Audit 371159

FY End
2021-09-30
Total Expended
$9.78M
Findings
2
Programs
3
Organization: Pulaski Memorial Hospital (IN)
Year: 2021 Accepted: 2025-10-22
Auditor: BLUE & CO LLC

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1161149 2021-002 Material Weakness Yes L
1161150 2021-003 Material Weakness Yes L

Programs

ALN Program Spent Major Findings
93.498 PROVIDER RELIEF FUND $9.19M Yes 2
93.461 COVID-19 TESTING FOR THE UNINSURED $568,818 Yes 0
93.697 COVID-19 TESTING FOR RURAL HEALTH CLINICS $21,963 Yes 0

Contacts

Name Title Type
V48BJDB6FTQ3 Gregg Mallot Auditee
5749462103 Scott Prentice Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (SEFA) for 2021 includes the federal grant activity of Pulaski Memorial Hospital (the Hospital) and is presented on the accrual basis of accounting. The information in the SEFA 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). The basic financial statement classifications may include other financial activity for reporting purposes. Therefore, some of the amounts presented in the SEFA may differ from amounts presented in, or used in the preparation of, the basic financial statements.
No entities received pass-through federal awards from the Hospital during 2021.
Under terms and conditions of the American Rescue Plan (ARP) and the Coronavirus Aid, Relief, and Economic Security (CARES) Act, the Hospital is required to report COVID-19 related expenses and lost revenue to the US Department of Health and Human Services (DHHS). Guidance from DHHS has required the reporting of the COVID-19 related expenses and lost revenue and expenses in certain reporting periods based on when the funds were received. DHHS requires amounts received prior to September 30, 2020, and expended through September 30, 2021, to be reported on the 2021 Schedule rather than the 2020 Schedule. As such, the Hospital received and recognized approximately $10,658,000 in COVID-19 grants prior to September 30, 2020. Of this amount, approximately $9,194,000 is required to be reported on the SEFA based on DHHS guidance. During 2021, the Hospital received approximately $1,568,000 in COVID-19 grant funds with approximately $201,000 reported as unearned grant revenue as of September 30, 2021. During September 30, 2021 and 2020, the Hospital recognized approximately $1,366,000 and $10,658,000 as revenue in its 2021 and 2020 statements of revenues, expenses and changes in net position, respectively, as the terms and conditions of the PRF grant were satisfied. ARP and CARES grants received and also recognized as revenue in 2021 will be reported on the 2022 Schedule as required by DHHS along with certain funds received during 2020.
During 2021, the Hospital did not receive donated personal protective equipment from federal sources.

Finding Details

2021-002 – Other Matters - Submission of Single Audit reporting packageCriteria – The Single Audit reporting package is due to the Federal Audit Clearinghouse within nine months after year end as stated in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Section 200.512(a)(1). Condition – The Single Audit reporting package was not submitted within this timeframe. Questioned costs - $-0- Context – Single Audit requirements direct the grant recipient to comply with the filing requisites. Effect - The Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe which resulted in an instance of noncompliance. Cause – Due to delays in completing the financial statement audit, the Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe.Recommendation – We recommend the Hospital file the Single Audit reporting package with the Federal Audit Clearinghouse. Views of Responsible Officials and Planned Corrective Actions – Management understands the due date for Single Audit reporting package submission to the Federal Audit Clearinghouse and will file the Single Audit reporting package as soon as possible.
2021-003 – Significant deficiency related to timely preparation of Schedule of Expenditures of Federal Awards Criteria – The preparation of the Schedule of Expenditures of Federal Awards (SEFA) is necessary to satisfy the reporting requirements for federal programs identified as major programs. Condition – The SEFA was not prepared on a timely basis. Questioned costs - $-0- Context – The timely preparation of the SEFA is necessary to satisfy reporting requirements related to federal programs identified as major programs. Effect - The SEFA was not prepared on a timely basis resulting in delays in completing reporting requirements for federal programs identified as major programs. Cause – Due to delays in completing the financial statement audit, the SEFA was not completed on a timely basis. Recommendation – We recommend the Hospital complete the SEFA on a timely basis to assist with the reporting requirements for federal programs identified as major programs. Views of Responsible Officials and Planned Corrective Actions – Management has implemented internal controls over compliance in place to assist with the timely preparation of the SEFA.