Finding 957481 (2023-003)

Material Weakness
Requirement
P
Questioned Costs
-
Year
2023
Accepted
2024-03-19
Audit: 295813
Organization: Winneshiek Medical Center (IA)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Medical Center lacks a proper internal control system for preparing the schedule of expenditures of federal awards.
  • Impacted Requirements: This affects compliance with financial reporting standards for federal awards.
  • Recommended Follow-Up: Management should stay informed about financial reporting requirements and improve internal controls related to federal expenditures.

Finding Text

Department of Health and Human Services Federal Assistance Listing #93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year – Period 4 TIN#420680467 Preparation of Schedule of Expenditures of Federal Awards Material Weakness in Internal Control over Compliance - Other Criteria: Proper controls over financial reporting include a system designed to prepare the schedule of expenditures of federal awards and accompanying notes to the schedule of expenditures of federal awards. Condition: The Medical Center does not have an internal control system designed to provide for the preparation of the schedule of expenditures of federal. As auditors, we were requested to draft the schedule of expenditures of federal awards. 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 complete and accurate schedule of expenditures of federal awards without the assistance of the auditors. Questioned Costs: None reported. Context: Sampling was not used. Repeat Finding from Prior Years: No Recommendation: We recommend management continually 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

Other Findings in this Audit

  • 381039 2023-003
    Material Weakness
  • 381040 2023-004
    Material Weakness
  • 381041 2023-005
    Material Weakness
  • 957482 2023-004
    Material Weakness
  • 957483 2023-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $1.95M
93.155 Rural Health Research Centers $155,763