Finding 981256 (2023-005)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2023
Accepted
2024-07-01
Audit: 311195
Organization: Mobridge Regional Hospital (SD)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital lacks a formal review and approval process for reimbursement requests under the Community Facilities Grant Agreement.
  • Impacted Requirements: This deficiency violates 2 CFR 200.303(a), which mandates effective internal controls for managing federal awards.
  • Recommended Follow-Up: Implement a documented review and approval process for reimbursement requests to ensure compliance and prevent ineligible claims.

Finding Text

2023-005 United States Department of Agriculture Federal Financial Assistance Listing #10.766 Communities Facilities Loans and Grants Cluster Activities Allowed or Unallowed and Allowable Costs/Cost Principles 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 award. Condition: The Hospital’s requests for reimbursement under the Community Facilities Grant Agreement were not reviewed and approved by a separate individual. Cause: The Hospital had multiple individuals involved in the process for identifying and compiling the requests for reimbursement; however, the Hospital did not have a formal documented review and approval process in place. Effect: Without a documented review and approval, there is a possibility ineligible expenditures may be claimed under the program. Questioned Costs: None reported Context/Sampling: A nonstatistical sample of 4 ($134,681) out of a population of 9 transactions ($221,625) relating to equipment items were tested. Repeat Finding from Prior Years: No Recommendation: We recommend the Hospital implement a control process which includes a formally documented review and approval over the requests for reimbursement submitted under the Community Facilities Grant Agreement. Views of Responsible Officials: Management agrees with the finding.

Categories

Allowable Costs / Cost Principles Cash Management Eligibility Significant Deficiency Equipment & Real Property Management Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 404807 2023-003
    Material Weakness Repeat
  • 404808 2023-003
    Material Weakness Repeat
  • 404809 2023-003
    Material Weakness Repeat
  • 404810 2023-003
    Material Weakness Repeat
  • 404811 2023-004
    Material Weakness Repeat
  • 404812 2023-004
    Material Weakness Repeat
  • 404813 2023-004
    Material Weakness Repeat
  • 404814 2023-005
    Significant Deficiency
  • 404815 2023-006
    Material Weakness
  • 404816 2023-007
    Material Weakness
  • 981249 2023-003
    Material Weakness Repeat
  • 981250 2023-003
    Material Weakness Repeat
  • 981251 2023-003
    Material Weakness Repeat
  • 981252 2023-003
    Material Weakness Repeat
  • 981253 2023-004
    Material Weakness Repeat
  • 981254 2023-004
    Material Weakness Repeat
  • 981255 2023-004
    Material Weakness Repeat
  • 981257 2023-006
    Material Weakness
  • 981258 2023-007
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $784,570
10.766 Community Facilities Loans and Grants $221,626
93.155 Rural Health Research Centers $59,890
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $26,617
93.301 Small Rural Hospital Improvement Grant Program $13,011