Finding 974908 (2022-004)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2024-05-24
Audit: 307192
Organization: Yuma District Hospital (CO)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital lacks an effective internal control system for preparing the Schedule of Expenditures of Federal Awards, leading to reliance on auditor assistance.
  • Impacted Requirements: This situation violates 2 CFR 200.303(a), which mandates maintaining internal controls for compliance with federal award regulations.
  • Recommended Follow-Up: Management should enhance awareness of reporting requirements and improve internal controls related to federal award reporting.

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 #840420041 Department of Agriculture Federal Financial Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Preparation of Schedule of Expenditure of Federal Awards Material Weakness in Internal Control Over Compliance ‐ Other Criteria – Title 2 Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires the Hospital to prepare a schedule of expenditures of federal awards (schedule). 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 – The Hospital does not have an internal control system designed to allow for a complete and accurate Schedule being audited. We were requested to draft 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 Hospital meets a specified threshold of federal expenditures. Effect – There is a reasonable possibility that the Hospital would not be able to draft the schedule and the accompanying notes to 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, 2021‐004 Recommendation – While we recognize that this condition is not unusual for an organization with limited staffing, we recommend that management be aware of the reporting requirements relating to the Hospital’s schedule and internal controls that impact reporting. Views of Responsible Officials – Management agrees with the finding.

Categories

Reporting Allowable Costs / Cost Principles Material Weakness Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 398465 2022-004
    Material Weakness Repeat
  • 398466 2022-004
    Material Weakness Repeat
  • 398467 2022-004
    Material Weakness Repeat
  • 398468 2022-005
    Significant Deficiency
  • 398469 2022-005
    Significant Deficiency
  • 974907 2022-004
    Material Weakness Repeat
  • 974909 2022-004
    Material Weakness Repeat
  • 974910 2022-005
    Significant Deficiency
  • 974911 2022-005
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $12.16M
93.498 Provider Relief Fund $486,495
93.155 Rural Health Research Centers $197,621