FAC Explorer

Audit 36989

FY End
2022-06-30
Total Expended
$29.94M
Findings
2
Programs
9
Organization: St. Claire Regional Medical Center, Inc. (KY)
Year: 2022 Accepted: 2023-09-24
Auditor: Blue & Company LLC

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
31174 2022-001 Material Weakness - C
607616 2022-001 Material Weakness - C

Programs

ALN Program Spent Major Findings
10.766 Community Facilities Loans and Grants $27.79M Yes 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $1.28M Yes 1
93.461 Covid-19 Testing for the Uninsured $392,540 - 0
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $189,953 - 0
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $116,302 - 0
32.006 Covid-19 Telehealth Program $85,511 - 0
93.113 Environmental Health $37,720 - 0
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $34,083 - 0
93.498 Provider Relief Fund $25,365 - 0

Contacts

Name Title Type
N22NA3NU6BN6 Chris McClurg Auditee
6067836500 Steve Jones Auditor
No contacts on file

Notes to SEFA

Title: Loan/loan guarantee outstanding balances 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 auditee did not use the de minimis cost rate. COMMUNITY FACILITIES LOANS AND GRANTS (10.766) - Balances outstanding at the end of the audit period were 27288988.

Finding Details

Finding 2022-001
MATERIAL WEAKNESS Federal Agency: U.S. Department of Health and Human Services Assistance Listing Number: 93.912 ? Rural Health Care Services Outreach, Rural Health Network Development, and Small Health Care Provider Quality Improvement Program 2022-001: Untimely Disbursement of Federal Grant Funds Received Compliance Requirement(s): Cash Management Criteria: Cash Management requirements for the U.S. Department of Health and Human Services stipulates that federal cash must be drawn solely to accommodate immediate needs and must not be held more than three (3) working days. Condition ? During our testing of the underlying information supporting this cash management requirement, we noted eight (8) expenditures of the 60 expenditures tested where the federal grant funds received where not disbursed within 3 working days. Cause ? The cause of this deficiency is due to the lack of internal controls to ensure proper disbursement of federal grant funds. Effect ? The effect is federal grant funds being held in excess of three (3) working days. Recommendation ? We recommend the Hospital implement internal control procedures to ensure proper and timely disbursements of federal grant funds. Management?s Response ? We will implement internal control procedures to ensure proper and timely disbursements of federal grant funds, as is required under the cash management guidelines stipulated by HHS, in future periods. We do not believe the federal grant funds being held in excess of three (3) working days resulted in an overstatement of the Hospital?s federal grant funds utilized as part of the Rural Health Care Services Outreach, Rural Health Network Development, and Small Health Care Provider Quality Improvement Plan Program.
Finding 2022-001
MATERIAL WEAKNESS Federal Agency: U.S. Department of Health and Human Services Assistance Listing Number: 93.912 ? Rural Health Care Services Outreach, Rural Health Network Development, and Small Health Care Provider Quality Improvement Program 2022-001: Untimely Disbursement of Federal Grant Funds Received Compliance Requirement(s): Cash Management Criteria: Cash Management requirements for the U.S. Department of Health and Human Services stipulates that federal cash must be drawn solely to accommodate immediate needs and must not be held more than three (3) working days. Condition ? During our testing of the underlying information supporting this cash management requirement, we noted eight (8) expenditures of the 60 expenditures tested where the federal grant funds received where not disbursed within 3 working days. Cause ? The cause of this deficiency is due to the lack of internal controls to ensure proper disbursement of federal grant funds. Effect ? The effect is federal grant funds being held in excess of three (3) working days. Recommendation ? We recommend the Hospital implement internal control procedures to ensure proper and timely disbursements of federal grant funds. Management?s Response ? We will implement internal control procedures to ensure proper and timely disbursements of federal grant funds, as is required under the cash management guidelines stipulated by HHS, in future periods. We do not believe the federal grant funds being held in excess of three (3) working days resulted in an overstatement of the Hospital?s federal grant funds utilized as part of the Rural Health Care Services Outreach, Rural Health Network Development, and Small Health Care Provider Quality Improvement Plan Program.