Finding 613707 (2022-004)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2023-03-12
Audit: 30839
Organization: Greene County Medical Center (IA)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Medical Center lacks an effective internal control system for preparing the Schedule of Expenditures of Federal Awards.
  • Impacted Requirements: Proper financial reporting controls are necessary to ensure accurate preparation of the Schedule and its notes.
  • Recommended Follow-Up: Management should enhance awareness of financial reporting requirements and improve internal controls related to the Schedule.

Finding Text

Department of Agriculture Federal Financial Assistance Listing/CFDA #10.766 Community Facilities Loans and Grants 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 the preparation of the Schedule. As auditors, we were requested to assist with the preparation of 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 the Schedule that is correct without the assistance of the auditors. Questioned Costs: None reported. Context: Sampling was not used. Repeat Finding from Prior Years: Yes 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 the 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

  • 37265 2022-004
    Material Weakness Repeat
  • 37266 2022-004
    Material Weakness Repeat
  • 37267 2022-005
    Material Weakness Repeat
  • 613708 2022-004
    Material Weakness Repeat
  • 613709 2022-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $1.49M
93.498 Provider Relief Fund $335,824
93.697 Covid-19 Testing for Rural Health Clinics $100,000
97.067 Homeland Security Grant Program $60,791
93.268 Immunization Cooperative Agreements $46,710
93.155 Rural Health Research Centers $36,000
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $31,249
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $6,710
93.889 National Bioterrorism Hospital Preparedness Program $6,240