Finding 380908 (2021-009)

Material Weakness
Requirement
P
Questioned Costs
-
Year
2021
Accepted
2024-03-18

AI Summary

  • Core Issue: The Hospital lacks an effective internal control system for preparing the Schedule of Expenditures of Federal Awards.
  • Impacted Requirements: Proper financial reporting controls are necessary to ensure the Schedule is complete and accurate.
  • Recommended Follow-Up: Management should enhance awareness of financial reporting requirements and strengthen internal controls related to federal expenditures.

Finding Text

Department of Health and Human Services Federal Assistance Listing/CFDA #93.498 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year – Period 1 TIN #730929722 Other - Preparation of Schedule of Expenditures of Federal Awards Material Weakness in internal Control Over Compliance Criteria: Proper controls over financial reporting include the ability to prepare the schedule of expenditures of federal awards (Schedule) and accompanying notes to the Schedule. Condition: The Hospital does not have an internal control system designed to provide for a complete and accurate schedule of expenditures of federal awards being audited. We were requested to draft the Schedule. Cause: Auditor assistance with preparation of the Schedule is not unusual as the Schedule has unique and specialized requirements and preparation is only required when the Hospital meets a specified threshold of federal expenditures. Effect: There is a reasonable possibility that the Hospital would not be able to draft the Schedule that is correct without the assistance of the auditors. Questioned Costs: None reported Context: Sampling was not used. Repeat Finding from Prior Years: No Recommendation: While we recognize that this condition is not unusual for an organization with limited staffing, we recommend management be aware of the financial reporting requirements relating to the Hospital’s schedule of expenditures of federal awards and the internal controls that impact financial reporting. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

Finding 2021-009 Federal Agency Name: Department of Health and Human Services Program Name: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution CFDA # 93.498 Finding Summary: The Hospital does not have an internal control system designed to provide for a complete and accurate schedule of expenditures of federal awards being audited. Responsible Individuals: Scott Callender Corrective Action Plan : Due to the small accounting staff there was little internal review of the schedule of federal expenditures resulting in errors. The Hospital will adopt a policy where the schedule of expenditures will be reviewed by a qualified individual. Anticipated Completion Date: Ongoing

Categories

Reporting Material Weakness

Other Findings in this Audit

  • 380904 2021-005
    Material Weakness
  • 380905 2021-006
    Material Weakness
  • 380906 2021-007
    Material Weakness
  • 380907 2021-008
    Material Weakness
  • 957346 2021-005
    Material Weakness
  • 957347 2021-006
    Material Weakness
  • 957348 2021-007
    Material Weakness
  • 957349 2021-008
    Material Weakness
  • 957350 2021-009
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.95M
93.301 Small Rural Hospital Improvement Grant Program $78,499
93.889 National Bioterrorism Hospital Preparedness Program $12,190