Finding 611019 (2022-003)

Material Weakness
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2023-01-23
Audit: 33781
Organization: Heart of America Medical Center (ND)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The organization lacks a proper internal control system for preparing the consolidated schedule of expenditures of federal awards.
  • Impacted Requirements: Financial reporting standards require accurate preparation of the consolidated schedule, which the organization currently cannot meet independently.
  • Recommended Follow-Up: Management should enhance awareness of financial reporting requirements and improve internal controls related to the consolidated schedule.

Finding Text

2022-003 Department of Health and Human Services Federal Assistance Listing/CFDA #93.498 COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution Applicable Federal Award Number and Year ? Period 1 TIN #450226419 Preparation of Consolidated 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 consolidated schedule of expenditures of federal awards (Schedule) and accompanying notes to the Schedule. Condition The Organization does not have an internal control system designed to provide for a complete and accurate consolidated 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 with the Organization meets a specified threshold of federal expenditures. Effect There is a reasonable possibility that the Organization 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 No 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 Organization?s consolidated 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

Other Findings in this Audit

  • 34577 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $4.75M
93.697 Covid-19 Testing for Rural Health Clinics $111,109
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $90,125
10.766 Community Facilities Loans and Grants $80,000
93.241 State Rural Hospital Flexibility Program $15,000
93.301 Small Rural Hospital Improvement Grant Program $10,513