Finding 1158244 (2023-003)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2025-09-30
Audit: 370125
Auditor: Kpmg

AI Summary

  • Core Issue: Inadequate controls led to underreporting of expenditures on the SEFA for FEMA and COVID-19 funds.
  • Impacted Requirements: Non-compliance with 2 CFR Part 200 regarding accurate reporting and internal controls for federal awards.
  • Recommended Follow-Up: Management should establish effective controls to ensure the SEFA is complete and accurate moving forward.

Finding Text

Finding 2023-003 – SEFA Reporting Federal Program: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Disaster Grants – Public Assistance ALNs: 21.027 97.036 Federal Agency: U.S. Department of Treasury U.S. Department of Homeland Security Federal Award Years: October 1, 2022 – September 20, 2024 (21.027) January 1, 2023 – December 31, 2023 (97.036) Criteria: 2 CFR, Part 200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, §200.510(b) requires that auditees prepare a schedule of expenditures of Federal awards for the period covered by the auditee’s financial statements which must include the total Federal awards expended as determined in accordance with §200.502. Additionally, 2 CFR 200.303 requires non-Federal entities receiving Federal awards to establish and maintain internal controls designated to reasonably ensure compliance with Federal laws, regulations and program compliance requirements. Effective internal controls should include procedures to ensure federal expenditures are accurately and completely reported on the SEFA. Condition Found, Including Perspective: The System did not have adequate controls relating to the reporting of expenditures on the SEFA for the FEMA – Disaster Grants – Public Assistance and the Coronavirus State and Local Fiscal Recovery Funds programs. Specifically, the System did not have a control in place to ensure that all FEMA awards obligated during the year were recorded on the SEFA. Additionally, the System did not have a control in place to ensure that all incurred expenditures were properly accrued on the SEFA. As a result, the expenditures on the SEFA were understated as follows: • Expenditures of $2,038,362 for the FEMA – Disaster Grants – Public Assistance program were obligated and incurred as of December 31, 2023 but not recorded on the SEFA. • Expenditures of $2,790,267 for the Coronavirus State and Local Fiscal Recovery Funds program were incurred but not accrued for at year end. • Expenditures of $7,529,167 for the Coronavirus State and Local Fiscal Recovery Funds program which were incurred during 2023 and subsequently identified by management to be submitted for reimbursement under the federal award. Possible Cause and Effect: While the System performs a review during the compilation of the SEFA, controls were not designed or implemented effectively to ensure that amounts were properly recognized on the SEFA in the period in which they were expended. Failure to establish effective internal controls regarding financial reporting for the preparation of the SEFA may prevent the System from completing an audit in accordance with the timelines of Uniform Guidance. Questioned Costs: None. Statistical Validity: The sample was not intended to be, and was not, a statistically valid sample. Repeat Finding in the Prior Year: This is not a repeat finding. Recommendation We recommend that management implement appropriate controls and processes to ensure that the SEFA is complete and accurate. Views of Responsible Officials: Grady Memorial Hospital Corporation will implement a control and process to ensure that expenditures are properly reflected on the SEFA.

Corrective Action Plan

To: FY2023 Uniform Guidance Reporting Package From: David Noble, Director, Grant Administration RE: 2023 Uniform Guidance Audit Corrective Action Plan Date: September 25, 2025 Finding 2023-003 Federal Agency: U.S. Department of Treasury U.S. Department of Homeland Security ALN: 21.027 / 97.036 Grady Memorial Hospital Corporation’s CFO and VP of Fiscal Services/Controller have reviewed the reporting from KPMG relating to the Uniform Guidance. We understand the recommendation set forth by KPMG and will update our controls and processes to include additional review of expenses incurred during the relevant audit period. Grady’s corrective action plan: We have restated 2023 SEFA totals based on updates to the project funded within ALN 21.027 and for the project funded within 97.036. Going forward the SEFA will be reviewed to ensure that all related expenses for the audit period are incorporated. Contact person/s responsible for the corrective action: David Noble, Director, Grant Administration Anticipated Completion Date: Consistent with 2024 Financial Audit Reporting

Categories

Reporting

Other Findings in this Audit

  • 1158234 2023-001
    Material Weakness Repeat
  • 1158235 2023-002
    Material Weakness Repeat
  • 1158236 2023-002
    Material Weakness Repeat
  • 1158237 2023-002
    Material Weakness Repeat
  • 1158238 2023-002
    Material Weakness Repeat
  • 1158239 2023-002
    Material Weakness Repeat
  • 1158240 2023-003
    Material Weakness Repeat
  • 1158241 2023-003
    Material Weakness Repeat
  • 1158242 2023-003
    Material Weakness Repeat
  • 1158243 2023-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $12.45M
93.914 Hiv Emergency Relief Project Grants $9.56M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $8.77M
21.027 Coronavirus State and Local Fiscal Recovery Funds $3.93M
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $837,549
16.575 Crime Victim Assistance $774,269
93.778 Medical Assistance Program $680,504
93.253 Poison Center Support and Enhancement Grant $677,758
16.753 Congressionally Recommended Awards $532,366
93.686 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B $461,877
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $434,633
93.217 Family Planning Services $387,500
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $369,140
93.145 Hiv-Related Training and Technical Assistance $356,297
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $326,398
93.051 Alzheimer's Disease Demonstration Grants to States $325,759
93.788 Opioid Str $295,016
93.958 Block Grants for Community Mental Health Services $203,968
93.069 Public Health Emergency Preparedness $184,500
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $175,022
93.310 Trans-Nih Research Support $131,046
93.150 Projects for Assistance in Transition From Homelessness (path) $106,184
93.078 Strengthening Emergency Care Delivery in the United States Healthcare System Through Health Information and Promotion $92,925
84.063 Federal Pell Grant Program $80,527
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $78,642
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $77,576
93.924 Ryan White Hiv/aids Dental Reimbursement and Community Based Dental Partnership Grants $70,211
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $45,292
93.397 Cancer Centers Support Grants $25,025
93.136 Injury Prevention and Control Research and State and Community Based Programs $18,023
93.121 Oral Diseases and Disorders Research $17,668
93.959 Block Grants for Prevention and Treatment of Substance Abuse $6,970
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $3,464