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Hamilton County Hospital DistrictLocal Government

EIN: 742570068

UEI: DXG5Y91J74Y4

Audited by: Forvis Mazars, LLP

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

View federal awards & risk assessment →

Data as of September 2, 2026

Hamilton County Hospital District3 audit years1 findings
3
Audit Years
1
Total Findings
0
Repeat Findings
$3.6M
Federal Awards Expended (FY 2023)

FY 2023-09-30

$3,649,335 federal awards expended

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on May 2, 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 November 2, 2025 (309 days ago).

What is a management decision? →
2023-002
Reporting
MATERIAL WEAKNESSOTHER MATTERS

The District is required to prepare and submit the Period 4 Provider Relief Fund report to the U.S. Department of Health and Human Services. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs: None. Context: The Period 4 Provider Relief Fund report was tested. The District selected Option 3 to report lost revenues. An error in the input of lost revenues was identified that resulted in lost revenues being misstated by approximately $6.5 million. After correcting the error, there is sufficient lost revenue to cover amounts received and, as such, there are no questioned costs. Effect: Errors were made in the input of lost revenue. Lost revenue was not accurately reported. Cause: Internal controls over compliance were not in place to ensure the District properly input lost revenue in their report under Option 3. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Views of responsible officials and planned corrective actions: See attached corrective action plan for the District’s response to finding.

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Full finding narrative

COVID-19 – Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 Criteria: Reporting Condition: The District is required to prepare and submit the Period 4 Provider Relief Fund report to the U.S. Department of Health and Human Services. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs: None. Context: The Period 4 Provider Relief Fund report was tested. The District selected Option 3 to report lost revenues. An error in the input of lost revenues was identified that resulted in lost revenues being misstated by approximately $6.5 million. After correcting the error, there is sufficient lost revenue to cover amounts received and, as such, there are no questioned costs. Effect: Errors were made in the input of lost revenue. Lost revenue was not accurately reported. Cause: Internal controls over compliance were not in place to ensure the District properly input lost revenue in their report under Option 3. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Views of responsible officials and planned corrective actions: See attached corrective action plan for the District’s response to finding.

Corrective Action Plan

orrective Action Plan for Finding 2023-002 We are in receipt of the finding required to be reported by Uniform Guidance, regarding other instance of noncompliance with respect to Reporting. Management agrees with the finding. Policies and procedures over federal grant reporting will be modified to ensure reports are prepared using complete and accurate information. We will increase compensating controls for introducing additional oversight and review for future COVID-19 Provider Relief Fund reporting. Tammy Schreiber, CFO, will be responsible to ensure this is accomplished. The District had enough lost revenues during Period 4 that the error determined in Finding 2023-002 will not result in a conflict with funding received. The Corrective Action Plan will be implemented by September 30, 2025.

About Reporting →

FY 2022-09-30

$4,986,385 federal awards expendedNo findings recorded this year

FAC accepted this audit on October 18, 2024 — management decision was due April 18, 2025.

FY 2021-09-30

$12,793,921 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 29, 2022 — management decision was due December 29, 2022.

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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