Audit 372658

FY End
2025-02-28
Total Expended
$1.67M
Findings
1
Programs
3
Year: 2025 Accepted: 2025-11-29

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1163083 2025-001 Material Weakness Yes B

Contacts

Name Title Type
U5AMQ7MF83B1 Steven Mayers Auditee
3407753700 Noman Tahir Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of Federal Awards (the "Schedule") includes the federal award activity of St. Thomas East End Medical Center Corporation and Affiliate (the "Organization") under programs of the Federal government for the year ended February 28, 2025. 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 Organization, it is not intended to and does not present the financial position, changes in net assets or cash flows of the Organization.
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 Organization has elected not to use the 10 percent de minimus indirect cost rate, as allowed under the Uniform Guidance and does not have a federally negotiated indirect cost rate for any of its grants.
The Organization has not contracted or made awards to any subrecipients in the year ended February 28, 2025.

Finding Details

Non-compliance with Allowable Cost/Cost principle Condition: The Organization has charged late fees on rent and finance charges on unpaid rent to the federal award. These cost items totaled $157,710, which were charged to the federal program as allowable expenditures. Under Uniform Guidance, these types of charges are unallowable. Criteria: Costs charged to federal awards must be necessary, reasonable, and allowable under applicable cost principles. Late fees on rent, finance charges on unpaid rent, and other penalties for late payment are not allowable and should not be charged to federal programs in accordance with the provisions of Uniform guidance. Cause: The Organization did not have adequate procedures to prevent unallowable late-payment- related charges from being recorded to federal programs. Effect: The Organization charged unallowable costs totaling $157,710 to the federal award. These costs do not meet Uniform Guidance Allowable Cost/Cost Principles and accordingly a refund liability has been recognized by the Organization to Department for the said amount. Recommendation: The Organization should strengthen internal controls so that late fees, finance charges, and penalties are identified and excluded from federal expenditures, provide training to accounting staff on allowable and unallowable costs, and enhance the review of expense coding before charges are allocated to federal programs. Management views and corrective action plans: Management will enhance the review of expense coding before posting charges to federal awards, update the written procedures to clearly identify unallowable cost categories, provide refresher training to finance staff on allowable versus unallowable costs, and perform periodic reviews of expenditures to ensure that any such costs are promptly identified and corrected.