Finding 11335 (2023-005)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2024-02-01
Audit: 15167
Organization: Baraga County Memorial Hospital (MI)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital has a significant deficiency in internal controls, holding $678,628 in receivables from an affiliate that are over 90 days old, violating HUD loan terms.
  • Impacted Requirements: Compliance with HUD's loan agreement, specifically the prohibition against holding aged receivables from affiliates.
  • Recommended Follow-Up: Management should adhere to the established payment plan to reduce the outstanding balance and ensure compliance moving forward.

Finding Text

Federal Agency Name: U.S. Department of Housing and Urban Development Assistance Listing Number: 14.128 Program Name: Mortgage Insurance for Hospitals Compliance Requirement: Special Tests and Provisions Type of Finding: Significant Deficiency in Internal Control Over Compliance and Noncompliance Criteria: As part of its loan agreement with HUD, the Hospital is not permitted to hold receivables from affiliated entities that are older than 90 days. Condition: The Hospital has amounts due from affiliate of $678,628 that are older than 90 days as of September 30, 2023. Cause: The Hospital funded significant costs on behalf of affiliate as a result of poor cash flows. The affiliate has been unable to pay the balance back to the Hospital in a timely manner. Effect: The Hospital is in violation of a loan covenant from HUD. The Hospital has implemented a payment plan with affiliate starting at $30,000 per month, increasing by $5,000 increments per quarter, until the balance is paid off. Questioned Costs: None reported. Context: Sampling was not used. Report Finding from Prior Year: Yes Recommendation: We recommend that management follow its payment plan that is currently in place in order to reduce the outstanding receivable balance from affiliate. Views of Responsible Officials: Management agrees with the finding. See corrective action plan.

Corrective Action Plan

Federal Agency Name: U.S. Department of Housing and Urban Development Assistance Listing Number: 14.128 Program Name: Mortgage Insurance for Hospitals Compliance Requirement: Special Tests and Provisions Type of Finding: Significant Deficiency in Internal Control Over Compliance and Noncompliance Finding Summary: The Hospital has amounts due from affiliate of $678,028 that are older than 90 days and is in violation of a loan covenant from HUD. Responsible Individuals: Gail Jestila, CFO Corrective Action Plan: Management implemented a repayment plan with affiliate to reduce amounts outstanding. Anticipated Completion Date: Ongoing

Categories

HUD Housing Programs Special Tests & Provisions Significant Deficiency Internal Control / Segregation of Duties Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 11334 2023-004
    Significant Deficiency
  • 587776 2023-004
    Significant Deficiency
  • 587777 2023-005
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
14.128 Mortgage Insurance for Hospitals $20.75M
21.027 Coronavirus State and Local Fiscal Recovery Funds $250,000
93.301 Small Rural Hospital Improvement Grant Program $12,900