Finding 1230008 (2024-001)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2024
Accepted
2026-09-17
Audit: 411239
Auditor: KPMG LLP

AI Summary

  • Core Issue: BayCare incorrectly included 2023 expenditures in the Schedule of Expenditures of Federal Awards (SEFA) for the 2024 award year.
  • Impacted Requirements: This violates 2 CFR section 200.303, which mandates proper internal controls for managing federal awards.
  • Recommended Follow-up: Management should implement a supervisory review process for the SEFA to ensure its accuracy and completeness.

Finding Text

Federal Award Number and Award Year RW1-17, award year 3/1/2023 – 2/29/2024 for AL No. 93.914 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 BayCare included expenditures related to 2023 dates of service on the Schedule of Expenditures of Federal Awards (SEFA). An adjustment to the final SEFA of $155,429 was required and resulted in identification of an additional major program. Possible Cause and Effect In preparing the SEFA, BayCare utilized the 2024 claim payments received as the basis of the amount on the SEFA rather than expenditures incurred during 2024. Thus, this resulted in 2023 expenditures being included on the SEFA. Questioned Costs None Statistically Valid Sample Not applicable Repeat of Prior Finding Yes 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

The grant accounting and SEFA preparation process will be refined, improved and documented. Internal resources will be reallocated to ensure sufficient coverage of these processes, and the primary accountability and oversight will shift to System Accounting. 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.

Categories

Reporting Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1230009 2024-002
    Material Weakness Repeat
  • 1230010 2024-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.958 Block Grants for Community Mental Health Services $4.70M
97.036 Community Response for Recovery from Major Disasters $4.64M
93.914 HIV Emergency Relief Project Grants $1.77M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $1.37M
93.696 Pasco-Certified Community Behavioral Health Clinic $1.27M
14.218 Community Development Block Grant(CDBG) $879,797
93.558 Temporary Assistance for Needy Families $672,852
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $336,764
93.788 State Opioid Response $319,694
17.289 Community Project Healthcare Workforce Development $194,857
93.917 HIV Care Formula Grant $190,784
93.243 Hernando Drug Court Expansion Grant $178,832
93.778 Healthy Families Hillsborough $155,237
93.153 Coordinated Services and Access to Research for Women, Infants, Children and Youth $106,390
93.150 Projects for Assistance in Transition from Homelessness $91,617
16.560 USF Adapted Risk-Needs-Responsivity Model to Reduce Recidivism $85,480
93.994 Healthy Families Hillsborough $37,700
14.241 Housing Opportunities for People with AIDS $28,161
93.080 Public Health Surveillance for the Prevention of Complications of Bleeding and Clotting Disorders $24,250
93.778 The Healthy Start Coalition of Pinellas, Inc $22,798
93.837 The Rhythm Evaluation for Anticoagulation with Continuous of Atrial Fibrillation Trail (REACT-AF) $15,463
93.853 Aspire MPH $15,257
93.110 Maternal and Child’s Bureau’s Southeast Hemophilia Network Program $11,994
93.104 Comprehensive Community Mental Health for Children with SED $10,037
93.761 Evidence-based Falls Prevention Project $8,507
93.767 Children's Health Insurance Program $7,500