Finding 1164573 (2025-002)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2025
Accepted
2025-12-11

AI Summary

  • Core Issue: The Medical Center did not fund the required Replacement and Extension Account for the USDA agreement.
  • Impacted Requirements: This failure means the Medical Center is not in compliance with USDA terms and conditions.
  • Recommended Follow-Up: The Medical Center should clarify reserve account requirements with the USDA and document any agreements in writing.

Finding Text

2025-002 USDA REQUIREMENTS Federal Agency: U.S. Department of Agriculture Program Title: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Award Period: July 1, 2024 to June 30, 2025 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Under the terms and conditions of the agreements with the USDA the Medical Center is required to fund a Replacement and Extension Account. Condition: The Medical Center failed to fund the required reserve accounts for the year ended June 30, 2025. Questioned costs: None Cause: The Medical Center understood that the USDA did not require them to fund the required account under the agreement however no documentation was formalized with the USDA. Effect: The Medical Center is not in compliance with the terms and conditions of the agreement. Recommendation: The Medical Center should work with the USDA to determine what reserve accounts are required, or to the extent they are not required, properly document that understanding in writing with the USDA. Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding. Management will continue to work with the USDA to document the requirements around the reserve funding. In addition, subsequent to year-end the Medical Center funded the Replacement and Extension Account as required by the agreement.

Corrective Action Plan

DEPARTMENT OF AGRICULTURE 2025 – 002 Community Facilities Loans and Grants Recommendation: The Medical Center should work with the USDA to determine what reserve accounts are required, or to the extent they are not required, properly document that understanding in writing with the USDA. Action taken in response to finding: The Medical Center will work with the USDA to agree to the reserve funding requirements in writing or fund the accounts as required. Name of the contact person responsible for corrective action: Brittany Mooney, Chief Financial Officer. Planned completion date for corrective action plan: December 31, 2025

Categories

Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Programs in Audit

ALN Program Name Expenditures
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $6.84M
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $347,149
93.074 HOSPITAL PREPAREDNESS PROGRAM (HPP) AND PUBLIC HEALTH EMERGENCY PREPAREDNESS (PHEP) ALIGNED COOPERATIVE AGREEMENTS $11,871