EIN: 756001193
UEI: MMKRT97CNN34
Audited by: Forvis Mazars, LLP
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 September 29, 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 March 29, 2026 (157 days ago).
What is a management decision? →The Hospital 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 Hospital selected option 3 to report lost revenues based on quarterly actual amounts. An error in the input of lost revenues in one quarter reported was identified that resulted in lost revenues being overstated by $1,423,684. After correcting the error, there is sufficient lost revenue to cover amounts received and as such, there are no questioned costs. Cause: Internal controls over compliance were not in place to ensure the Hospital properly input lost revenue in their report under option 3. Effect: Errors were made in input of quarterly lost revenue. Lost revenue was not accurately reported. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Identification as a repeat finding: Not a repeat finding. Views of responsible officials and planned corrective actions: Management agrees with the finding. This is not a repeat 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 by introducing additional oversight and review for future COVID-19 Provider Relief Fund reporting, if any. Leticia Rodriguez, CEO, will be responsible to ensure this is accomplished. The corrective action plan will be implemented by December 31, 2024.
Show full finding ▾Hide full finding ▴COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria: Reporting (45 CFR 75.342) Condition: The Hospital 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 Hospital selected option 3 to report lost revenues based on quarterly actual amounts. An error in the input of lost revenues in one quarter reported was identified that resulted in lost revenues being overstated by $1,423,684. After correcting the error, there is sufficient lost revenue to cover amounts received and as such, there are no questioned costs. Cause: Internal controls over compliance were not in place to ensure the Hospital properly input lost revenue in their report under option 3. Effect: Errors were made in input of quarterly lost revenue. Lost revenue was not accurately reported. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information. Identification as a repeat finding: Not a repeat finding. Views of responsible officials and planned corrective actions: Management agrees with the finding. This is not a repeat 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 by introducing additional oversight and review for future COVID-19 Provider Relief Fund reporting, if any. Leticia Rodriguez, CEO, will be responsible to ensure this is accomplished. The corrective action plan will be implemented by December 31, 2024.
Corrective Action Plan for Finding 2022-001 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 federal funding reporting. Leticia Rodriguez, CEO, will be responsible to ensure this is accomplished. The District had sufficient lost revenues that the error determined in Finding 2021-003 will not result in a conflict with funding received, but controls will be implemented to reconcile data in reporting prior to submission. The Corrective Action Plan will be implemented by December 31, 2025.
FAC accepted this audit on September 29, 2025 — management decision was due March 29, 2026.
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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