Finding 972302 (2022-005)

Material Weakness
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2024-05-03
Audit: 305482
Organization: Boulder City Hospital, Inc. (NV)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital failed to adequately fund its reserve account for USDA debt, which is a violation of loan agreement requirements.
  • Impacted Requirements: Compliance with 2 CFR 200.303(a) and the Loan Resolution Security Agreement, which mandates maintaining a specific reserve fund.
  • Recommended Follow-Up: Enhance internal control policies to ensure ongoing monitoring and compliance with loan requirements.

Finding Text

Department of Agriculture Federal Financial Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Material Weakness in Internal Control Over Compliance and Material Noncompliance 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. The Loan Resolution Security Agreement requires a monthly amount to be set aside in a reserve fund until the specific account balance is reached. Condition ‐ The Hospital did not sufficiently fund their reserve account. As of December 31, 2022, the Hospital should have USDA debt reserves at least equal to $320,669. Cause ‐ There was a lack of adequate policies governing the understanding and execution of loan agreement requirements. Effect ‐ The Hospital was not in compliance with their provisions of the USDA debt agreements. Questioned Costs ‐ None reported. Context ‐ Sampling was not used. Repeat Finding from Prior Years ‐ No Recommendation ‐ We recommend the Hospital enhance internal control policies to ensure that loan requirements are monitored and met. Views of Responsible Officials ‐ Management agrees with the finding.

Categories

Special Tests & Provisions Material Weakness Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 395858 2022-003
    Material Weakness Repeat
  • 395859 2022-004
    Material Weakness
  • 395860 2022-005
    Material Weakness
  • 972300 2022-003
    Material Weakness Repeat
  • 972301 2022-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $18.39M
10.768 Business and Industry Guaranteed Loans $1.98M
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $1.02M
93.155 Rural Health Research Centers $242,152