Finding 1175156 (2024-001)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2024
Accepted
2026-02-24
Audit: 388774
Organization: Broadlawns Medical Center (IA)

AI Summary

  • Core Issue: The Medical Center incurred $97,969 in costs that are not allowable under the federal award program.
  • Impacted Requirements: Non-compliance with 2 CFR Part 200 §200.516 regarding questioned costs for federal awards.
  • Recommended Follow-Up: Implement monthly reviews of WIC expenses to ensure all costs are allowable and reimbursable.

Finding Text

Federal agency: U.S. Department of Agriculture Federal program title: Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing Number: 10.557 Pass-Through Agency: Iowa Department of Public Health, Division of Family and Community Health Pass-Through Numbers: 5883A031 and 5884AO31 Award Period: October 1, 2017 through September 30, 2028 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award contains various requirements for questioned costs under federal awards. §200.516 requires the auditor to provide information on known or likely questioned costs greater than $25,000 for a type of compliance requirement for a major program. Condition and Context: During our testing, we noted $97,969 was attributed to the federal award program and was determined to not be an allowable cost under the federal award program. Questioned Costs: $97,969 Cause: The Medical Center was unaware at the time of recognition that the costs were not allowable under the federal award program. Effect: The Medical Center is not in compliance with the requirements of 2 CFR Part 200 §200.516. Recommendation: We recommend the Medical Center review the WIC expenses monthly to ensure during month end close process that all costs are allowable and deemed to be reimbursable as a part of the federal award program. Views of responsible officials: There is no disagreement with the audit finding. Management will file an amendment to payback the questioned costs to the federal program.

Corrective Action Plan

Broadlawns Medical Center respectfully submits the following corrective action plan for the year ended June 30, 2024. Audit period: July 1, 2023 – June 30, 2024 The finding from the schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. FINDING—FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF AGRICULTURE 2024-001 Special Supplemental Nutrition Program for Women, Infants and Children – CFDA No. 10.557 Recommendation; We recommend the Medical Center review the WIC expenses monthly to ensure during month end close process that all costs are allowable and deemed to be reimbursable as a part of the federal award program. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization adopted a monthly review process as part of the monthly close process. Name of the contact person responsible for corrective action: Jim Lynch Planned completion date for corrective action plan: Next Fiscal Year If there are questions regarding this plan, please call Jim Lynch at 515-282-2296

Categories

Allowable Costs / Cost Principles Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $3.37M
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $64,042
10.572 WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) $6,603
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $5,000
93.074 HOSPITAL PREPAREDNESS PROGRAM (HPP) AND PUBLIC HEALTH EMERGENCY PREPAREDNESS (PHEP) ALIGNED COOPERATIVE AGREEMENTS $2,300