EIN: 351140835
UEI: P321EA11F3R2
Audited by: Blue & Co., LLC
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on April 4, 2025. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by October 4, 2025 (335 days ago).
What is a management decision? →2022-002 – Other Matters - Submission of Single Audit reporting package Criteria – The Single Audit reporting package is due to the Federal Audit Clearinghouse within nine months after year end as stated in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Section 200.512(a)(1). Condition – The Single Audit reporting package was not submitted within this timeframe. Questioned costs - $-0- Context – Single Audit requirements direct the grant recipient to comply with the filing requisites. Effect - The Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe which resulted in an instance of noncompliance. Cause – Due to delays in completing the financial statement audit, the Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe. Recommendation – We recommend the Hospital file the Single Audit reporting package with the Federal Audit Clearinghouse. Views of Responsible Officials and Planned Corrective Actions – Management understands the due date for Single Audit reporting package submission to the Federal Audit Clearinghouse and will file the Single Audit reporting package as soon as possible.
Show full finding ▾Hide full finding ▴2022-002 – Other Matters - Submission of Single Audit reporting package Criteria – The Single Audit reporting package is due to the Federal Audit Clearinghouse within nine months after year end as stated in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Section 200.512(a)(1). Condition – The Single Audit reporting package was not submitted within this timeframe. Questioned costs - $-0- Context – Single Audit requirements direct the grant recipient to comply with the filing requisites. Effect - The Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe which resulted in an instance of noncompliance. Cause – Due to delays in completing the financial statement audit, the Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe. Recommendation – We recommend the Hospital file the Single Audit reporting package with the Federal Audit Clearinghouse. Views of Responsible Officials and Planned Corrective Actions – Management understands the due date for Single Audit reporting package submission to the Federal Audit Clearinghouse and will file the Single Audit reporting package as soon as possible.
Corrective action: Management understands the due date for single audit reporting package submission to the Federal Audit Clearinghouse and filed the 2021 single audit reporting package in 2025.
2021-002
2022-003 – Significant deficiency related to timely preparation of Schedule of Expenditures of Federal Awards Criteria – The preparation of the Schedule of Expenditures of Federal Awards (SEFA) is necessary to satisfy the reporting requirements for federal programs identified as major programs. Condition – The SEFA was not prepared on a timely basis. Questioned costs - $-0- Context – The timely preparation of the SEFA is necessary to satisfy reporting requirements related to federal programs identified as major programs. Effect - The SEFA was not prepared on a timely basis resulting in delays in completing reporting requirements for federal programs identified as major programs. Cause – Due to delays in completing the financial statement audit, the SEFA was not completed on a timely basis. Recommendation – We recommend the Hospital complete the SEFA on a timely basis to assist with the reporting requirements for federal programs identified as major programs. Views of Responsible Officials and Planned Corrective Actions – Management has implemented internal controls over compliance in place to assist with the timely preparation of the SEFA.
Show full finding ▾Hide full finding ▴2022-003 – Significant deficiency related to timely preparation of Schedule of Expenditures of Federal Awards Criteria – The preparation of the Schedule of Expenditures of Federal Awards (SEFA) is necessary to satisfy the reporting requirements for federal programs identified as major programs. Condition – The SEFA was not prepared on a timely basis. Questioned costs - $-0- Context – The timely preparation of the SEFA is necessary to satisfy reporting requirements related to federal programs identified as major programs. Effect - The SEFA was not prepared on a timely basis resulting in delays in completing reporting requirements for federal programs identified as major programs. Cause – Due to delays in completing the financial statement audit, the SEFA was not completed on a timely basis. Recommendation – We recommend the Hospital complete the SEFA on a timely basis to assist with the reporting requirements for federal programs identified as major programs. Views of Responsible Officials and Planned Corrective Actions – Management has implemented internal controls over compliance in place to assist with the timely preparation of the SEFA.
Corrective action: Management has implemented internal controls over compliance in place to assist with the timely preparation of the SEFA.
2021-003
FAC accepted this audit on August 13, 2024 — management decision was due February 13, 2025.
2021-002 – Other Matters - Submission of Single Audit reporting package Criteria – The Single Audit reporting package is due to the Federal Audit Clearinghouse within nine months after year end as stated in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Section 200.512(a)(1). Condition – The Single Audit reporting package was not submitted within this timeframe. Questioned costs - $-0- Context – Single Audit requirements direct the grant recipient to comply with the filing requisites. Effect - The Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe which resulted in an instance of noncompliance. Cause – Due to delays in completing the financial statement audit, the Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe. Recommendation – We recommend the Hospital file the Single Audit reporting package with the Federal Audit Clearinghouse. Views of Responsible Officials and Planned Corrective Actions – Management understands the due date for Single Audit reporting package submission to the Federal Audit Clearinghouse and will file the Single Audit reporting package as soon as possible.
Show full finding ▾Hide full finding ▴2021-002 – Other Matters - Submission of Single Audit reporting package Criteria – The Single Audit reporting package is due to the Federal Audit Clearinghouse within nine months after year end as stated in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Section 200.512(a)(1). Condition – The Single Audit reporting package was not submitted within this timeframe. Questioned costs - $-0- Context – Single Audit requirements direct the grant recipient to comply with the filing requisites. Effect - The Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe which resulted in an instance of noncompliance. Cause – Due to delays in completing the financial statement audit, the Single Audit reporting package was not submitted to the Federal Audit Clearinghouse within the timeframe. Recommendation – We recommend the Hospital file the Single Audit reporting package with the Federal Audit Clearinghouse. Views of Responsible Officials and Planned Corrective Actions – Management understands the due date for Single Audit reporting package submission to the Federal Audit Clearinghouse and will file the Single Audit reporting package as soon as possible.
Corrective action: Management understands the due date for single audit reporting package submission to the Federal Audit Clearinghouse and filed the 2021 single audit reporting package in August 2024.
2021-003 – Significant deficiency related to timely preparation of Schedule of Expenditures of Federal Awards Criteria – The preparation of the Schedule of Expenditures of Federal Awards (SEFA) is necessary to satisfy the reporting requirements for federal programs identified as major programs. Condition – The SEFA was not prepared on a timely basis. Questioned costs - $-0- Context – The timely preparation of the SEFA is necessary to satisfy reporting requirements related to federal programs identified as major programs. Effect - The SEFA was not prepared on a timely basis resulting in delays in completing reporting requirements for federal programs identified as major programs. Cause – Due to delays in completing the financial statement audit, the SEFA was not completed on a timely basis. Recommendation – We recommend the Hospital complete the SEFA on a timely basis to assist with the reporting requirements for federal programs identified as major programs. Views of Responsible Officials and Planned Corrective Actions – Management has implemented internal controls over compliance in place to assist with the timely preparation of the SEFA.
Show full finding ▾Hide full finding ▴2021-003 – Significant deficiency related to timely preparation of Schedule of Expenditures of Federal Awards Criteria – The preparation of the Schedule of Expenditures of Federal Awards (SEFA) is necessary to satisfy the reporting requirements for federal programs identified as major programs. Condition – The SEFA was not prepared on a timely basis. Questioned costs - $-0- Context – The timely preparation of the SEFA is necessary to satisfy reporting requirements related to federal programs identified as major programs. Effect - The SEFA was not prepared on a timely basis resulting in delays in completing reporting requirements for federal programs identified as major programs. Cause – Due to delays in completing the financial statement audit, the SEFA was not completed on a timely basis. Recommendation – We recommend the Hospital complete the SEFA on a timely basis to assist with the reporting requirements for federal programs identified as major programs. Views of Responsible Officials and Planned Corrective Actions – Management has implemented internal controls over compliance in place to assist with the timely preparation of the SEFA.
Corrective action: Management has implemented internal controls over compliance in place to assist with the timely preparation of the SEFA.
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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