Finding 974632 (2022-006)

Material Weakness
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2024-05-22
Audit: 306892
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital lacks effective internal controls over federal award management, leading to significant compliance risks.
  • Impacted Requirements: Failure to adhere to 2 CFR 200.303(a) regarding internal control over federal awards, including monitoring debt covenants and proper funding of reserve accounts.
  • Recommended Follow-Up: Enhance internal control policies to ensure formal documentation of reviews, proper funding of reserves, and established procedures for USDA withdrawal approvals.

Finding Text

U.S. Department of Agricultures Federal Assistance Listing #10.766 Community Facilities Loan and Grant 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. Condition: During our testing, there was no formal review documented over the reserve fund reconciliations, no monitoring and review of the debt covenants, and the debt service reserve fund accounts were underfunded by approximately $701,000 for the federal program. In addition, there were two separate withdrawals totaling $94,000 from the debt service reserve fund that were not properly approved by the USDA. Cause: The Hospital did not have adequate internal control policies in place to ensure review and approval over the reserve funds, monitoring of all required debt covenants, proper funding of the reserve accounts, or to ensure that proper procedures are followed for obtaining USDA approval for any withdrawals from the debt service reserve funds. Effect: The lack of adequate policies governing the review and monitoring of the required debt covenants increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. In addition, the lack of adequate policies governing proper funding of reserves and ensuring proper procedures are followed to obtain USDA approval for any withdrawals, increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. Questioned Costs: None reported. Context: Sampling was not used. The Hospital has two reserve accounts that were tested. Repeat Finding from Prior Years: No Recommendation: We recommend the Hospital enhance internal control policies to ensure formal documentation of reviews for the reserve fund reconciliations is retained, monitoring that the required debt covenants are monitored and reviewed, reserve funds are properly funded, and that there are proper procedures in place for obtaining USDA approval for any future withdrawals from the debt service reserve funds. Views of Responsible Officials: Management agrees with the finding.

Categories

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

Other Findings in this Audit

  • 398188 2022-004
    Material Weakness
  • 398189 2022-005
    Material Weakness Repeat
  • 398190 2022-006
    Material Weakness
  • 974630 2022-004
    Material Weakness
  • 974631 2022-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $21.35M
93.498 Provider Relief Fund $224,585
93.155 Rural Health Research Centers $67,342