Finding 1155768 (2024-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-09-29
Audit: 368139
Organization: Wheeling Hospital, Inc. (WV)

AI Summary

  • Core Issue: The System lacks controls to ensure written consent from HUD is obtained before new debt or lease arrangements.
  • Impacted Requirements: Compliance with the Uniform Guidance for internal controls over significant financial commitments.
  • Recommended Follow-Up: Management should implement effective controls to secure written consent from HUD prior to any new leases or debts.

Finding Text

14.128 Mortgage Insurance Hospitals U.S. Department of Housing and Urban Development Significant Deficiency Criteria: The Uniform Guidance requires appropriate internal controls over compliance for each direct and material compliance requirement. Proper controls should be established to ensure written consent from HUD prior to incurring new debt or lease arrangements is obtained. Condition: The System did not have a control process established to ensure written consent was obtained. Effect: The System did not maintain written consent from HUD prior to obtaining new lease arrangements. Cause: Lack of effectively designed and implemented controls around obtaining written consent from HUD regarding new debt or lease arrangements. Questioned Costs: None. Context: The new lease arrangements were tested and there were no approvals from HUD provided during that testing. Identification of Prior Year Finding: 2023-001 Recommendation: Management should establish effective controls over compliance to ensure the written consent is obtained prior to incurring new debt or lease arrangements. Views of responsible officers and planned corrective actions: See corrective action plan.

Corrective Action Plan

Contact Person: William Bane Management’s Response: Management acknowledges that there were not sufficient controls in place to ensure written consent from HUD prior to incurring new debt or lease arrangements. Four of the five leases in question were all entered into and approved by individuals no longer with the organization and without prior knowledge of hospital finance personnel. Current Management had previously established controls to ensure written consent is obtained prior to incurring any new debt or lease arrangements, but these arrangements were not caught before being signed. The HUD loan was retired and refinanced with another financial institution during 2024 so this will not be an issue going forward. Completion Date: September 23, 2025

Categories

HUD Housing Programs Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
14.128 Mortgage Insurance Hospitals $39.96M
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $1,808