DELTA MEMORIAL HOSPITALNon-Profit

EIN: 710276839

UEI: ZWPZB3TYYDK4

Audited by: FORVIS LLP

Oversight agency: 93 [Department of Health and Human Services]

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Data as of August 28, 2026

DELTA MEMORIAL HOSPITAL2 audit years2 findings1 repeat
2
Audit Years
2
Total Findings
1
Repeat Findings
$1.1M
Federal Awards Expended (FY 2023)

FY 2023-06-30

$1,070,492 federal awards expended

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 29, 2024. 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 September 29, 2024 (699 days ago).

What is a management decision? →
2023-001
Activities Allowed or Unallowed / Cost Allowability / Reporting
MATERIAL WEAKNESSREPEAT OF 2021-001OTHER MATTERS

The Hospital’s portal reporting submission included errors. Questioned Costs: None Context: The Hospital chose to report under the alternative reporting methodology (option iii). Under this option, the Hospital submitted a memo describing its reasonable method of estimated revenues. The methodology described in the memo does not agree with the amounts the Hospital reported in the portal. The Hospital’s calculated lost revenue under its alternative reporting methodology was approximately $420,000 overstated for 2020 quarter 1 and approximately $537,000 understated for 2020 quarter 2, which led to actual total lost revenue being approximately $117,000 more than the amount the Hospital reported in the PRF portal. Effect: The report submitted in the PRF portal does not agree to the Hospital’s alternative reporting methodology, and quarterly lost revenues were improperly reported. Cause: The Hospital’s internal controls were not adequate to detect these reporting errors. Identification as a Repeat Finding: 2021-001. Recommendation: We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding and recommendation; however, the errors did not result in materially different lost revenues claimed.

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Full finding narrative

Criteria: Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No 115-139, 134 Stat. 622 and 623) Condition: The Hospital’s portal reporting submission included errors. Questioned Costs: None Context: The Hospital chose to report under the alternative reporting methodology (option iii). Under this option, the Hospital submitted a memo describing its reasonable method of estimated revenues. The methodology described in the memo does not agree with the amounts the Hospital reported in the portal. The Hospital’s calculated lost revenue under its alternative reporting methodology was approximately $420,000 overstated for 2020 quarter 1 and approximately $537,000 understated for 2020 quarter 2, which led to actual total lost revenue being approximately $117,000 more than the amount the Hospital reported in the PRF portal. Effect: The report submitted in the PRF portal does not agree to the Hospital’s alternative reporting methodology, and quarterly lost revenues were improperly reported. Cause: The Hospital’s internal controls were not adequate to detect these reporting errors. Identification as a Repeat Finding: 2021-001. Recommendation: We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding and recommendation; however, the errors did not result in materially different lost revenues claimed.

Corrective Action Plan

Finding 2023-001 (UG) The Hospital chose to report under the alternative reporting methodology (option iii). Under this option, the Hospital submitted a memo describing its reasonable method of estimated revenues. The methodology described in the memo does not agree with the amounts the Hospital reported in the portal. The Hospital’s calculated lost revenue under its alternative reporting methodology was approximately $420,000 overstated for 2020 quarter 1 and approximately $537,000 understated for 2020 quarter 2, which led to actual total lost revenue being approximately $117,000 more than the amount the Hospital reported in the PRF portal. Recommendation We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Comments on the Finding and Recommendation Management is in agreement with this finding and the related recommendation. Action(s) Taken or Planned on the Finding Management concurs with the finding and recommendation; however, lost revenues claimed would not have been materially different based on the finding.

Prior Finding References

2021-001

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles, Reporting →

FY 2021-06-30

$4,095,336 federal awards expended

FAC accepted this audit on September 13, 2022 — management decision was due March 13, 2023.

2021-001
Activities Allowed or Unallowed / Cost Allowability / Reporting
MATERIAL WEAKNESSOTHER MATTERS

The Hospital's portal reporting submission included errors. Questioned Costs: None Context: The Hospital chose to report under the alternative reporting methodology (option iii). Under this option, the Hospital submitted a memo describing its reasonable method of estimated revenues. The methodlogy described in the memo does not agree with the amounts the Hospital reported in the portal. The Hospital's calculated lost revenue under its alternative reporting methodology was approximately $420,000 overstated for 2020 quarter 1 and approxiamtely $537,000 understated for 2020 quarter 2, which led to actual total lost revenue being approximately $117,000 more than the amount the Hospital reported in the PRF portal. Effect: The report submitted in the PRF portal does not agree to the Hospital's alternative reporting methodology and quarterly lost revenues were improperly reported. Cause: The Hospital's internal controls were not adequate to detect these reporting errors. Identification as a Repeat Finding: Not applicable. Recommendation: We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding and recommendation; however, the errors did not result in materially different lost revenues claimed.

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Full finding narrative

Criteria: Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Cost Principles (Pub. L. No. 116-136, 134 Stat. 563 and Pub. L. No 115-139, 134 Stat. 622 and 623) Condition: The Hospital's portal reporting submission included errors. Questioned Costs: None Context: The Hospital chose to report under the alternative reporting methodology (option iii). Under this option, the Hospital submitted a memo describing its reasonable method of estimated revenues. The methodlogy described in the memo does not agree with the amounts the Hospital reported in the portal. The Hospital's calculated lost revenue under its alternative reporting methodology was approximately $420,000 overstated for 2020 quarter 1 and approxiamtely $537,000 understated for 2020 quarter 2, which led to actual total lost revenue being approximately $117,000 more than the amount the Hospital reported in the PRF portal. Effect: The report submitted in the PRF portal does not agree to the Hospital's alternative reporting methodology and quarterly lost revenues were improperly reported. Cause: The Hospital's internal controls were not adequate to detect these reporting errors. Identification as a Repeat Finding: Not applicable. Recommendation: We recommend implementing controls to ensure amounts reported are accurate, complete and reviewed. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding and recommendation; however, the errors did not result in materially different lost revenues claimed.

Corrective Action Plan

Finding 2021-001 (UG) The Hospital chose to report lost revenues within the HRSA Provider Relief Fund phase 1 portal submission under the alternative reporting methodology (option iii). Under the option, the Organization submitted a memo describing its reasonable method of estimated revenues. The methodology described does not agree with the amounts the Hospital reported in the portal. The Hospital?s calculated lost revenue under its alternative reporting methodology was approximately $117,000 more than the amount the Hospital reported in the PRF portal. Recommendation We recommend implementing controls to ensure amounts reported are accruate, complete and reviewed. Comments on the Finding and Recommendation Management is in agreement with this finding and the related recommendation. Action(s) Taken or Planned on the Finding Management concurs with the finding and recommendation; however, lost revenues claimed would not have been materially different based on the finding.

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles, Reporting →

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