FAC Explorer

Audit 52667

FY End
2022-09-30
Total Expended
$2.41M
Findings
4
Programs
9
Organization: Walter Knox Memorial Hospital Doing Business As Valor Health (ID)
Year: 2022 Accepted: 2023-02-21
Auditor: Dingus Zarecor and Associates PLLC

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
47670 2022-001 Significant Deficiency - ABH
47671 2022-001 Significant Deficiency - AB
624112 2022-001 Significant Deficiency - ABH
624113 2022-001 Significant Deficiency - AB

Programs

ALN Program Spent Major Findings
21.019 Coronavirus Relief Fund $994,737 Yes 1
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $831,915 Yes 1
10.766 Community Facilities Loans and Grants $447,325 - 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $32,000 - 0
93.241 State Rural Hospital Flexibility Program $20,000 - 0
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $19,321 - 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $13,522 - 0
93.301 Small Rural Hospital Improvement Grant Program $11,786 - 0
93.461 Covid-19 Testing for the Uninsured $7,287 - 0

Contacts

Name Title Type
N6B1UR9HU1A1 Corey Furin Auditee
2083653561 Luke Zarecor Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported on this 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 has not elected to use the 10 percent de minimis indirect cost rate 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 award activity of Walter Knox Memorial Hospital doing business as Valor Health, a component unit of Gem County, Idaho (the Hospital), 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 Hospital, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Hospital.

Finding Details

Finding 2022-001
2022-001 Policies and Procedures for Federal Awards Federal Agency U.S. Department of Homeland Security U.S. Department of Treasury Federal Assistance Listing Numbers 97.036 ? Disaster Grants-Public Assistance 21.019 ? Coronavirus Relief Fund Criteria [ ] Compliance Finding [ X ] Significant Deficiency [ ] Material Weakness Recipients of federal awards should maintain written policies and procedures for the tracking and usage of federal awards. Condition The Hospital did not have written procurement policies and procedures with all of the required elements for federal awards for the year ended September 30, 2022. Context This finding appears to be a systemic problem. Cause Management is still developing and implementing internal controls as of September 30, 2022. Effect There is a risk that federal funds may be expended out of conformity with federal regulations and compliance requirements. Recommendation We recommend the Hospital write policies and procedures for the tracking and usage of federal awards that conform to federal regulations and compliance requirements. Views of responsible officials and planned corrective actions We did not have a written policy and procedure in place for fiscal year end related to the tracking and usage of federal awards. We have had in place for several years a committee that meets monthly to review grant applications, the acceptance of grant funds, and the usage of those funds and submissions, we however never put this into a formal written policy. We will be putting into a written format a policy and procedure for the tracking and usage of federal awards that reflects the work we?ve already been doing for several years in this area.
Finding 2022-001
2022-001 Policies and Procedures for Federal Awards Federal Agency U.S. Department of Homeland Security U.S. Department of Treasury Federal Assistance Listing Numbers 97.036 ? Disaster Grants-Public Assistance 21.019 ? Coronavirus Relief Fund Criteria [ ] Compliance Finding [ X ] Significant Deficiency [ ] Material Weakness Recipients of federal awards should maintain written policies and procedures for the tracking and usage of federal awards. Condition The Hospital did not have written procurement policies and procedures with all of the required elements for federal awards for the year ended September 30, 2022. Context This finding appears to be a systemic problem. Cause Management is still developing and implementing internal controls as of September 30, 2022. Effect There is a risk that federal funds may be expended out of conformity with federal regulations and compliance requirements. Recommendation We recommend the Hospital write policies and procedures for the tracking and usage of federal awards that conform to federal regulations and compliance requirements. Views of responsible officials and planned corrective actions We did not have a written policy and procedure in place for fiscal year end related to the tracking and usage of federal awards. We have had in place for several years a committee that meets monthly to review grant applications, the acceptance of grant funds, and the usage of those funds and submissions, we however never put this into a formal written policy. We will be putting into a written format a policy and procedure for the tracking and usage of federal awards that reflects the work we?ve already been doing for several years in this area.
Finding 2022-001
2022-001 Policies and Procedures for Federal Awards Federal Agency U.S. Department of Homeland Security U.S. Department of Treasury Federal Assistance Listing Numbers 97.036 ? Disaster Grants-Public Assistance 21.019 ? Coronavirus Relief Fund Criteria [ ] Compliance Finding [ X ] Significant Deficiency [ ] Material Weakness Recipients of federal awards should maintain written policies and procedures for the tracking and usage of federal awards. Condition The Hospital did not have written procurement policies and procedures with all of the required elements for federal awards for the year ended September 30, 2022. Context This finding appears to be a systemic problem. Cause Management is still developing and implementing internal controls as of September 30, 2022. Effect There is a risk that federal funds may be expended out of conformity with federal regulations and compliance requirements. Recommendation We recommend the Hospital write policies and procedures for the tracking and usage of federal awards that conform to federal regulations and compliance requirements. Views of responsible officials and planned corrective actions We did not have a written policy and procedure in place for fiscal year end related to the tracking and usage of federal awards. We have had in place for several years a committee that meets monthly to review grant applications, the acceptance of grant funds, and the usage of those funds and submissions, we however never put this into a formal written policy. We will be putting into a written format a policy and procedure for the tracking and usage of federal awards that reflects the work we?ve already been doing for several years in this area.
Finding 2022-001
2022-001 Policies and Procedures for Federal Awards Federal Agency U.S. Department of Homeland Security U.S. Department of Treasury Federal Assistance Listing Numbers 97.036 ? Disaster Grants-Public Assistance 21.019 ? Coronavirus Relief Fund Criteria [ ] Compliance Finding [ X ] Significant Deficiency [ ] Material Weakness Recipients of federal awards should maintain written policies and procedures for the tracking and usage of federal awards. Condition The Hospital did not have written procurement policies and procedures with all of the required elements for federal awards for the year ended September 30, 2022. Context This finding appears to be a systemic problem. Cause Management is still developing and implementing internal controls as of September 30, 2022. Effect There is a risk that federal funds may be expended out of conformity with federal regulations and compliance requirements. Recommendation We recommend the Hospital write policies and procedures for the tracking and usage of federal awards that conform to federal regulations and compliance requirements. Views of responsible officials and planned corrective actions We did not have a written policy and procedure in place for fiscal year end related to the tracking and usage of federal awards. We have had in place for several years a committee that meets monthly to review grant applications, the acceptance of grant funds, and the usage of those funds and submissions, we however never put this into a formal written policy. We will be putting into a written format a policy and procedure for the tracking and usage of federal awards that reflects the work we?ve already been doing for several years in this area.