Finding 1223979 (2025-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-07-17
Audit: 407376
Auditor: WIPFLI LLP

AI Summary

  • Core Issue: The Organization missed the deadline to file its annual audited financial statements due to personnel changes, including a new CFO.
  • Impacted Requirements: The mortgage agreement mandates filing within 120 days post fiscal year-end, which was not met.
  • Recommended Follow-Up: Implement earlier audit processes and establish new policies to ensure timely reporting and compliance moving forward.

Finding Text

Condition – It was noted that due to changes in personnel, in particular the replacing of the Organization’s Chief Financial Officer, among other items such as working through the change in affiliation, clinic integration, and other significant initiatives, the Organization failed to file its annual audited financial statements within the required 120 days following the end of its fiscal year end. Criteria – There is a requirement within the mortgage agreement that the Organization will make every effort to complete and file its annual audited financial statements within 120 days of year end. Effect – Reporting of financial information may not occur in a timely manner if reports are filed late. Recommendation – As the Organization continues to improve in processes and as time allows, completion of the annual audit and required work earlier in the year to allow for more timely reporting will assist in relieving this compliance finding. Management’s Response – The Organization will work to establish policies and procedure, and management took steps in 2026 to change personnel within the finance functions and hired a new Chief Financial Officer in 2026 with extensive hospital finance and accounting experience. The Chief Financial Officer’s duties will include additional reviews and assistance with account reconciliations as well as training of current staff and process improvements in this area, with a goal of removing this deficiency in the future.

Corrective Action Plan

Recommendation – As the Organization continues to improve in processes and as time allows, completion of the annual audit and required work earlier in the year to allow for more timely reporting will assist in relieving this compliance finding. Management’s Response – The Organization will work to establish policies and procedure, and management took steps in 2026 to change personnel within the finance functions and hired a new Chief Financial Officer in 2026 with extensive hospital finance and accounting experience. The Chief Financial Officer’s duties will include additional reviews and assistance with account reconciliations as well as training of current staff and process improvements in this area, with a goal of removing this deficiency in the future.

Categories

Reporting

Programs in Audit

ALN Program Name Expenditures
14.128 MORTGAGE INSURANCE_HOSPITALS $17.26M
10.855 DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS $66,698