Finding 1102954 (2023-003)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2025-03-10
Audit: 345428
Organization: Boulder City Hospital, Inc. (NV)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital failed to adequately fund its USDA debt reserve account, falling short by over $248,000.
  • Impacted Requirements: This noncompliance violates the internal control requirements set by 2 CFR 200.303(a) and the Loan Resolution Security Agreement.
  • Recommended Follow-Up: Ensure the reserve account is fully funded at each measurement date to meet USDA debt agreement provisions.

Finding Text

2023-003 U.S. Department of Agriculture Federal Financial Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Material Weakness in Internal Control Over Compliance and Material Noncompliance Criteria - 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. The Loan Resolution Security Agreement requires a monthly amount to be set aside in a reserve fund until the specific account balance is reached. Condition – The Hospital did not sufficiently fund their reserve account. As of December 31, 2023, the Hospital should have USDA debt reserves at least equal to $389,998. The USDA debt reserves equaled $141,821 as of December 31, 2023. Cause – Management has not funded the USDA debt reserves adequately. Effect – The Hospital was not in compliance with their provisions of the USDA debt agreements. Questioned Costs - None reported. Context – Sampling was not used. Repeat Finding from Prior Years - Yes Recommendation - We recommend the Hospital fund the reserve account adequately at each measurement date. Views of Responsible Officials - Management agrees with the finding.

Categories

Special Tests & Provisions Material Weakness Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 526512 2023-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $18.12M
10.768 Business and Industry Guaranteed Loans $2.70M
21.027 Coronavirus State and Local Fiscal Recovery Funds $100,000