Audit 50199

FY End
2022-06-30
Total Expended
$3.63M
Findings
4
Programs
3
Year: 2022 Accepted: 2023-03-30
Auditor: Galindez LLC

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
42879 2022-002 Significant Deficiency - A
42880 2022-001 Significant Deficiency - L
619321 2022-002 Significant Deficiency - A
619322 2022-001 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $1.61M Yes 1
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.51M Yes 1
21.019 Coronavirus Relief Fund $508,632 - 0

Contacts

Name Title Type
NNF8SGZ5L1L1 Carlos Fuentes Auditee
7877212160 Henry Flores Auditor
No contacts on file

Notes to SEFA

Title: Note 2 - Basis of Presentation Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records and is not intended to present its financial position or the results of its operations.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first.d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement.e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of Presbyterian Community Hospital, Inc. (the Hospital), under programs of the federal government for the year ended June 30, 2022. The information included in the Schedule is prepared in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (the Uniform Guidance). Therefore, some amounts presented in the Schedule may differ from amounts presented in or used in the preparation of the financial statements of the Hospital.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, results of operations and cash flows of the Hospital. Funds received from the federal programs, as detailed in the Schedule, are included as grants revenue in the statement of operations of the Hospital for the year ended on June 30, 2022.
Title: Note 3 - Assistance Listing Number Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records and is not intended to present its financial position or the results of its operations.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first.d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement.e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. Assistance Listing numbers included in the Schedule are determined based on the program name, review of grant contract information and the public descriptions of Federal Assistance Listings published by the U.S. Government.
Title: Note 4 - Major federal programs Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records and is not intended to present its financial position or the results of its operations.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first.d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement.e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The major federal programs are identified in the Summary of Auditors Results Section in the Schedule of Findings and Questioned Costs. Federal programs are presented by federal agency.
Title: Note 5 - Provider Relief Fund Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records and is not intended to present its financial position or the results of its operations.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first.d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement.e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. During the year ended June 30, 2022, the Hospital received grants under the Provider Relief Fund (PRF) amounting to $1,297,945. The PRF is administered by the Health Resources and Services Administration (HRSA) and provides relief funds to hospitals and other healthcare providers involved in the COVID-19 response. The funding supports healthcare related expenses or lost revenue attributable to COVID-19As provided by the 2022 OMB Compliance Supplement (the 2022 Compliance Supplement), due to delays in the launch of HRSAs PRF reporting portal, PRF funds received during the year ended June 30, 2021, were to be excluded from the schedule of expenditures of federal awards for the year then ended and, instead, included in the schedule of expenditures of federal awards for the year ended June 30, 2022. As such, the Schedule includes the PRF funds received and expended by the Hospital during the year ended June 30, 2021, amounting to $1,612,804.In accordance with the 2022 Compliance Supplement, PRF funds received during the year ended June 30, 2022, amounting to $1,297,945 were excluded from the Schedule and will be reported as provided in the upcoming 2023 schedule of expenditures of federal awards.
Title: Note 6 - Coronavirus State Local Fiscal Recovery Funds Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records and is not intended to present its financial position or the results of its operations.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures are recognized in the accounting period in which the liability is incurred, if measurable or when actually paid, whichever occurs first.d. Expenditures are reported on the Schedule following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures may or may not be allowable or may be limited as to reimbursement.e. The Hospital has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. During the year ended June 30, 2022, the Hospital received and disbursed $364,800 related to the Worker Relief Program. For financial statement purposes the Hospital recorded such amount as a liability until the disbursement was made to the eligible employees. Accordingly, the Hospital acted as a pass-through entity regarding this transaction which did not have a financial impact in the Statement of Income and Changes in Net Assets. Such amount was subject to the compliance audit in accordance with the Uniform Guidance.

Finding Details

Condition - During our testing of payroll related expenses charged to the federal award, we identified instances in which the supporting evidence provided by the Hospital as evidence of the claimed payroll expenses included 10 instances that did not agreed to the underlying related source of evidence. Context - Out of 1,369 employees included in the report, we selected 40 employees, or 3% of the total population, and noted that for 10 employees?, management claimed the related employee expenses based on a pay rate different to the pay rate documented in the employees? personnel file.
Condition - During our audit procedures over the reporting compliance requirement, we noted that the Hospital reported the use of funds to the federal grantors after the required timeframe limit as follows: See Schedule of Findings and Questioned Costs for chart/table Context - As part of the Reporting verification test of Worker Relief and Recruitment Funds, we observed that report required to be submitted 30 days after the funds were received and used, was submitted after the due date.
Condition - During our testing of payroll related expenses charged to the federal award, we identified instances in which the supporting evidence provided by the Hospital as evidence of the claimed payroll expenses included 10 instances that did not agreed to the underlying related source of evidence. Context - Out of 1,369 employees included in the report, we selected 40 employees, or 3% of the total population, and noted that for 10 employees?, management claimed the related employee expenses based on a pay rate different to the pay rate documented in the employees? personnel file.
Condition - During our audit procedures over the reporting compliance requirement, we noted that the Hospital reported the use of funds to the federal grantors after the required timeframe limit as follows: See Schedule of Findings and Questioned Costs for chart/table Context - As part of the Reporting verification test of Worker Relief and Recruitment Funds, we observed that report required to be submitted 30 days after the funds were received and used, was submitted after the due date.