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Texas · Local government · $2M-$10M in federal spending

Dewitt Medical District d.b.a Cuero Regional Hospital

Cuero, TX

The FY2023 single audit reports 1 finding: 1 material weakness, 1 repeat.

No FY2024 single audit on file as of October 30, 2026. For the fiscal year ending September 30, 2024, it was due June 30, 2025, 487 days earlier. It is expected because the FY2023 audit reported $5,189,578 in federal spending; an organization whose federal spending fell below the threshold would not need one.

Score: 21 of 100 (FY2023 audit)

The sum of eight parts, each read from the audit. How the score works.

PartRulePointsMax
Material weaknesses8 points each824
Significant deficiencies3 points each09
Repeat findings5 points each515
Longest repeat chain2 years 3, 3 years 6, 4 years 9, 5+ years 12312
Modified major-program opinionsqualified 8 each; any adverse or disclaimer 15015
Questioned costsknown amount of $25,000 or more, by share and dollars015
Going concernauditor included a going-concern paragraph05
Prior-year latenessprior-year audit late or not filed, scored only with a finding55
Score21100

Federal funding, FY2023

$5,189,578 in federal awards spent, across 2 programs. Largest funding agencies:

AgencySpent
Department of Health and Human Services$5,189,578

FY2023 audit

FAC record
2023-09-GSAFAC-0000041662
Fiscal year end
September 30, 2023
Accepted by FAC
June 28, 2024
Federal spending
$5,189,578 · 2 programs
Major programs
1
Score
21 of 100

Finding 2023-001

material weaknessrepeat findingother matters

Program
PROVIDER RELIEF FUND (93.498)
Compliance requirement
Reporting
Repeat
Chain of 2 audit years; prior finding 2022-001
FAC record
FY2023 audit on fac.gov
Finding text from the filing

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 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 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 $780,356. 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 District 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: This is a repeat finding. See 2022-001.

Views of responsible officials and planned corrective actions: Management agrees with the finding. This is a repeat finding due to the Period 4 Provider Relief Fund report being submitted prior to completion of the 2022 Single Audit. 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. Lynn Falcone, CEO, will be responsible to ensure this is accomplished.

The corrective action plan will be implemented by September 30, 2024.