Audit 368006

FY End
2024-12-31
Total Expended
$8.12M
Findings
4
Programs
1
Organization: San Antonio Community Hospital (CA)
Year: 2024 Accepted: 2025-09-26

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1155716 2024-001 Material Weakness Yes AB
1155717 2024-001 Material Weakness Yes AB
1155718 2024-001 Material Weakness Yes AB
1155719 2024-001 Material Weakness Yes AB

Programs

ALN Program Spent Major Findings
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $350,003 Yes 1

Contacts

Name Title Type
XZ7NF2FHUM48 Wah-Chung Hsu Auditee
9099206103 Debra Kohnle Auditor
No contacts on file

Notes to SEFA

San Antonio Regional Hospital receives grants to cover costs of specified programs. Final determination of eligibility of costs will be made by the grantors. Should any costs be found ineligible, San Antonio Regional Hospital will be responsible for reimbursing the grantors for these amounts. Additionally, expenditures incurred for various programs may exceed the amounts awarded from the respective pass-through entity or agency. The amounts reported on the Schedule are limited to the award amounts. Amounts in excess of this amount are paid out of non-federal sources.
San Antonio Regional Hospital incurred expenditures in fiscal years 2020, 2021 and 2022 related to four project worksheets; however, FEMA did not approve the project worksheets until fiscal year 2024. As a result, all Assistance Listing Number 97.036 federal expenditures reported in the Schedule for the year ended December 31, 2024 were incurred in prior years. The SEFA includes $8,121,819 of FEMA Funds obligated by the Department of Homeland Security during fiscal year 2024.

Finding Details

Identification of the federal program: Federal Grantor: U.S. Department of Homeland Security Assistance Listing No.: 97.036 COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) Award Period of Performance: January 1, 2020 – July 1, 2022 Criteria or Specific Requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: “The non-Federal entity must: (a) 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).” Condition: Per discussion with management, San Antonio Regional Hospital (the Hospital) had processes and internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. However, management did not consistently retain documentation to evidence the performance of these controls. Cause: Management represented they reviewed and approved the FEMA expenditures; however, supporting documentation to evidence the review and approval was not maintained. Effect or potential effect: A lack of internal controls over the review and approval of FEMA expenditures could result in unallowable expenses being charged to the federal program. Questioned Costs: None. Context: During our testing over the four FEMA projects in 2024, we observed that management did not retain evidence of controls surrounding the review and approval over the expenses submitted to FEMA. Total federal expenditures for Assistance Listing No. 97.036 totaled $8,121,828. Identification as a repeat finding, if applicable: Not applicable Recommendation: The Hospital should refine its process and retain documentation to evidence management’s internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. View of Responsible Officials: The Hospital agrees with the finding and has implemented procedures to ensure control documentation is retained.
Identification of the federal program: Federal Grantor: U.S. Department of Homeland Security Assistance Listing No.: 97.036 COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) Award Period of Performance: January 1, 2020 – July 1, 2022 Criteria or Specific Requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: “The non-Federal entity must: (a) 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).” Condition: Per discussion with management, San Antonio Regional Hospital (the Hospital) had processes and internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. However, management did not consistently retain documentation to evidence the performance of these controls. Cause: Management represented they reviewed and approved the FEMA expenditures; however, supporting documentation to evidence the review and approval was not maintained. Effect or potential effect: A lack of internal controls over the review and approval of FEMA expenditures could result in unallowable expenses being charged to the federal program. Questioned Costs: None. Context: During our testing over the four FEMA projects in 2024, we observed that management did not retain evidence of controls surrounding the review and approval over the expenses submitted to FEMA. Total federal expenditures for Assistance Listing No. 97.036 totaled $8,121,828. Identification as a repeat finding, if applicable: Not applicable Recommendation: The Hospital should refine its process and retain documentation to evidence management’s internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. View of Responsible Officials: The Hospital agrees with the finding and has implemented procedures to ensure control documentation is retained.
Identification of the federal program: Federal Grantor: U.S. Department of Homeland Security Assistance Listing No.: 97.036 COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) Award Period of Performance: January 1, 2020 – July 1, 2022 Criteria or Specific Requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: “The non-Federal entity must: (a) 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).” Condition: Per discussion with management, San Antonio Regional Hospital (the Hospital) had processes and internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. However, management did not consistently retain documentation to evidence the performance of these controls. Cause: Management represented they reviewed and approved the FEMA expenditures; however, supporting documentation to evidence the review and approval was not maintained. Effect or potential effect: A lack of internal controls over the review and approval of FEMA expenditures could result in unallowable expenses being charged to the federal program. Questioned Costs: None. Context: During our testing over the four FEMA projects in 2024, we observed that management did not retain evidence of controls surrounding the review and approval over the expenses submitted to FEMA. Total federal expenditures for Assistance Listing No. 97.036 totaled $8,121,828. Identification as a repeat finding, if applicable: Not applicable Recommendation: The Hospital should refine its process and retain documentation to evidence management’s internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. View of Responsible Officials: The Hospital agrees with the finding and has implemented procedures to ensure control documentation is retained.
Identification of the federal program: Federal Grantor: U.S. Department of Homeland Security Assistance Listing No.: 97.036 COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) Award Period of Performance: January 1, 2020 – July 1, 2022 Criteria or Specific Requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: “The non-Federal entity must: (a) 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).” Condition: Per discussion with management, San Antonio Regional Hospital (the Hospital) had processes and internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. However, management did not consistently retain documentation to evidence the performance of these controls. Cause: Management represented they reviewed and approved the FEMA expenditures; however, supporting documentation to evidence the review and approval was not maintained. Effect or potential effect: A lack of internal controls over the review and approval of FEMA expenditures could result in unallowable expenses being charged to the federal program. Questioned Costs: None. Context: During our testing over the four FEMA projects in 2024, we observed that management did not retain evidence of controls surrounding the review and approval over the expenses submitted to FEMA. Total federal expenditures for Assistance Listing No. 97.036 totaled $8,121,828. Identification as a repeat finding, if applicable: Not applicable Recommendation: The Hospital should refine its process and retain documentation to evidence management’s internal controls in place to review and approve FEMA expenditures submitted to the FEMA Portal. View of Responsible Officials: The Hospital agrees with the finding and has implemented procedures to ensure control documentation is retained.