Finding 58865 (2022-005)

Material Weakness
Requirement
AB
Questioned Costs
-
Year
2022
Accepted
2023-10-01
Audit: 55028
Organization: Delta County Memorial Hospital (CO)
Auditor: Eide Bailly LLC

AI Summary

  • Core Issue: The Hospital lacks a formal review process for calculating lost revenue claimed under federal assistance, leading to inadequate internal controls.
  • Impacted Requirements: This situation violates 2 CFR 200.303(a), which mandates effective internal controls over federal awards.
  • Recommended Follow-Up: The Hospital should improve internal control policies to ensure all calculations have documented review and approval.

Finding Text

2022-005 Department of Agriculture Federal Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Activities Allowed or Unallowed and Allowable Costs/Costs Principles Material Weakness 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 ? The Hospital?s calculation of lost revenue claimed under the federal program as an allowable cost contained no formal review or approval by a separate individual outside of the preparer. Cause ? The Hospital did not have an adequate internal control policy in place to ensure review and approval of the calculation of lost revenue that was utilized during the USDA application process. Effect ? The lack of adequate policies governing review and approval increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. Questioned Costs ? None reported. Context/Sampling ? The lost revenue calculation for all applicable quarters was tested. Repeat Finding from Prior Year - No Recommendation ? We recommend that the Hospital enhance internal control policies to ensure that formal documentation of review and approval is present. Views of Responsible Officials ? Management agrees with the finding.

Corrective Action Plan

2022-005 Department of Agriculture Federal Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Activities Allowed or Unallowed and Allowable Costs/Costs Principles Material Weakness in Internal Control Over Compliance Finding Summary: There was no review and approval by a separate individual outside of the preparer over the lost revenue calculation utilized to claim expenditures under the federal program. Responsible Individuals: Kelly Johnston, Interim CFO; Larin Jones, Controller Corrective Action Plan: There will be a secondary review and approval by a separate individual outside of the preparer over future lost revenue calculations, if applicable. The secondary review and approval will be documented and recorded. Anticipated Completion Date: December 31, 2023

Categories

Allowable Costs / Cost Principles Material Weakness Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 58864 2022-004
    Material Weakness Repeat
  • 635306 2022-004
    Material Weakness Repeat
  • 635307 2022-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.87M
10.766 Community Facilities Loans and Grants $1.00M
93.301 Small Rural Hospital Improvement Grant Program $159,759