Finding 974911 (2022-005)

Significant Deficiency
Requirement
N
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 a formal review process for reserve fund reconciliations and quarterly monitoring of debt covenants.
  • Impacted Requirements: This situation violates 2 CFR 200.303(a), which mandates effective internal controls over federal awards.
  • Recommended Follow-Up: Enhance internal control policies to ensure formal documentation of reviews is implemented.

Finding Text

Department of Agriculture Federal Financial Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Significant Deficiency in Internal Control Over Compliance 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 awards. Condition – During our testing, there was no formal review separate from the preparer over the reserve fund reconciliations for the federal program. In addition, there was lack of review of the quarterly internal monitoring of the Hospital’s debt covenants. Cause – The Hospital did not have an adequate internal control policy in place to ensure review and approval over the reserve funds and quarterly internal monitoring of the debt covenants. Effect – The lack of adequate policies governing review 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. Repeat Finding from Prior Years – No Recommendation – We recommend the Hospital enhance internal control policies to ensure that formal documentation of reviews is present. Views of Responsible Officials – Management agrees with the finding.

Categories

Internal Control / Segregation of Duties Special Tests & Provisions Subrecipient Monitoring Significant Deficiency 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
  • 974908 2022-004
    Material Weakness Repeat
  • 974909 2022-004
    Material Weakness Repeat
  • 974910 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