REPORT DIGEST MID-ILLINOIS MEDICAL DISTRICT COMMISSION COMPLIANCE EXAMINATION FOR THE YEAR ENDED JUNE 30, 2019 Release Date: September 3, 2020 FINDINGS THIS AUDIT: 1 CATEGORY: NEW -- REPEAT -- TOTAL Category 1: 0 -- 0 -- 0 Category 2: 0 -- 1 -- 1 Category 3: 0 -- 0 -- 0 TOTAL: 0 -- 1 -- 1 FINDINGS LAST AUDIT: 1 Category 1: Findings that are material weaknesses in internal control and/or a qualification on compliance with State laws and regulations (material noncompliance). Category 2: Findings that are significant deficiencies in internal control and noncompliance with State laws and regulations. Category 3: Findings that have no internal control issues but are in noncompliance with State laws and regulations. State of Illinois, Office of the Auditor General FRANK J. MAUTINO, AUDITOR GENERAL To obtain a copy of the Report contact: Office of the Auditor General, Iles Park Plaza, 740 E. Ash Street, Springfield, IL 62703 (217) 782-6046 or TTY (888) 261-2887 This Report Digest and Full Report are also available on the worldwide web at www.auditor.illinois.gov SYNOPSIS • (19-01) The Commission did not comply with the Mid-Illinois Medical District Act. FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS NONCOMPLIANCE WITH THE MID-ILLINOIS MEDICAL DISTRICT ACT The Mid-Illinois Medical District Commission (Commission) did not comply with the Mid-Illinois Medical District Act (Act). During testing, we noted the following: • The Commission was not comprised of required representation as of June 30, 2019. The Commission consisted of five members appointed by the Governor, three members appointed by the Mayor of Springfield, and one member appointed by the Chairperson of the County Board of Sangamon County. • In one instance where a Commissioner vacancy was caused by a term expiration, the Commission did not ensure that the Commissioner appointed to fill the vacancy served a term with a start date that matched the expiration date of the previous term. In addition, the Commissioner was appointed to a term for four years. • One of two Commission members appointed during the examination period did not file an oath of office with the Secretary of State. • The Commission count not provide documentation that the 2019 biennial report was submitted to the required entities. (Finding 2019-001, pages 9-10). We recommended the Commission: • communicate with the appropriate parties to ensure appointments are made to fill vacancies within the Commission; • ensure each Commission member’s term of Office complies with the Act; • ensure each new Commission member files an oath of office; • retain documentation to substantiate compliance with the requirements of the Act; and, • strengthen internal controls to ensure all applicable statutory requirements, including updates to requirements, are identified by the Commission. The Commission acknowledged the recommendations. ACCOUNTANT’S OPINION The accountants conducted a compliance examination of the Commission for the two years ended June 30, 2019, as required by the Illinois State Auditing Act. The accountants stated the Commission complied, in all material respects, with the requirements described in the report. This compliance examination was conducted by the Office of the Auditor General’s staff. JANE CLARK Division Director This report is transmitted in accordance with Section 3-14 of the Illinois State Auditing Act. FRANK J. MAUTINO Auditor General FJM:jac