatory guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Medical Center has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. The Medical Center has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.

Finding Details

Finding: Reporting U.S. Department of the Treasury, passed through the County of Victoria Program: COVID-19 Coronavirus State and Local Fiscal Recovery Funds – 21.027 Criteria or Specific Requirement: According to the 2021 Interim Final Rule, 2022 Final Rule, 2023 Interim Final Rule, and Obligation Interim Final Rule at 31 CFR Part 35, Subpart A, recipients of Coronavirus State and Local Fiscal Recovery Funds (SLFRF) are required to accurately report the amounts expended in their progress reports. The reported amounts should reflect the total expenditures on an accrual basis, as specified in the grant agreement and the compliance supplement. Condition: The Medical Center had discrepancies between the amounts reported in the quarterly progress reports and the actual expenditures. Specifically, the amounts reported in the progress reports did not accurately reflect the total expenditures incurred during the reporting period by $368,111. Questioned Costs: None Context: We tested the four reports submitted during the reporting period to determine whether each report was completed timely and accurately and performed in compliance with the grant agreement and U.S. Department of the Treasury guidelines. Of the four reports tested, one report contained discrepancies between the amounts reported in the quarterly progress reports and the actual expenditures. Specifically, the Medical Center reported the "Total ARPA SLFRF Funds Expended to Date" for both Progress Reports 8 and 9 as $219,505. However, Progress Report 9's actual "Total ARPA SLFRF Funds Expended to Date" totaled $587,615.46, resulting in a variance of $368,110.85 on the progress report. The error was identified by management in the following quarter, and Report 9 was subsequently amended by the Medical Center to report the corrected amount. Effect: The Medical Center submitted a required report with a material error in reported information. Federal oversight agencies, including the U.S. Department of the Treasury and the County of Victoria, depend on accurate reporting to ensure proper spending of the award and compliance with payment terms and conditions. Cause: The Medical Center did not have adequate controls or procedures in place to identify the applicable reporting requirements and ensure the required reports for federal awards include all activity of the reporting period, are supported by applicable accounting or performance records, and are fairly presented in accordance with the Uniform Guidance. Identification as a Repeat Finding: Not applicable Recommendation: We recommend policies and procedures over federal grant reporting be modified to ensure required reports are properly and accurately completed using the correct financial information. In addition, we recommend all underlying supporting calculations be reviewed for completeness and accuracy. Views of Responsible Officials and Planned Corrective Actions: The Medical Center agrees with the finding. See separate report for planned corrective action.
Finding: Reporting U.S. Department of the Treasury, passed through the County of Victoria Program: COVID-19 Coronavirus State and Local Fiscal Recovery Funds – 21.027 Criteria or Specific Requirement: According to the 2021 Interim Final Rule, 2022 Final Rule, 2023 Interim Final Rule, and Obligation Interim Final Rule at 31 CFR Part 35, Subpart A, recipients of Coronavirus State and Local Fiscal Recovery Funds (SLFRF) are required to accurately report the amounts expended in their progress reports. The reported amounts should reflect the total expenditures on an accrual basis, as specified in the grant agreement and the compliance supplement. Condition: The Medical Center had discrepancies between the amounts reported in the quarterly progress reports and the actual expenditures. Specifically, the amounts reported in the progress reports did not accurately reflect the total expenditures incurred during the reporting period by $368,111. Questioned Costs: None Context: We tested the four reports submitted during the reporting period to determine whether each report was completed timely and accurately and performed in compliance with the grant agreement and U.S. Department of the Treasury guidelines. Of the four reports tested, one report contained discrepancies between the amounts reported in the quarterly progress reports and the actual expenditures. Specifically, the Medical Center reported the "Total ARPA SLFRF Funds Expended to Date" for both Progress Reports 8 and 9 as $219,505. However, Progress Report 9's actual "Total ARPA SLFRF Funds Expended to Date" totaled $587,615.46, resulting in a variance of $368,110.85 on the progress report. The error was identified by management in the following quarter, and Report 9 was subsequently amended by the Medical Center to report the corrected amount. Effect: The Medical Center submitted a required report with a material error in reported information. Federal oversight agencies, including the U.S. Department of the Treasury and the County of Victoria, depend on accurate reporting to ensure proper spending of the award and compliance with payment terms and conditions. Cause: The Medical Center did not have adequate controls or procedures in place to identify the applicable reporting requirements and ensure the required reports for federal awards include all activity of the reporting period, are supported by applicable accounting or performance records, and are fairly presented in accordance with the Uniform Guidance. Identification as a Repeat Finding: Not applicable Recommendation: We recommend policies and procedures over federal grant reporting be modified to ensure required reports are properly and accurately completed using the correct financial information. In addition, we recommend all underlying supporting calculations be reviewed for completeness and accuracy. Views of Responsible Officials and Planned Corrective Actions: The Medical Center agrees with the finding. See separate report for planned corrective action.