Finding 1175220 (2023-005)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2026-02-24

AI Summary

  • Core Issue: The Medical Center lacks a system for timely reconciliations of USDA Accounts, leading to potential errors in financial statements.
  • Impacted Requirements: Compliance with loan resolutions for managing borrower funds and ensuring accurate financial reporting is at risk.
  • Recommended Follow-Up: Establish a formal process for monthly reconciliations of USDA Accounts and implement a review process to ensure accuracy.

Finding Text

Department of Agriculture Federal Financial Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Lack of Timely Reconciliations of the General Cash, Construction, and Required Reserve Accounts Material Weakness in Internal Control Over Compliance – Special Tests and Provisions Criteria The Medical Center is required to establish accounts into which borrower funds, loan proceeds, the revenue of the facility financed, and any other income shall be deposited in accordance with loan resolutions authorizing the incurrence of indebtedness related to the loan proceeds. These accounts shall be maintained in accordance with the loan resolutions as long as the authorized indebtedness is outstanding. These accounts include the general account (i.e., operating checking account), construction account, debt service account, and reserve account (USDA Accounts). Condition The Medical Center does not have an internal control system designed to ensure that the USDA Accounts noted above are reconciled on a timely basis. The lack of timely reconciliations required several adjustments to be made during the audit. Cause The Medical Center had turnover in the Chief Financial Officer position along with a construction project that utilized significant finance department time and resources. Effect There is a reasonable possibility that errors related to the USDA Accounts and other accounts impacted by the USDA Accounts, including construction in progress, are not properly stated in the consolidated financial statements. In addition, there could be amounts expended from the USDA Accounts that do not meet the requirements and those expenditures would not be identified in a timely manner. Questioned Costs None reported. Context Sampling was not used. There are four USDA Accounts currently in use and all USDA Accounts were reviewed. Repeat Finding from Prior Years No Recommendation We recommend that a formalized process be established to ensure timely reconciliation of the USDA Accounts as well as a review process of those reconciliations each month. Views of Responsible Officials Management agrees with the finding.

Corrective Action Plan

Federal Agency Name Department of Agriculture Federal Assistance Listing #10.766 Program Name Community Facilities Loan and Grants Cluster Finding Summary The Medical Center does not ensure that the required USDA Accounts (General Account, Construction Account, Debt Service Account, and Reserve Account) were reconciled on a timely basis. This increases the possibility that errors related to the USDA Accounts and other accounts impacted by the USDA Accounts, including construction in progress, are not properly stated in the financial statements. In addition, there could be amounts expended from the USDA Accounts that do not meet the requirements and those expenditures would not be identified in a timely manner. Corrective Action Plan Internal controls will be updated to have a formalized process established to ensure timely reconciliation of the USDA Accounts as well as a review process of those reconciliations each month Responsible Individuals Judy Monson, CFO; Nikki Lindsey, CEO; Jasen Walker, Controller Anticipated Completion Date Complete.

Categories

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

Other Findings in this Audit

  • 1175217 2023-004
    Material Weakness Repeat
  • 1175218 2023-004
    Material Weakness Repeat
  • 1175219 2023-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $21.44M
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $172,594
93.697 COVID-19 TESTING AND MITIGATION FOR RURAL HEALTH CLINICS $100,000