Finding 524530 (2024-001)

Significant Deficiency
Requirement
F
Questioned Costs
-
Year
2024
Accepted
2025-02-26
Audit: 343900
Organization: Owensboro Health, Inc. (KY)
Auditor: Kpmg LLP

AI Summary

  • Core Issue: The System did not conduct the required physical inventory of federally funded property for 2023 and 2024.
  • Impacted Requirements: This finding violates 2 CFR section 200.313(d)(2), which mandates a physical inventory and reconciliation every two years.
  • Recommended Follow-Up: Management should enhance procedures to ensure a formalized physical inventory and reconciliation process is implemented biannually.

Finding Text

Finding 2024-001 – Equipment and Real Property Federal Program: Coal Miners Respiratory Impairment Treatment Clinics and Services ALN: 93.965 Federal Agency: U.S. Department of Health and Human Services Federal Award Years: July 1, 2023 through June 30, 2024 Criteria: 2 CFR section 200.313(d)(2) requires a physical inventory of federal property to be taken and the results to be reconciled with the property records at least once every two years. Condition Found, Including Perspective: The System did not conduct a physical inventory of the property purchased with federal funds and reconcile the inventory with the property records in 2024 nor in 2023. Therefore, the System was not in compliance with the applicable federal requirements. Possible Cause and Effect: The System lacks a formalized process to verify the condition and existence of federally funded purchased equipment and the System lacks a formalized process to reconcile these amounts back to the property records. Questioned Costs: None. Statistical Validity: The sample was not intended to be, and was not, a statistically valid sample. Repeat Finding in the Prior Year: This is not a repeat finding. Recommendation We recommend that management strengthen procedures around performing a physical inventory of the property and reconciling the results at least once every two years. Views of Responsible Officials: Owensboro Health, Inc. concurs with this finding and is working to put procedures in place to perform a formalized physical inventory and a reconciliation of the results on at least a biannual basis.

Corrective Action Plan

Name of Contact Person: Renee Orange, Assistant Controller Corrective Action: Owensboro Health, Inc. will implement an updated policy for the recipient of the CFDA #93.965 grant (i.e., the Coal Miners’ Clinic) which will ensure that (1) the clinic performs a physical inventory of property purchased with federal funds on an annual basis, (2) the results of the inventory are reconciled with the property records, and (3) this asset reconciliation is monitored and directed by the Authorized Official. Proposed Completion Date: February 28, 2024

Categories

Equipment & Real Property Management

Other Findings in this Audit

  • 1100972 2024-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $2.83M
93.965 Coal Miners Respiratory Impairment Treatment Clinics and Services $1.11M