Audit 357940

FY End
2023-07-31
Total Expended
$1.09M
Findings
2
Programs
3
Year: 2023 Accepted: 2025-06-03
Auditor: D & CO LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
563619 2023-003 Material Weakness - B
1140061 2023-003 Material Weakness - B

Contacts

Name Title Type
K8PLDVRARJY9 Sharon Hunt Auditee
8062444571 Melissa Haigood Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. 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: Dallam-Hartley Counties Hospital District has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the “SEFA”) includes the federal award activity of Dallam-Hartley Counties Hospital District under programs of the federal government for the year ended July 31, 2023. 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 Dallam-Hartley Counties Hospital District it is not intended to and does not present the financial position, activities and changes in net assets, or cash flows of Dallam-Hartley Counties Hospital District.
Title: Subrecipients Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. 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: Dallam-Hartley Counties Hospital District has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Dallam-Hartley Counties Hospital District did not provide any federal awards to subrecipients during the year ended July 31, 2023.
Title: Provider Relief Funds (#93.498) Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. 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: Dallam-Hartley Counties Hospital District has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Expenditures under Catalog of Federal Domestic Assistance #93.498, Provider Relief Fund (“PRF”) applies the guidance of the U.S. Department of Health and Human Services (“HHS”). For the PRF award program, the amount on the Schedule is reported based on the PRF portal submission guidelines. Payments from HHS for the PRF award program are assigned to one of four payment received periods based upon the date each payment from the PRF award program was received. Each period has a specified period of availability and timing of reporting requirements. The Schedule includes those qualifying expenditures and/or lost revenues that were reported in the PRF portal for Periods 4 and 5 (payment received periods from July 1, 2021 to December 31, 2021 and January 1, 2022 to June 30, 2022, respectively; and periods of availability from January 1, 2020 to December 31, 2022 and January 1, 2020 to June 30, 2023, respectively). As such, the amount reported in the Schedule will differ from amounts reported in the consolidated statements of activities and changes in net assets.
Title: Personal Protective Equipment (Unaudited) Accounting Policies: Expenditures reported on the SEFA are reported on the accrual basis of accounting. 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: Dallam-Hartley Counties Hospital District has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. For the year ended July 31, 2023, Dallam-Hartley Counties Hospital District received $-0- in federally donated personal protective equipment in response to the COVID-19 pandemic (unaudited).

Finding Details

Allowable Costs/Activities Allowed - U.S. Department of Health and Human Services Federal Award: COVID-19 - Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution - Period 4 CFDA #93.498 Condition - The District reported salary expense in the Period 4 Provider Relief Funds (PRF) report that could not be substantiated with sufficient appropriate audit evidence. Criteria - In accordance with the HHS Post-Payment Notice of Reporting Requirements released by the Health Resources and Services Administrations (HRSA), costs associated with responding to the coronavirus, such as personnel expenses, can be reimbursed using PRF payments, and must be reported in compliance with 45 CFR Part 75, which requires sufficient appropriate audit evidence to be provided during the course of an audit. Cause - It was noted during participant data and payroll testing that the participant’s personnel files did not contain current pay rate documentation supporting the salary expense for each employee reported in the Period 4 PRF report when claiming PRF reimbursement. Effect - Management was unable to provide current pay rate documentation for the salary of 2 out of 35 employees tested, with a known questioned cost of $1,162. After projecting the exception rate to the salary expense population, a likely questioned cost of $34,904 was identified. Questioned Cost - Known questioned costs of $1,162 and likely questioned costs of $34,904 Recommendation - Maintaining current personnel files is an important internal control. Complete and current personnel files should be established and maintained for each employee. All documentation should be stored in a safe location and filed in an organized manner. These procedures will help ensure that the District can produce accurate documentation for expenditures in a timely manner in the future. Views of Responsible Officials and Planned Corrective Actions - DHCHD has contracted with another payroll provider. Human Resources staff with work with the payroll provider to ensure that appropriate documentation regarding pay amounts and other essential payroll and personnel data is maintained on each employee.
Allowable Costs/Activities Allowed - U.S. Department of Health and Human Services Federal Award: COVID-19 - Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution - Period 4 CFDA #93.498 Condition - The District reported salary expense in the Period 4 Provider Relief Funds (PRF) report that could not be substantiated with sufficient appropriate audit evidence. Criteria - In accordance with the HHS Post-Payment Notice of Reporting Requirements released by the Health Resources and Services Administrations (HRSA), costs associated with responding to the coronavirus, such as personnel expenses, can be reimbursed using PRF payments, and must be reported in compliance with 45 CFR Part 75, which requires sufficient appropriate audit evidence to be provided during the course of an audit. Cause - It was noted during participant data and payroll testing that the participant’s personnel files did not contain current pay rate documentation supporting the salary expense for each employee reported in the Period 4 PRF report when claiming PRF reimbursement. Effect - Management was unable to provide current pay rate documentation for the salary of 2 out of 35 employees tested, with a known questioned cost of $1,162. After projecting the exception rate to the salary expense population, a likely questioned cost of $34,904 was identified. Questioned Cost - Known questioned costs of $1,162 and likely questioned costs of $34,904 Recommendation - Maintaining current personnel files is an important internal control. Complete and current personnel files should be established and maintained for each employee. All documentation should be stored in a safe location and filed in an organized manner. These procedures will help ensure that the District can produce accurate documentation for expenditures in a timely manner in the future. Views of Responsible Officials and Planned Corrective Actions - DHCHD has contracted with another payroll provider. Human Resources staff with work with the payroll provider to ensure that appropriate documentation regarding pay amounts and other essential payroll and personnel data is maintained on each employee.