Finding 42589 (2022-002)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-06-05
Audit: 39522
Organization: Memorial Regional Health (CO)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital lacks an effective internal control process for recalculating and reviewing financial debt covenants.
  • Impacted Requirements: This deficiency violates 2 CFR 200.303(a), which mandates effective internal controls over federal awards.
  • Recommended Follow-Up: Management should establish a control process for regular calculation and review of all financial debt covenants.

Finding Text

United States Department of Agriculture CFDA 10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Significant Deficiency in Internal Control Over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Condition: There was no evidence retained that the Hospital?s recalculates debt covenants as required or performs any review of one of the two financial debt covenant calculations. Cause: The Hospital did not have an internal control process in place to ensure recalculation and review of all required covenants. Effect: The Hospital may not identify when noncompliance with debt covenants occurs. Questioned Costs: None reported. Context: Sampling was not used. Repeat Finding from Prior Years: No Recommendation: We recommend that management implement a control process which includes periodic calculation and review of all financial debt covenants. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

2022-002 United States Department of Agriculture CFDA 10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Significant Deficiency in Internal Controls Over Compliance Finding Summary: There was no evidence retained that the Hospital?s recalculates debt covenants as required or performs any review of one of the two financial debt covenant calculations. Responsible Individuals: Brittany Johnson, CFO Corrective Action Plan: Management will implement a control process which includes periodic calulation and review of all financial debt covenants. Anticipated Completion Date: Action taken and completed on 5/31/23

Categories

Special Tests & Provisions Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 619031 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $62.20M
93.498 Provider Relief Fund $1.11M
93.697 Covid-19 Testing for Rural Health Clinics $300,000
93.155 Rural Health Research Centers $173,214
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $148,587