Audit 359209

FY End
2023-06-30
Total Expended
$3.39M
Findings
2
Programs
2
Organization: Blount Memorial Hospital, Inc. (TN)
Year: 2023 Accepted: 2025-06-18

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
565369 2023-001 Significant Deficiency - L
1141811 2023-001 Significant Deficiency - L

Contacts

Name Title Type
UJ7ZFUKDH4M8 Brian Hollomon Auditee
8659775644 Julie Hayes Auditor
No contacts on file

Notes to SEFA

Title: 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, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Hospital did not use a cost rate. The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes federal grant activity of Blount Memorial Hospital, Inc. (the Hospital) under programs of the federal government for the year ended June 30, 2023. The information in the 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 Hospital, it is not intended to and does not present the financial position, change in net position, or cash flows of the Hospital.
Title: 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, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Hospital did not use a cost rate. 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, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Hospital has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Expenditures Incurred in a Prior Year 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, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Hospital did not use a cost rate. In accordance with reporting guidance issued, $1,707,255 of American Rescue Plan Rural Distribution and $1,373,621 of Provider Relief Funds received during the year ended June 30, 2022 are included in the Schedule for 2023 compliance reporting. $93,137 of Provider Relef Funds received during the year ended June 30, 2022 were returned as they were not used during the period of performance for qualifying expenses.

Finding Details

Identification of the Federal Program – 93.498 COVID-19 American Rescue Plan Rural Distribution Program and Provider Relief Funds Criteria – The Uniform Guidance states that the non-federal entity must: (1) establish and maintain effective internal control over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). (§200.303). In addition, the audit must be completed and the data collection form and reporting package must be submitted within the earlier of 30 calendar days after receipt of the auditor’s report, or nine months after the end of the audit period. (§200.512(a)). Condition – Federal awards of $3,080,876 were not included in the Schedule of Expenditures of Federal Awards and were not audited in accordance with the Uniform Guidance for the year ended June 30, 2023. The related reporting package and data collection form for the year ended June 30, 2023 were not filed by the deadline to the Federal Audit Clearinghouse. Cause – Federal awards from 93.498 COVID-19 American Rescue Plan Rural Distribution Program and Provider Relief Funds were erroneously not identified for inclusion in the Schedule of Expenditures of Federal Awards due to inadequate internal controls over the unique nature of reporting for these funds. Effect – An audit of federal awards and the reporting package and data collection form for the year ended June 30, 2023 were not completed and submitted to the Federal Audit Clearinghouse in a timely manner. Recommendations – We recommend the Hospital continue to refine policies, procedures, and internal controls, including tracking and monitoring of reporting requirements, to ensure the audit is completed and the reporting package and data collection form are electronically filed with the Federal Audit Clearinghouse within the applicable deadline. Management’s Response – Management concurs with the audit recommendation. See Management’s Corrective Action Plan.
Identification of the Federal Program – 93.498 COVID-19 American Rescue Plan Rural Distribution Program and Provider Relief Funds Criteria – The Uniform Guidance states that the non-federal entity must: (1) establish and maintain effective internal control over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). (§200.303). In addition, the audit must be completed and the data collection form and reporting package must be submitted within the earlier of 30 calendar days after receipt of the auditor’s report, or nine months after the end of the audit period. (§200.512(a)). Condition – Federal awards of $3,080,876 were not included in the Schedule of Expenditures of Federal Awards and were not audited in accordance with the Uniform Guidance for the year ended June 30, 2023. The related reporting package and data collection form for the year ended June 30, 2023 were not filed by the deadline to the Federal Audit Clearinghouse. Cause – Federal awards from 93.498 COVID-19 American Rescue Plan Rural Distribution Program and Provider Relief Funds were erroneously not identified for inclusion in the Schedule of Expenditures of Federal Awards due to inadequate internal controls over the unique nature of reporting for these funds. Effect – An audit of federal awards and the reporting package and data collection form for the year ended June 30, 2023 were not completed and submitted to the Federal Audit Clearinghouse in a timely manner. Recommendations – We recommend the Hospital continue to refine policies, procedures, and internal controls, including tracking and monitoring of reporting requirements, to ensure the audit is completed and the reporting package and data collection form are electronically filed with the Federal Audit Clearinghouse within the applicable deadline. Management’s Response – Management concurs with the audit recommendation. See Management’s Corrective Action Plan.