FAC Explorer

Audit 45382

FY End
2022-09-30
Total Expended
$13.72M
Findings
2
Programs
4
Organization: Ephraim McDowell Health, Inc. (KY)
Year: 2022 Accepted: 2023-02-21
Auditor: Forvis LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
52011 2022-001 Significant Deficiency - L
628453 2022-001 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $10.27M Yes 0
10.766 Community Facilities Loans and Grants $3.38M Yes 1
93.461 Covid-19 Testing for the Uninsured $49,179 - 0
93.301 Small Rural Hospital Improvement Grant Program $20,142 - 0

Contacts

Name Title Type
WU28Y86KCKT7 Bryce Perry Auditee
8592392308 Joanie Duckworth 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: The Corporation has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. COMMUNITY FACILITIES LOANS AND GRANTS (10.766) - Balances outstanding at the end of the audit period were 3092073.
Title: Basis of Presentation 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: The Corporation has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award activity of Ephraim McDowell Health, Inc. (Corporation) under programs of the federal government for the year ended September 30, 2022. The information in this 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 the Corporation, it is not intended to and does not present the financial position, changes in net assets or cash flows of the Corporation. The following tax identification numbers are included within the Schedule for the Provider Relief Funds recognized: 61-0492356 Ephraim McDowell Regional Medical Center, Inc.

Finding Details

Finding 2022-001
Community Facilities Loans and Grants Cluster; Federal Assistance Listing No. 10.766; U.S. Department of Agriculture Criteria or specific requirement ? Reporting Condition: The Corporation is required to submit annual audited financial statements to the U.S. Department of Agriculture 150 days subsequent to year-end. The audited financial statements as of and for the year ended September 30, 2021, were due to the U.S. Department of Agriculture by February 27, 2022, and were not submitted until November 2022. Questioned costs: None Context: In testing the timely submission of the audited financial statements, the Corporation was unable to locate or provide support showing that the audited financial statements were submitted to the U.S. Department of Agriculture. Effect: Audited financial statements were not timely submitted. Cause: The Corporation was unable to produce support for timely submitted audited financial statements. Identification as a repeat finding, if applicable: Not applicable Recommendation: We recommend management develop a procedure to ensure that the audited financial statements are timely submitted to the U.S. Department of Agriculture. Views of responsible officials and planned corrective actions: Management agrees with the recommendation. The Corporation will create calendar appointments prior to required deadline for submission of the audited financial statements for the responsible personnel including the chief financial officer.
Finding 2022-001
Community Facilities Loans and Grants Cluster; Federal Assistance Listing No. 10.766; U.S. Department of Agriculture Criteria or specific requirement ? Reporting Condition: The Corporation is required to submit annual audited financial statements to the U.S. Department of Agriculture 150 days subsequent to year-end. The audited financial statements as of and for the year ended September 30, 2021, were due to the U.S. Department of Agriculture by February 27, 2022, and were not submitted until November 2022. Questioned costs: None Context: In testing the timely submission of the audited financial statements, the Corporation was unable to locate or provide support showing that the audited financial statements were submitted to the U.S. Department of Agriculture. Effect: Audited financial statements were not timely submitted. Cause: The Corporation was unable to produce support for timely submitted audited financial statements. Identification as a repeat finding, if applicable: Not applicable Recommendation: We recommend management develop a procedure to ensure that the audited financial statements are timely submitted to the U.S. Department of Agriculture. Views of responsible officials and planned corrective actions: Management agrees with the recommendation. The Corporation will create calendar appointments prior to required deadline for submission of the audited financial statements for the responsible personnel including the chief financial officer.