Audit 404103

FY End
2024-06-30
Total Expended
$4.74M
Findings
2
Programs
1
Organization: St. Luke's Hospital (ND)
Year: 2024 Accepted: 2026-06-18
Auditor: EIDE BAILLY LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1217938 2024-003 Material Weakness Yes N
1217939 2024-003 Material Weakness Yes N

Programs

ALN Program Spent Major Findings
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $334,034 Yes 1

Contacts

Name Title Type
HHC1WAQT4KE5 Megan Ganskop Auditee
7019656384 Renee Gravalin Auditor
No contacts on file

Notes to SEFA

Expenditures reported on this Schedule consists of the beginning of the year outstanding loan balance of the Hospital’s USDA direct loan of $4,410,457, as well as $334,034, which is 90% of the beginning of the year outstanding balance of the Hospital’s USDA guaranteed loan. If applicable, advances made on the loans during the year are reported on the Schedule. The Hospital made no advances on the loans during the year ended June 30, 2024. The Hospital’s outstanding loan balances for the direct loan and the guaranteed loan as of June 30, 2024 are $4,228,212 and $347,729, respectively.

Finding Details

Department of Agriculture Federal Financial Assistance Listing #10.766 Community Facilities Loans and Grants Special Tests and Provisions Material Weakness in Internal Control Over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal controls over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes and conditions of the award. Condition: During our testing, it was noted that funds were disbursed from the loan reserve accounts without proper prior approval from the USDA, causing the accounts to be underfunded. Cause: The Hospital did not have an adequate internal control policy in place to ensure the proper disbursement and funding of the reserve account. Effect: Although management obtained a waiver for the noncompliance, the lack of adequate policies governing proper funding of reserve increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. Questioned Costs: None reported Context: Sampling was not used. The Hospital has two reserve accounts that were tested. Repeat Finding from Prior Year: No Recommendation: We recommend that the Hospital enhance internal control policies to ensure that there is proper funding of the reserve accounts. Views of Responsible Officials: Management agrees with the finding.