Finding 479604 (2022-003)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2024-07-30

AI Summary

  • Core Issue: The Hospital lacks internal controls for timely reporting under USDA guidelines.
  • Impacted Requirements: Compliance with reporting requirements for the Community Facilities Loans and Grants program.
  • Recommended Follow-Up: Implement controls to ensure all reporting aligns with USDA guidelines and is submitted on time.

Finding Text

Federal agency: U.S. Department of Agriculture Federal program title: Community Facilities Loans and Grants CFDA Number: 10.766 Pass-Through Agency: N/A Pass-Through Number(s): N/A Type of Finding: Significant Deficiency in Internal Control in and over Compliance Compliance Requirement: Reporting Criteria or specific requirement: Surrounding reporting activities, the Hospital’s internal controls should be designed to assure all reporting completed under program guidelines. Condition: During our testing, we identified the Hospital did not have internal controls in place to ensure reporting was completed in accordance with USDA guidelines. Questioned costs: None Context: During our testing, it was identified that the Hospital’s audit was not completed and submitted within 9 months of fiscal year end. Cause: The Hospital’s financial statement audit was delayed due to delays in finalizing the fiscal year end 2021 audit. Effect: Financial reporting was not completed timely in accordance with USDA guidelines. Repeat Finding: N/A Recommendation: We recommend the Hospital design controls to ensure that reporting is completing in accordance with latest USDA guidelines. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

U.S. Department of Agriculture Iron County Hospital District dba: Iron County Medical Center (“Medical Center”) respectfully submits the following corrective action plan for the year ended June 30, 2022. Audit period: July 1, 2021 – June 30, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF HEALTH AND HUMAN SERVICES 2022 – 2023 Community Facilities Loans and Grants Recommendation: We recommend the Hospital design controls to ensure that reporting is completing in accordance with latest USDA guidelines. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Medical Center will ensure that controls are put into place to ensure timely reporting in accordance with the USDA guidelines. Name of the contact person responsible for corrective action: Steve Weiss, Interim CFO Planned completion date for corrective action plan: July 1, 2022

Categories

Reporting Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1056046 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $6.84M
90.201 Delta Area Economic Development $199,402
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $11,260
93.697 Covid-19 Testing for Rural Health Clinics $10,080