Finding 58028 (2022-004)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2023-03-30
Audit: 50280
Organization: Tioga Medical Center (ND)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Medical Center lacks a proper internal control system for accurately preparing the Schedule of Expenditures of Federal Awards.
  • Impacted Requirements: Financial reporting controls are inadequate, leading to potential inaccuracies in federal award schedules.
  • Recommended Follow-Up: Management should enhance awareness of financial reporting requirements and improve internal controls related to federal expenditures.

Finding Text

2021-004 United States Department of Agriculture Federal Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Department of Health and Human Services Federal Assistance Listing #93.155 Rural Health Research Centers Preparation of Schedule of Expenditures of Federal Awards Material Weakness in Internal Control Over Compliance - Other Criteria: Proper controls over financial reporting include the ability to prepare the schedule of expenditures of federal awards (Schedule) and accompanying notes to the Schedule. Condition: The Medical Center does not have an internal control system designed to provide for a complete and accurate schedule of expenditures of federal awards being audited. We were requested to draft 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 Medical Center meets a specified threshold of federal expenditures. Effect: There is a reasonable possibility that the Medical Center would not be able to draft a Schedule that is correct without assistance of the auditors. Questioned Costs: None reported. Context: Sampling was not used. Repeat Finding from Prior Years: Yes, prior year finding 2021-004 Recommendation: While we recognize that this condition is not unusual for an organization with limited staffing, we recommend management be aware of the financial reporting requirements relating to the Medical Center?s schedule of expenditures of federal awards and internal controls that impact financial reporting. Views of Responsible Officials: Management agrees with the finding.

Categories

Reporting Material Weakness Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 58027 2022-004
    Material Weakness Repeat
  • 634469 2022-004
    Material Weakness Repeat
  • 634470 2022-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $1.11M
93.155 Rural Health Research Centers $248,400
93.498 Provider Relief Fund $53,500
93.241 State Rural Hospital Flexibility Program $22,250
93.301 Small Rural Hospital Improvement Grant Program $10,513