Finding 624491 (2022-002)

Significant Deficiency
Requirement
ABGJLMN
Questioned Costs
-
Year
2022
Accepted
2023-03-30

AI Summary

  • Core Issue: The Medical Center lacks written procurement policies and procedures for federal awards, which is a significant deficiency.
  • Impacted Requirements: This deficiency increases the risk of non-compliance with federal regulations regarding the tracking and usage of federal funds.
  • Recommended Follow-Up: The Medical Center should develop and implement written policies and procedures within 60 days to ensure compliance, with the CFO overseeing completion by March 31, 2023.

Finding Text

2022-002 ? Policies and Procedures for Federal Awards Federal Agency Department of Commerce Federal Assistance Listing Number 11.307 ? Economic Adjustment Assistance Federal Award Identification Number 08-79-05527 116374 Federal Award Years 2021-2026 Criteria [ ] Compliance Finding [X] Significant Deficiency [ ] Material Weakness Recipients of federal awards should maintain written policies and procedures for the tracking and usage of federal awards to ensure compliance with relevant requirements. Condition The Medical Center did not have written procurement policies and procedures with all of the required elements for federal awards for the year ended June 30, 2022. Context This finding appears to be an isolated instance. Effect There is a risk federal funds may be expended out of conformity with federal regulations and compliance requirements. Cause The Medical Center did not develop written policies and procedures over relevant internal controls as of June 30, 2022. Recommendation We recommend the Medical Center write policies and procedures for the tracking and usage of federal awards that conform to federal regulations and compliance requirements. Views of responsible officials and planned corrective actions The Medical Center complied with all federal requirements for spending federal funds by reviewing related grant agreements and consulting with representatives from relevant federal agencies. Management acknowledges the lack of written policies and procedures, and are in the process of developing such, and anticipate having written federal procurement policies and procedures in place within 60 days of issuance of this report. The CFO will be responsible for resolving this finding by March 31, 2023.

Categories

Procurement, Suspension & Debarment Material Weakness Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 48049 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
11.307 Economic Adjustment Assistance $1.17M
93.558 Temporary Assistance for Needy Families $603,000
93.498 Provider Relief Fund $510,025
93.301 Small Rural Hospital Improvement Grant Program $258,376
32.005 Universal Service Fund - Rural Health Care $110,862
93.697 Covid-19 Testing for Rural Health Clinics $100,000