Finding 390199 (2023-001)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2024-03-29

AI Summary

  • Core Issue: There are significant gaps in general controls for the SFA/COD process, primarily due to one individual handling all aspects of federal student financial aid without adequate documentation or reviews.
  • Impacted Requirements: The School is not complying with 2 CFR 200.303, which mandates effective internal controls for managing federal awards, leading to risks in data validity and accuracy.
  • Recommended Follow-Up: The School should restructure its control environment to involve more administrative staff in tasks, ensuring the Financial Aid Coordinator focuses on reviews, and maintain documentation of control execution.

Finding Text

2023-001: Gaps in General Controls for SFA/COD Process (Significant Deficiency) Cluster: Student Financial Assistance Sponsoring Agency: Department of Education Award Names: Federal Pell Grant Program and Federal Direct Student Loans Award Numbers: Not applicable Assistance Listing Titles: Federal Pell Grant Program and Federal Direct Student Loans Assistance Listing Numbers: 84.063 and 84.268 Award Year: 2022-2023 Pass-through entity: Not applicable Criteria As part of our audit, we are required to obtain an understanding of internal controls relevant to the audit, which includes the end-to-end process around key financial reporting cycles and evidence the implementation of relevant controls. 2 CFR 200.303, Internal Controls notes that non-federal entities must 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 or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Condition On an annual basis, approximately 250 students at the St. Luke’s Hospital School of Nursing (the “School”) receive federal student financial assistance. The student financial aid program is administered by the Financial Aid Office, which consists of a Financial Aid Coordinator who reports to the Senior Associate Dean. The Financial Aid Coordinator is experienced in administering federal student aid; however, this individual is responsible for all aspects of financial aid administration and federal compliance. We obtained an understanding of the policies, procedures and controls in place at the School, however, through our testing of relevant controls, we noted there was a lack of documentation and evidence to support that the controls were operating effectively. More specifically, we were unable to evidence formal reviews and approvals when awarding or disbursing aid to students, Title IV refund calculations and various reconciliations to the COD. Cause The School has a small group of administrators with one individual having responsibility for the federal student financial aid process. As such, there are often segregation of duties issues encountered. While certain administrative personnel participate in some of the detailed federal student aid processes, one individual is ultimately responsible for these areas and does not consistently evidence reviews or is the doer such that there is no secondary review performed. Effect The lack of proper support for the key controls over eligibility, disbursements, return of Title IV funds and reporting to the COD results in risks related to the ongoing validity, completeness, and accuracy of the data. Questioned Costs None noted. Recommendation We recommend the School assess their current control environment structure and look for opportunities to utilize administrative staff to perform certain tasks, allowing the Financial Aid Coordinator to truly partake in a review role. Additionally, we recommend maintaining evidence of support for the controls being executed, including preparing a periodic checklist of tasks to be completed and who is responsible for the preparation and review and approval. Management’s Views and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included at the end of this report after the summary schedule of status of prior audit findings.

Categories

Student Financial Aid Internal Control / Segregation of Duties Matching / Level of Effort / Earmarking

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $93.62M
93.498 Provider Relief Fund $14.11M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $2.33M
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $1.40M
84.268 Federal Direct Student Loans $1.18M
93.958 Block Grants for Community Mental Health Services $1.12M
32.006 Covid-19 Telehealth Program $796,010
14.241 Housing Opportunities for Persons with Aids $688,537
93.884 Grants for Primary Care Training and Enhancement $650,666
84.063 Federal Pell Grant Program $492,441
93.493 Congressional Directives $400,000
93.155 Rural Health Research Centers $265,752
93.558 Temporary Assistance for Needy Families $158,842
84.425 Education Stabilization Fund $84,003
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $39,674
93.837 Cardiovascular Diseases Research $39,352
93.965 Coal Miners Respiratory Impairment Treatment Clinics and Services $15,973
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $8,901
64.055 Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program $7,233
93.395 Cancer Treatment Research $6,688
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $5,375
93.697 Covid-19 Testing for Rural Health Clinics $144