Audit 360393

FY End
2024-12-31
Total Expended
$12.99M
Findings
2
Programs
1
Year: 2024 Accepted: 2025-06-27

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
568024 2024-002 Significant Deficiency - C
1144466 2024-002 Significant Deficiency - C

Programs

ALN Program Spent Major Findings
10.766 Community Facilities Loans and Grants $12.99M Yes 1

Contacts

Name Title Type
MLH3TJC6G9X7 Carli Taylor Auditee
6603858701 Joshua Wilks Auditor
No contacts on file

Notes to SEFA

Title: NOTE 1 BASIS OF PRESENTATION Accounting Policies: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of Macon County Samaritan Memorial Hospital’s (the Hospital) and is presented on the accrual basis of accounting. The information in this Schedule is presented in accordance with the applicable 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, changes in net position, or cash flows of the Hospital. De Minimis Rate Used: Y Rate Explanation: The Hospital has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of Macon County Samaritan Memorial Hospital’s (the Hospital) and is presented on the accrual basis of accounting. The information in this Schedule is presented in accordance with the applicable 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, changes in net position, or cash flows of the Hospital.
Title: NOTE 2 SIGNIFICANT ACCOUNTING POLICIES Accounting Policies: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of Macon County Samaritan Memorial Hospital’s (the Hospital) and is presented on the accrual basis of accounting. The information in this Schedule is presented in accordance with the applicable 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, changes in net position, or cash flows of the Hospital. De Minimis Rate Used: Y Rate Explanation: The Hospital has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance. No funds were identified as having been provided to subrecipients by the Hospital and accordingly, no funds identified in the Schedule are attributable to subrecipient entities. There were no federal awards expended for noncash assistance or insurance. The Hospital has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance.
Title: NOTE 3 RECONCILIATION OF SEFA AND FINANCIAL STATEMENTS Accounting Policies: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of Macon County Samaritan Memorial Hospital’s (the Hospital) and is presented on the accrual basis of accounting. The information in this Schedule is presented in accordance with the applicable 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, changes in net position, or cash flows of the Hospital. De Minimis Rate Used: Y Rate Explanation: The Hospital has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance. The amount in the accompanying Schedule represents the beginning loan balances during the year under audit. The outstanding loan balance at December 31, 2024 was $12,347,921.

Finding Details

2024-002 USDA REQUIREMENTS Federal Agency: U.S. Department of Agriculture Program Title: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Award Period: January 1, 2024 to December 31, 2024 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Under the terms and conditions of the agreements with the USDA the Hospital is required to meet minimum requirements of Historical Debt Service Coverage Ratio of 1.25. Condition: The Hospital failed to meet the minimum Historical Debt Service Coverage Ratio for the year ended December 31, 2024. Questioned costs: None Cause: The Hospital has experienced financial challenges since the inflationary pressures associated with the COVID-19 pandemic which has negatively impacted operating results. Effect: The Hospital is not in compliance with the terms and conditions of the agreement. Recommendation: Management should continue to focus on making operational improvements to achieve the minimum level of Historical Debt Service Coverage of 1.25, as required. Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding. Management has worked with the USDA to receive a waiver related to the noncompliance with the Historical Debt Service Coverage Ratio.
2024-002 USDA REQUIREMENTS Federal Agency: U.S. Department of Agriculture Program Title: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Award Period: January 1, 2024 to December 31, 2024 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Under the terms and conditions of the agreements with the USDA the Hospital is required to meet minimum requirements of Historical Debt Service Coverage Ratio of 1.25. Condition: The Hospital failed to meet the minimum Historical Debt Service Coverage Ratio for the year ended December 31, 2024. Questioned costs: None Cause: The Hospital has experienced financial challenges since the inflationary pressures associated with the COVID-19 pandemic which has negatively impacted operating results. Effect: The Hospital is not in compliance with the terms and conditions of the agreement. Recommendation: Management should continue to focus on making operational improvements to achieve the minimum level of Historical Debt Service Coverage of 1.25, as required. Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding. Management has worked with the USDA to receive a waiver related to the noncompliance with the Historical Debt Service Coverage Ratio.