Finding 498452 (2023-003)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-09-26
Audit: 321161
Organization: Box Butte General Hospital (NE)

AI Summary

  • Core Issue: The Hospital missed the nine-month deadline for filing financial statement and compliance audits due to delays from a new accounting and EHR system implementation.
  • Impacted Requirements: Timely filing of audits is mandated for federal programs, specifically for USDA and HHS funding.
  • Recommended Follow-up: Hospital management should continue to collaborate with the vendor to resolve ongoing issues and ensure future compliance with filing deadlines.

Finding Text

FINDING 2023-003 COMPLETION AND TIMELY FILING OF SINGLE AUDIT REPORTS Federal programs Federal Assistance Listing Number 10.766 U.S. Department of Agriculture (USDA) Direct Award, Community Facilities Loans and Grants Federal Assistance Listing Number 93.498 U.S. Department of Health and Human Services COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution Material Weakness Criteria The Hospital is required to have its financial statement and compliance audits completed and filed with the Federal Audit Clearinghouse nine months after the end of the audit period. Condition The Hospital’s financial statement and compliance audits for the June 30, 2023 reporting period were not filed within the required timeline. Cause The Hospital implemented a new accounting and electronic health record (EHR) system in May of 2023 and incurred significant issues with the implementation resulting in both the financial statement and compliance audits being significantly delayed. Effect The Hospital was unable to meet the required nine month filing deadline. Questioned costs None. Perspective/Context The majority of the implementation issues were outside of Hospital management’s control and directly related to issues associated with the accounting and EHR system vendor. Hospital management also notified various parties that the financial statement and compliance audits would be delayed due to the implementation issues. Recommendation We suggest Hospital management continue working with its accounting and EHR system vendor to resolve issues to assure timely filing requirements will be met in future periods. Views of responsible officials and planned corrective actions The financial statement and compliance audit will be filed with the Federal Audit Clearinghouse shortly after issuance.

Corrective Action Plan

FINDING 2023-003 COMPLETION AND TIMELY FILING OF SINGLE AUDIT REPORTS Effect and recommendation The Hospital implemented a new accounting and electronic health record (EHR) system in May of 2023 and incurred significant issues with the implementation resulting in both the financial statement and compliance audits being significantly delayed. This resulted in the Hospital’s financial statements and compliance audits for June 30, 2023 reporting period not being filed within the required timeline. Views of responsible officials and planned corrective actions The financial statement and compliance audit will be filed with the Federal Audit Clearinghouse shortly after issuance. Anticipated completion date Ongoing

Categories

Material Weakness Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 498451 2023-002
    Material Weakness
  • 498453 2023-003
    Material Weakness
  • 1074893 2023-002
    Material Weakness
  • 1074894 2023-003
    Material Weakness
  • 1074895 2023-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $26.22M
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $989,162
93.697 Testing and Mitigation for Rural Health Clinics $300,000
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $250,000
93.301 Small Rural Hospital Improvement Grant Program $12,836