Audit 409404

FY End

2025-12-31

Total Expended

$20.17M

Findings

Programs

Organization: St. Vincent General Hospital District (CO)

Year: 2025 Accepted: 2026-08-19

Auditor: WIPFLI LLP

Organization Exclusion Status:

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Findings

ID	Ref	Severity	Repeat	Requirement
1227291	2025-002	Material Weakness	Yes	L

Programs

ALN	Program	Spent	Major	Findings
10.766	COMMUNITY FACILITIES LOANS AND GRANTS	$20.17M	Yes	1

Contacts

Name	Title	Type
LZLWLKX7NRY3	Kelly Johnston	Auditee
9706233752	Wes Thew	Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal award activity of St. Vincent General Hospital District d/b/a St. Vincent Health (the "Hospital") under programs of the federal government for the year ended December 31, 2025. The information in this Schedule is presented in accordance with requirements of the 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 the Hospital, it is not intended to and does not present the financial position, changes in net position or cash flows of the Hospital.

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 Hospital had outstanding loans with the U.S. Department of Agriculture (USDA) as of December 31, 2025, with a balance of $19,630,802. The loan balance at the beginning of the year was $20,076,269 and is included in the federal expenditures presented on the Schedule. There were no new loans received during the year ended December 31, 2025.

The Hospital has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.

Of the federal expenditures presented in the Schedule, the Hospital provided no awards to subrecipients.

Finding Details

Finding 2025-002

Finding: 2025-002 Preparation of the SEFA Program Name Title: Community Facilities Loans and Grants Federal Assistance Listing Number: 10.766 Federal Agency: U.S. Department Agriculture Type of Finding: Noncompliance, Significant deficiency Compliance Requirement: Reporting Repeat Finding: Yes Questioned Cost: None Criteria: Proper controls over financial reporting include the ability to prepare the schedule of expenditures of federal awards (Schedule) and accompanying notes to the Schedule. Condition: The Hospital does not have an internal control system designed to provide for a complete and accurate Schedule being audited. Wipfli LLP was requested to draft the Schedule. Cause: Auditor assistance with preparation of the Schedule is not unusual, as the Schedule has unique and specialized requirements and preparation is only required when the Hospital meets a specified threshold of federal expenditures. Effect: There is a reasonable possibility that the Hospital would not be able to draft a Schedule that is correct without assistance of the auditors. Recommendation: While we recognize that this condition is not unusual for an organization with limited staffing, we recommend management be aware of the financial reporting requirements relating to the Hospital’s Schedule and internal controls that impact financial reporting. View of Responsible Officials: Management agrees with the finding.