FAC Explorer

Audit 316187

FY End
2022-06-30
Total Expended
$7.07M
Findings
2
Programs
4
Organization: Iron County Hospital District Dba: Iron County Medical Center (IL)
Year: 2022 Accepted: 2024-07-30
Auditor: Cliftonlarsonallen

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
479604 2022-003 Significant Deficiency - L
1056046 2022-003 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
10.766 Community Facilities Loans and Grants $6.84M Yes 1
90.201 Delta Area Economic Development $199,402 - 0
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $11,260 - 0
93.697 Covid-19 Testing for Rural Health Clinics $10,080 - 0

Contacts

Name Title Type
HNY6XAFT2QJ6 Steve Weiss Auditee
5735468051 Josh Wilks Auditor
No contacts on file

Notes to SEFA

Title: NOTE 1 BASIS OF PRESENTATION Accounting Policies: No funds were identified as having been provided to subrecipients by the Medical Center and accordingly, no funds identified in the Schedule of Expenditures of Federal Awards are attributable to subrecipient entities. There were no federal awards expended for noncash assistance or insurance. The Medical Center has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The Medical Center has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance. The accompanying schedule of expenditures of federal awards includes the federal grant activity of Iron County Hospital District dba: Iron County Medical Center’s (the Medical Center) and is presented on the accrual basis of accounting. The information in this schedule is presented in accordance with the applicable requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the schedule of expenditures of federal awards presents only a selected portion of the operations of the Medical Center, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Medical Center.
Title: NOTE 3 RECONCILATION OF SEFA AND FINANCIAL STATEMENTS Accounting Policies: No funds were identified as having been provided to subrecipients by the Medical Center and accordingly, no funds identified in the Schedule of Expenditures of Federal Awards are attributable to subrecipient entities. There were no federal awards expended for noncash assistance or insurance. The Medical Center has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The Medical Center has elected to use the 10% de minimis indirect cost rate allowable under the Uniform Guidance. The amount in the accompanying schedule represents the beginning loan balances during the year under audit. The outstanding loan balance at June 30, 2022 was $6,844,587.

Finding Details

Finding 2022-003
Federal agency: U.S. Department of Agriculture Federal program title: Community Facilities Loans and Grants CFDA Number: 10.766 Pass-Through Agency: N/A Pass-Through Number(s): N/A Type of Finding: Significant Deficiency in Internal Control in and over Compliance Compliance Requirement: Reporting Criteria or specific requirement: Surrounding reporting activities, the Hospital’s internal controls should be designed to assure all reporting completed under program guidelines. Condition: During our testing, we identified the Hospital did not have internal controls in place to ensure reporting was completed in accordance with USDA guidelines. Questioned costs: None Context: During our testing, it was identified that the Hospital’s audit was not completed and submitted within 9 months of fiscal year end. Cause: The Hospital’s financial statement audit was delayed due to delays in finalizing the fiscal year end 2021 audit. Effect: Financial reporting was not completed timely in accordance with USDA guidelines. Repeat Finding: N/A Recommendation: We recommend the Hospital design controls to ensure that reporting is completing in accordance with latest USDA guidelines. Views of responsible officials: There is no disagreement with the audit finding.
Finding 2022-003
Federal agency: U.S. Department of Agriculture Federal program title: Community Facilities Loans and Grants CFDA Number: 10.766 Pass-Through Agency: N/A Pass-Through Number(s): N/A Type of Finding: Significant Deficiency in Internal Control in and over Compliance Compliance Requirement: Reporting Criteria or specific requirement: Surrounding reporting activities, the Hospital’s internal controls should be designed to assure all reporting completed under program guidelines. Condition: During our testing, we identified the Hospital did not have internal controls in place to ensure reporting was completed in accordance with USDA guidelines. Questioned costs: None Context: During our testing, it was identified that the Hospital’s audit was not completed and submitted within 9 months of fiscal year end. Cause: The Hospital’s financial statement audit was delayed due to delays in finalizing the fiscal year end 2021 audit. Effect: Financial reporting was not completed timely in accordance with USDA guidelines. Repeat Finding: N/A Recommendation: We recommend the Hospital design controls to ensure that reporting is completing in accordance with latest USDA guidelines. Views of responsible officials: There is no disagreement with the audit finding.