Audit 403684

FY End
2025-02-28
Total Expended
$1.67M
Findings
1
Programs
3
Year: 2025 Accepted: 2026-06-15

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1217534 2025-001 Material Weakness Yes B

Programs

ALN Program Spent Major Findings
93.224 HEALTH CENTER PROGRAM $1.49M Yes 1
93.211 TELEHEALTH PROGRAMS $145,783 Yes 0
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $29,192 Yes 0

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

2025 - 01 Non-compliance with Allowable Cost/Cost principle Condition: Certain expenses included in the Health Center Program (HCP) included amounts that were unallowable under Uniform Guidance allowable cost and compliance requirements. Specifically, these expenses included late fees on rent and finance charges on unpaid rent totaling $8,851. Criteria: Costs included in a federal award must be necessary, reasonable, and allowable under the 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 included in federal programs in accordance with the provisions of Uniform Guidance. Cause: The inclusion of late fees and finance charges in HCP expenditures appears to have resulted from limitations in the expense coding and review processes, including insufficient procedures to identify and exclude unallowable costs related to late payments before they were included in the federal award. Effect: As a result, unallowable costs totaling $8,851 were included in the Health Center Program federal award. These expenditures do not meet Uniform Guidance allowable cost principles, and accordingly, a refund liability in the amount of $8,851 has been recognized by the Organization as payable to the Department. Recommendation: We recommend that the Organization strengthen its internal controls over the coding, approval, and review of expenditures included in the Health Center Program to ensure compliance with Uniform Guidance allowable cost principles, including establishing procedures to systematically identify and exclude late fees, finance charges, and other penalty-type costs from federal awards, and providing training to finance and program staff on allowable versus unallowable costs. Management views and corrective action plans: Management will update policies and procedures and the chart of accounts to clearly identify and prevent late fees, finance charges, and similar unallowable costs from being included in the Health Center Program, provide additional training to relevant finance and program personnel on Uniform Guidance allowable cost requirements, and implement enhanced review and periodic monitoring of HCP expenditures to ensure that only allowable costs are included in the federal award and that any exceptions are identified and corrected in a timely manner.