Finding 1155735 (2023-001)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2023
Accepted
2025-09-26
Audit: 368033
Auditor: Kpmg

AI Summary

  • Core Issue: BayCare's Schedule of Expenditures of Federal Awards (SEFA) had inaccuracies, requiring adjustments of $152,329 for AL No. 93.914 and $9,234,533 for AL No. 93.498.
  • Impacted Requirements: Compliance with 2 CFR section 200.303, which mandates effective internal controls over federal awards.
  • Recommended Follow-Up: Implement a supervisory review process for the SEFA to ensure its completeness and accuracy.

Finding Text

Federal Award Number and Award Year RW1 17, award year 3/1/2022 – 2/29/2024 for AL No. 93.914. None, award year 1/1/2022 – 12/31/2022 for AL No. 93.498. Criteria The 2 CFR section 200.303 requires that non federal entities receiving federal awards establish and maintain internal control over the federal awards that provides reasonable assurance that the non federal entity is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Condition and Context For AL No. 93.914, BayCare included expenditures related to February 2024 dates of service on the Schedule of Expenditures of Federal Awards (SEFA). An adjustment to the final SEFA of $152,329 was required. For AL No. 93.498, BayCare initially excluded Period 5 Provider Relief Funds on the SEFA. An adjustment to the final SEFA of $9,234,533 was required. Possible Cause and Effect For AL No. 93.914, in preparing the SEFA, BayCare exported the year to date patient data which included all patients served under this program. Certain manipulation of the data is needed to include only those dates of service in 2023. In doing so, the client included dates of service in February 2024 which overstated the SEFA expenditures. For AL No. 93.498, per the compliance supplement, Period 5 and 6 payments received during 2022 were to be included on the 2023 SEFA. Due to an internal miscommunication within the BayCare team, these funds were initially excluded and thus required an adjustment to the SEFA. Questioned Costs None Statistically Valid Sample Not applicable Repeat of Prior Finding No Recommendations Management should enhance its process to include a supervisory review of the SEFA, ensuring its completeness and accuracy. View of Responsible Official Management agrees with the noted finding.

Corrective Action Plan

As PRF ended in 2023, no corrective action deemed appropriate for this specific program going forward. However, Management will ensure that in preparation of the SEFA, (1) a team member will assemble the initial reconciliation, (2) management will review the initial reconciliation and review the consolidation from all BayCare entities to the combined SEFA, (3) A final review will be conducted by the Director of Accounting. Sign-off from each preparer/reviewer shall be required. Meetings will be conducted as needed with departments outside of Hospital Finance to ensure completeness and accuracy of data. Complete. AL No. 93.498 ended in 2023.

Categories

Reporting

Other Findings in this Audit

  • 1155734 2023-001
    Material Weakness Repeat
  • 1155736 2023-002
    Material Weakness Repeat
  • 1155737 2023-002
    Material Weakness Repeat
  • 1155738 2023-002
    Material Weakness Repeat
  • 1155739 2023-002
    Material Weakness Repeat
  • 1155740 2023-002
    Material Weakness Repeat
  • 1155741 2023-002
    Material Weakness Repeat
  • 1155742 2023-002
    Material Weakness Repeat
  • 1155743 2023-002
    Material Weakness Repeat
  • 1155744 2023-002
    Material Weakness Repeat
  • 1155745 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $9.23M
93.958 Block Grants for Community Mental Health Services $3.88M
93.914 Hiv Emergency Relief Project Grants $1.77M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $1.43M
93.558 Temporary Assistance for Needy Families $629,659
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $394,513
93.778 Healthy Families Hillsborough $305,690
93.788 State Opioid Response $273,568
93.917 Hiv Care Formula Grant $220,635
93.243 Hernando Drug Court Expansion Grant $144,790
93.243 Community Awareness Program $128,758
93.150 Projects for Assistance in Transition From Homelessness $91,617
16.560 Usf Adapted Risk-Needs-Responsivity Model to Reduce Recidivism $82,403
93.153 Coordinated Services and Access to Research for Women, Infants, Children and Youth $66,087
93.696 Pasco-Certified Community Behavioral Health Clinic $19,978
14.241 Housing Opportunities for People with Aids $19,735
93.994 Healthy Families Hillsborough $19,157
93.110 Maternal and Child’s Bureau’s Southeast Hemophilia Network Program $10,672
93.104 Comprehensive Community Mental Health for Children with Sed $9,639
97.032 Hurricane Ian Crisis Counseling $6,249
93.080 Public Health Surveillance for the Prevention of Complications of Bleeding and Clotting Disorders $6,125