Audit 385059

FY End
2025-06-30
Total Expended
$32.02M
Findings
1
Programs
4
Year: 2025 Accepted: 2026-02-02
Auditor: ERNST & YOUNG

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1171973 2025-001 Material Weakness Yes ABHL

Programs

Contacts

Name Title Type
EXF8T7C77MB3 Min Cummings Auditee
8048270545 Amber Brosius Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the Schedule) includes all federal grants to Virginia Commonwealth University Health System Authority (the Authority) that had federal expenditure activity for the year ended June 30, 2025. The accompanying Schedule is presented using the accrual basis of accounting and in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). In accordance with the applicable requirements, certain programs may be presented in a fiscal period based on program-specific guidance (Note 3). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the basic financial statements of the Authority. The preparation of the Schedule in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the amounts reported in the Schedule during the reporting period. Actual results could differ from those estimates. For the year ended June 30, 2025, there were no expenditures passed through to subrecipients.
Direct and indirect costs are charged to awards in accordance with cost principles contained in the United States Department of Health and Human Services Cost Principles for Hospitals at 45 CFR Part 75 Appendix IX for Uniform Guidance awards. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. The Uniform Guidance provides for a 10% de minimis indirect cost rate election (15% after October 1, 2024); however, the Authority did not make this election and uses a negotiated indirect cost rate in the accompanying Schedule.
Expenditures related to Assistance Listing 97.036 – COVID -19 – Disaster Grants – Public Assistance (Presidentially Declared Disasters) (FEMA) on the Schedule is the amount obligated within the year ended June 30, 2025. In response to the COVID-19 pandemic, the Authority purchased specialized medical equipment in order to treat COVID-19 patients and were claimed as reimbursement under the FEMA Public Assistance Grant Program. The COVID-19 Public Health Emergency officially ended May 11, 2023 in which, there were no adjustments necessary to the 2025 obligated expenditures submitted to FEMA, however, there may be further adjustments to existing or future applications to account for other reductions as the Virginia Department of Emergency Management completes authorization and appropriation of the funds.
The Authority did not receive any noncash Federal assistance including donated personal protective equipment for the year ended June 30, 2025.

Finding Details

Identification of the Federal Program: Federal Agency and Program Name Assistance Listing # COVID-19 – Disaster Grants – Public Assistance (Presidentially Declared Disasters) (FEMA) U.S. Department of Homeland Security Pass through grantor: Virginia Department of Emergency Management Pass through award number: 4512DR-VA Award Period: 1/21/2020 – 6/30/2022 97.036 Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation): 2 CFR 200.303 requires that a non-Federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.403(h) states: “Administrative closeout costs may be incurred until the due date of the final report(s). If incurred, these costs must be liquidated prior to the due date of the final report(s) and charged to the final budget period of the award unless otherwise specified by the Federal agency. All other costs must be incurred during the approved budget period. At its discretion, the Federal agency is authorized to waive prior written approvals to carry forward unobligated balances to subsequent budget periods. See § 200.308(g)(3).” Condition: The Authority did not validate the accuracy of the cost incurred dates and identify expenditures that were incurred outside of the period of performance related to assistance listing 97.036 – COVID-19 – Disaster Grants – Public Assistances (Presidentially Declared Disasters) (FEMA) prior to submission of the non-federal entity’s project worksheet. Cause: The Authority did not have sufficient internal controls to ensure that accuracy of the cost incurred dates or expenditures were incurred within the period of performance prior to submission of the non-federal entity’s project worksheet. Effect or Potential Effect: The Authority may inappropriately obtain funding for unallowable expenses or costs incurred outside the period of performance as a result of the reporting and verification of the completeness and accuracy of the cost incurred dates and expenditures included within the submission was not sufficient. Questioned Costs: $104,434 – represents the total payroll expenditures incurred after the end of the period of performance. Context: We identified $104,434 of payroll expenditures included in the submission of two force labor FEMA projects, resulting in duplicate costs being submitted to FEMA. The $104,434 was incorrectly included in the project that ended June 30, 2022 and was appropriately included in the project that began July 1, 2022. The costs in question are the payroll expenses from the second week of the pay period (June 26, 2022 through July 9, 2022) incurred after the end of the period of performance. The total obligation of the project worksheet that had the duplicate costs was $2,278,390. Management corrected the duplicated amount of the federal expenditures reported on the Schedule, in which total FEMA expenditures are $31,901,782 for the year ended June 30, 2025. The duplicate costs represent 4.6% of the related project and approximately 0.3% of total FEMA expenditures for the fiscal year. Identification as a Repeat Finding: This is not a repeat finding. Recommendation: The Authority’s policy and procedures should be designed to strengthen the internal controls over the review of the submissions to ensure accurate reporting as required by the Uniform Guidance. Views of Responsible Officials: There is no disagreement with the audit finding and the Authority has developed a plan to correct the finding.