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Lake Region District Health UnitLocal Government

EIN: 456004395

UEI: C73YN4R7D9L3

Audited by: North Dakota Office of the State Auditor

Oversight agency: 93 [Department of Health and Human Services]

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Data as of September 2, 2026

Lake Region District Health Unit2 audit years1 findings
2
Audit Years
1
Total Findings
0
Repeat Findings
$1.8M
Federal Awards Expended (FY 2023)

FY 2023-12-31

$1,789,203 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on December 11, 2024. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by June 11, 2025 (453 days ago).

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FY 2021-12-31

$1,986,872 federal awards expended

FAC accepted this audit on July 12, 2022 — management decision was due January 12, 2023.

2021-002
Activities Allowed or Unallowed / Cost Allowability
MATERIAL WEAKNESS

2021-002 CORONAVIRUS RELIEF FUND ? LACK OF CONTROLS SURROUNDING PAYROLL ? ALN 21.019 - MATERIAL WEAKNESS Condition Lake Region District Health Unit does not have adequate controls surrounding payroll approval for the Coronavirus Relief Fund. The Health Unit does have an overall approval of payroll prior to the requests for reimbursement, however, it was noted no timesheets were approved when employees allocated time to the Coronavirus Relief Fund. Effect Payroll allocated to the Coronavirus Relief Fund may not be accurate which could result in unallowable costs submitted for reimbursement. Cause Lake Region District Health Unit does not have a formal approval process of time allocated to multiple federal programs. Criteria According to the ?Standards for Internal Control in the Federal Government?, ?management may design a variety of transaction control activities for operational processes, which may include verifications, reconciliations, authorizations and approvals, physical control activities, and supervisory control activities.? (Green Book, GAO-14-704G para 10.10.) Repeat Finding No. Recommendation We recommend Lake Region District Health Unit implement adequate controls surrounding timesheet approval for the Coronavirus Relief Fund to ensure an accurate allocation of payroll to be reimbursed by multiple federal programs. Lake Region District Health Unit?s Response See corrective action plan on page 44.

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Full finding narrative

2021-002 CORONAVIRUS RELIEF FUND ? LACK OF CONTROLS SURROUNDING PAYROLL ? ALN 21.019 - MATERIAL WEAKNESS Condition Lake Region District Health Unit does not have adequate controls surrounding payroll approval for the Coronavirus Relief Fund. The Health Unit does have an overall approval of payroll prior to the requests for reimbursement, however, it was noted no timesheets were approved when employees allocated time to the Coronavirus Relief Fund. Effect Payroll allocated to the Coronavirus Relief Fund may not be accurate which could result in unallowable costs submitted for reimbursement. Cause Lake Region District Health Unit does not have a formal approval process of time allocated to multiple federal programs. Criteria According to the ?Standards for Internal Control in the Federal Government?, ?management may design a variety of transaction control activities for operational processes, which may include verifications, reconciliations, authorizations and approvals, physical control activities, and supervisory control activities.? (Green Book, GAO-14-704G para 10.10.) Repeat Finding No. Recommendation We recommend Lake Region District Health Unit implement adequate controls surrounding timesheet approval for the Coronavirus Relief Fund to ensure an accurate allocation of payroll to be reimbursed by multiple federal programs. Lake Region District Health Unit?s Response See corrective action plan on page 44.

Corrective Action Plan

2021-002 CORONAVIRUS RELIEF FUND ? LACK OF CONTROLS SURROUNDING PAYROLL ? ALN 21.019 - MATERIAL WEAKNESS Condition: Lake Region District Health Unit does not have adequate controls surrounding payroll approval for the Coronavirus Relief Fund. The Health Unit does have an overall approval of payroll prior to the requests for reimbursement, however, it was noted no timesheets were approved when employees allocated time to the Coronavirus Relief Fund. Corrective Action Plan: Agree, that timesheets were not signed but time worked on coronavirus was monitored by the administrator and the Director of nurses. LRDHU will begin having the Administrator and the Director of Nursing sign employee?s time cards. Anticipated Completion Date: May 31, 2022

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Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.

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