Finding 561087 (2024-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-05-20

AI Summary

  • Core Issue: There is a significant deficiency in internal controls over compliance reporting for the Coronavirus State and Local Fiscal Recovery Funds.
  • Impacted Requirements: The Health System failed to document the required review of quarterly reports before submission to the pass-through agency.
  • Recommended Follow-Up: Implement procedures to ensure that report reviews are documented with signatures prior to submission.

Finding Text

FINDING 2024-001 Significant Deficiency in Internal Controls Over Compliance – Reporting Federal Agency: Department of Treasury Pass through Grantor: Guilford County, North Carolina Federal Program(s): Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number(s): 21.027 Criteria: As per the grant agreement the Health System is to submit reports quarterly to the pass-through agency. Condition/Context: Of the two (2) quarterly reports sampled, there was no evidence of review for the sampled reports. Cause: Grant program managers meet in person to discuss reports prior to submission to the granting agency, but these discussions do not include documentation that reports have been reviewed prior to submission. Effect: The Health System could have submitted a report that is incomplete or contains inaccurate information. Questioned Costs: None. Recommendation: The Health System should enhance their control procedures such that the appropriate individuals are aware that review of the reports should be documented with either electronic or manual signature prior to submission to the granting agency(ies). Views of Responsible Officials: See Corrective Action Plan.

Corrective Action Plan

The Health System met with grant managers and reviewed the expectations and responsibilities to ensure appropriate reviews and sign offs prior to submitting reports to the granting agency. The Health System will implement a centralized process with dedicated resources that will establish consistent policies for grant management, including a layered review process with executive sign off on reports prior to submission.

Categories

Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1137529 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $774,797
93.855 Allergy and Infectious Diseases Research $462,423
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $318,483
93.359 Nurse Education, Practice Quality and Retention Grants $234,267
93.426 The National Cardiovascular Health Program $214,256
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $211,078
93.110 Maternal and Child Health Federal Consolidated Programs $150,000
93.107 Area Health Education Centers $130,301
93.889 National Bioterrorism Hospital Preparedness Program $121,736
93.917 Hiv Care Formula Grants $118,750
93.837 Cardiovascular Diseases Research $90,889
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $73,210
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $70,593
93.262 Occupational Safety and Health Program $9,000
93.969 Pphf Geriatric Education Centers $1,815