Finding 404807 (2023-003)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2023
Accepted
2024-07-01
Audit: 311195
Organization: Mobridge Regional Hospital (SD)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital lacks a proper internal control system for preparing the Schedule of Expenditures of Federal Awards, leading to potential inaccuracies.
  • Impacted Requirements: Compliance with financial reporting standards is compromised, as the Hospital does not have controls in place to ensure a complete and accurate schedule.
  • Recommended Follow-Up: Management should enhance internal controls for financial reporting to avoid repeat findings and ensure compliance with federal requirements.

Finding Text

2023-003 United States Department of Agriculture Federal Financial Assistance Listing #10.766 Communities Facilities Loans and Grants Cluster Department of Health and Human Services Federal Financial Assistance Listing #93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Preparation of the Schedule of Expenditures of Federal Awards Material Weakness in Internal Control over Compliance Criteria: Proper controls over financial reporting include a system designed to prepare the schedule of expenditures of federal awards (the schedule) and the 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. As auditors, we were requested to assist with the preparation of 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 a complete and accurate schedule. Questioned Costs: None reported. Context: Sampling was not used. Repeat Finding from Prior Year: Yes, prior year finding 2022-003 Recommendation: While we recognize that this condition is not unusual for an organization with limited staffing, it is important that the Hospital is aware of this condition for financial reporting requirements relating to the Hospital’s schedule and the internal controls that impact financial reporting. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

Federal Agency Name: Department of Agriculture Program Name: Communities Facilities Loans and Grants Cluster Federal Financial Assistance Listing #10.766 Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Financial Assistance Listing #93.498 Finding Summary: The Hospital does not have an internal control system designed to provide for a complete and accurate schedule of federal expenditures of federal awards being audited. As auditors, Eide Bailly LLP was requested to assist with the preparation of the schedule. Responsible Individuals: Renae Karst, Chief Financial Officer Corrective Action Plan: It is not cost effective to have an internal control system designed to prepare the schedule of expenditures of federal awards. We requested that our auditors, Eide Bailly LLP, to assist with the preparation of the schedule of expenditures of federal awards. We have designated a member of management to review the drafted schedule of expenditures of federal awards, and we have reviewed with and agree with the final Schedule of Expenditures of Federal Awards. A Grant Award Policy and Procedure Manual was implemented defining tracking and reporting of awards to ensure accurate and up-to-date communication of award requirements. This communication will include implementing additional processes to improve our internal controls over identifying and reporting of expenditures in compliance with the Schedule of Expenditures of Federal Awards (SEFA) if applicable. We will provide staff training annually for any updates or adjustments to the policy. Anticipated Completion Date: Ongoing

Categories

Reporting Material Weakness Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 404808 2023-003
    Material Weakness Repeat
  • 404809 2023-003
    Material Weakness Repeat
  • 404810 2023-003
    Material Weakness Repeat
  • 404811 2023-004
    Material Weakness Repeat
  • 404812 2023-004
    Material Weakness Repeat
  • 404813 2023-004
    Material Weakness Repeat
  • 404814 2023-005
    Significant Deficiency
  • 404815 2023-006
    Material Weakness
  • 404816 2023-007
    Material Weakness
  • 981249 2023-003
    Material Weakness Repeat
  • 981250 2023-003
    Material Weakness Repeat
  • 981251 2023-003
    Material Weakness Repeat
  • 981252 2023-003
    Material Weakness Repeat
  • 981253 2023-004
    Material Weakness Repeat
  • 981254 2023-004
    Material Weakness Repeat
  • 981255 2023-004
    Material Weakness Repeat
  • 981256 2023-005
    Significant Deficiency
  • 981257 2023-006
    Material Weakness
  • 981258 2023-007
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $784,570
10.766 Community Facilities Loans and Grants $221,626
93.155 Rural Health Research Centers $59,890
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $26,617
93.301 Small Rural Hospital Improvement Grant Program $13,011