HOLZER HEALTH SYSTEMNon-Profit

Assistance Listing, Federal Agency, and Program Name - 14.128 Department of Housing and Urban Development - Mortgage Insurance Hospitals Federal Award Identification Number and Year - N/A Pass through Entity - None Finding Type - Material weakness Repeat Finding - No Criteria - Per 2 CFR 200.502(b), the balance of loans oustanding as of the beginning of the year should be reported on the schedule of expenditures of federal awards (the "Schedule") if the federal government imposes continuing compliance requirements for the loan, until the period in which the debt is repaid. Condition - The System obtained a loan from the Department of Housing and Urban Development (HUD) during their fiscal year June 30, 2021. The proceeds of the loan were used to repay a loan with another financial institution during that same year. The HUD loan includes continuing reporting requirements, which require the loan to be reported on the Schedule until it is repaid. The System improperly excluded the HUD loan balance from their Schedule in previous years. The beginning of the year loan balance has been reported on the System's Schedule for the year ended June 30, 2024, in accordance with 2 CFR 200.502(b). Questioned Costs - None Identification of How Questioned Costs Were Computed - N/A Context - The System was not aware of that this loan program was required to be reported on the Schedule. Cause and Effect - The loan balance was improperly omitted from the Schedule each year beginning with the year ended June 30, 2021. The 2024 Schedule has been updated to include the loan balance in accordance with 2 CFR 200.502(b). Recommendation - Schedule reporting requirements should be reviewed to ensure completeness and federal loan programs should be evaluated for potential continuing reporting requirements that would require the loan balance to be reported on the Schedule in all years until the loan is repaid. Views of Responsible Officials and Corrective Action Plan - Management of the System agrees with the recommendation and will put procedures in place to identify federal reporting requirements.