FAC Explorer

Corrective Action Plans

Browse how organizations respond to audit findings

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Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
1. All CMS-838 Credit Balance Reports for the audit period and subsequent quarters were submitted in September 2024 and accepted by CMS.
1. All CMS-838 Credit Balance Reports for the audit period and subsequent quarters were submitted in September 2024 and accepted by CMS.
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
2. SCMRC updated its Medicare compliance protocols in 2025 and established centralized tracking of required federal reports in the CEO’s compliance calendar.
2. SCMRC updated its Medicare compliance protocols in 2025 and established centralized tracking of required federal reports in the CEO’s compliance calendar.
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
3. Ongoing Medicare reporting oversight has been assigned to the Controller, with CEO review and incorporation into Board-level financial and compliance workplans.
3. Ongoing Medicare reporting oversight has been assigned to the Controller, with CEO review and incorporation into Board-level financial and compliance workplans.
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
Corrective Action Plan:
Corrective Action Plan:
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
1. Maintain documentation of CMS guidance confirming discontinuation of the CMS-838 reporting requirement.
1. Maintain documentation of CMS guidance confirming discontinuation of the CMS-838 reporting requirement.
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
2. Continue centralized tracking of Medicare-related reporting requirements through the CEO’s compliance calendar.
2. Continue centralized tracking of Medicare-related reporting requirements through the CEO’s compliance calendar.
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
3. Ensure that changes in federal reporting requirements are verified, documented, and reviewed by the Controller and CEO.
3. Ensure that changes in federal reporting requirements are verified, documented, and reviewed by the Controller and CEO.
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
4. Reinforce Medicare compliance responsibilities in SCMRC’s financial and operational planning processes.
4. Reinforce Medicare compliance responsibilities in SCMRC’s financial and operational planning processes.
View Audit 367237
Finding 1154900 (2024-007)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
5. Conduct periodic internal reviews to ensure no reportable credit balances exist, even if formal reports are no longer required.
5. Conduct periodic internal reviews to ensure no reportable credit balances exist, even if formal reports are no longer required.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
1. The overdue Medicare Cost Report for FYE 2024 was filed and accepted by CMS on September 22, 2025.
1. The overdue Medicare Cost Report for FYE 2024 was filed and accepted by CMS on September 22, 2025.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
2. A centralized compliance calendar was developed and is maintained by the CEO to track all federal, state, and grant-related deadlines.
2. A centralized compliance calendar was developed and is maintained by the CEO to track all federal, state, and grant-related deadlines.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
3. Oversight of the Medicare Cost Report was formally assigned to the CEO and incorporated into SCMRC’s internal and board planning processes.
3. Oversight of the Medicare Cost Report was formally assigned to the CEO and incorporated into SCMRC’s internal and board planning processes.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
4. Medicare Cost Report deadlines are reviewed monthly during Finance Committee meetings to ensure accountability.
4. Medicare Cost Report deadlines are reviewed monthly during Finance Committee meetings to ensure accountability.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
5. SCMRC leadership received training in 2024 on CMS reporting requirements and nonprofit compliance timelines.
5. SCMRC leadership received training in 2024 on CMS reporting requirements and nonprofit compliance timelines.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
6. SCMRC engaged Allen Bryant, CPA, to support timely Medicare Cost Report preparation and submission going forward.
6. SCMRC engaged Allen Bryant, CPA, to support timely Medicare Cost Report preparation and submission going forward.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
7. SCMRC’s updated compliance tracking system was reviewed during the 2025 HRSA Verification Site Visit, contributing to the clearance of Chapter 18 conditions.
7. SCMRC’s updated compliance tracking system was reviewed during the 2025 HRSA Verification Site Visit, contributing to the clearance of Chapter 18 conditions.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Corrective Action Plan:
Corrective Action Plan:
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
1. Maintain the centralized compliance calendar with documented Medicare Cost Report deadlines, reviewed monthly.
1. Maintain the centralized compliance calendar with documented Medicare Cost Report deadlines, reviewed monthly.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
2. Ensure continued CEO oversight of Medicare Cost Report submissions, with responsibilities reaffirmed annually during internal planning.
2. Ensure continued CEO oversight of Medicare Cost Report submissions, with responsibilities reaffirmed annually during internal planning.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
3. Continue monthly Finance Committee updates on Cost Report timelines and submission status.
3. Continue monthly Finance Committee updates on Cost Report timelines and submission status.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
4. Provide refresher training as needed to maintain awareness of CMS and HRSA reporting requirements.
4. Provide refresher training as needed to maintain awareness of CMS and HRSA reporting requirements.
View Audit 367237
Finding 1154899 (2024-006)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
5. Retain Allen Bryant, CPA, for annual preparation and submission of the Medicare Cost Report in accordance with CMS deadlines.
5. Retain Allen Bryant, CPA, for annual preparation and submission of the Medicare Cost Report in accordance with CMS deadlines.
View Audit 367237
Finding 1154898 (2024-005)
Material Weakness 2024
South Central Medical and Resource Center, Inc.
OK
Cash Management
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 367237
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