Finding 498856 (2023-002)

Material Weakness Repeat Finding
Requirement
ABHN
Questioned Costs
-
Year
2023
Accepted
2024-09-27
Audit: 321602
Organization: Bjc Healthcare (MO)

AI Summary

  • Core Issue: Internal controls over FEMA expense reviews are inadequate, leading to potential unallowable costs being charged to the program.
  • Impacted Requirements: Compliance with Section 200.303(a) of the Uniform Guidance regarding effective internal controls and timely reviews.
  • Recommended Follow-Up: Management should strengthen internal controls and ensure timely reviews of FEMA expenses to prevent future issues.

Finding Text

Finding 2023-002 – A. Activities Allowed or Unallowed, B. Allowable Costs/Cost Principles, H. Period of Performance and N. Special Tests and Provisions Identification of the federal program: Federal Agency: U.S. Department of Homeland Security, Federal Emergency Management Agency (FEMA) Pass-Through Entities: Missouri State Emergency Management Agency and Illinois Emergency Management Agency Federal Program: COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) (Assistance Listing No. 97.036) Pass-Through Award Numbers: Pass-Through Award Periods: PA-05-IL-4489-PW-1324(1) 01/21/2020–Ongoing PA-07-MO-4490-PW-00750 04/01/2021–07/01/2022 Criteria or specific requirement (including statutory, regulatory or other citation): Section 200.303(a) of the Uniform Guidance states the following regarding the auditee and internal control: “The 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 or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Condition: Management reviewed a sample of FEMA expenses during the fiscal year for compliance with allowability, period of performance, and special tests and provisions requirements. However, the review did not ensure that invoices allocated between multiple project worksheets did not exceed claim in total for management costs. In addition, for materials and supplies costs, the review was not performed timely as it was completed four months after the claim was submitted. Cause: Management’s internal control over the review and approval of FEMA expenses (materials and supplies and management costs) for compliance with allowability, period of performance, and special tests and provisions requirements was not properly designed or operating effectively. Effect or potential effect: Unallowable expenses could be charged to the FEMA program. Questioned costs: None. Context: Total FEMA expenditures reported on the schedule of expenditures of federal awards are $3,503,825 for the year ended December 31, 2023. Of this amount, management costs totaled $11,205 and materials and supplies costs totaled $682,254. Identification as a repeat finding: This finding is a partial repeat of finding 2022-004 from the prior year. Recommendation: Management should reassess its internal controls over the review and approval of FEMA expenses for compliance with allowability, period of performance, and special tests and provisions requirements. Views of responsible officials: BJC agrees with the findings as reported. BJC is committed to complying with program requirements and meeting program objectives as defined in Section 200.303(a) of the Uniform Guidance, regarding auditee internal controls. To facilitate these requirements, BJC will review and strengthen controls and documentation to ensure that invoices allocated between multiple project worksheets do not exceed amount claimed in total for management costs. In addition, BJC will ensure reviews are performed timely.

Categories

Allowable Costs / Cost Principles Special Tests & Provisions

Other Findings in this Audit

  • 498851 2023-001
    Material Weakness Repeat
  • 498852 2023-001
    Material Weakness Repeat
  • 498853 2023-003
    Material Weakness
  • 498854 2023-003
    Material Weakness
  • 498855 2023-002
    Material Weakness Repeat
  • 1075293 2023-001
    Material Weakness Repeat
  • 1075294 2023-001
    Material Weakness Repeat
  • 1075295 2023-003
    Material Weakness
  • 1075296 2023-003
    Material Weakness
  • 1075297 2023-002
    Material Weakness Repeat
  • 1075298 2023-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $15.87M
84.268 Federal Direct Student Loans $5.82M
97.036 Covid-19 Disaster Grants - Public Assistance (presidentially Declared Disasters) $3.36M
93.399 Cancer Control $1.03M
84.063 Federal Pell Grant Program $766,487
93.493 Congressional Directives $575,440
93.788 Opioid Str $473,845
93.889 National Bioterrorism Hospital Preparedness Program $457,610
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $252,140
84.007 Federal Supplemental Educational Opportunity Grants $116,890
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $97,837
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $90,382
93.395 Cancer Treatment Research $67,893
84.425 Covid-19 Education Stabilization Fund $58,704
93.124 Nurse Anesthetist Traineeship $57,038
16.582 Crime Victim Assistance/discretionary Grants $28,887
93.173 Research Related to Deafness and Communication Disorders $12,155
93.671 Covid-19 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $12,152
93.558 Temporary Assistance for Needy Families $12,128
93.732 Covid-19 Mental and Behavioral Health Education and Training Grants $10,237
93.393 Cancer Cause and Prevention Research $8,941
93.397 Cancer Centers Support Grants $3,800
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $2,034
84.033 Federal Work-Study Program $1,943