Finding 960401 (2022-002)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2024-03-24
Audit: 296974
Organization: Beth Israel Lahey Health, Inc. (MA)
Auditor: Kpmg LLP

AI Summary

  • Core Issue: The schedule of expenditures for federal awards (SEFA) was understated by $14,249,269 due to missing entries for COVID-19 Disaster Grants.
  • Impacted Requirements: This finding indicates a material weakness in internal controls, violating Uniform Guidance requirements for accurate reporting.
  • Recommended Follow-Up: Implement a detailed review process for the SEFA, including a formal second sign-off and reconciliation to the general ledger by someone other than the preparer.

Finding Text

Finding 2022-02 – Reporting Program: COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) Federal Agency: U.S. Department of Homeland Security Assistance Listing Number: 97.036 Criteria: Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) Subpart F – Audit Requirements §200.510 requires the auditee to 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. The Uniform Guidance requires the auditor to determine whether the auditee’s schedule of expenditures of federal awards is fairly stated, in all material respects, in relation to the audited entity’s financial statements as a whole. In addition, the Uniform Guidance places the responsibility for identifying major programs on the auditor and the schedule of expenditures of federal awards serves as the primary basis for the auditor’s major program determination. Therefore, appropriate major program determination by the auditor is dependent on the accuracy and completeness of the information in the schedule of expenditures of federal awards. Condition: In preparation of the schedule of expenditures for federal awards (SEFA) management did not record the COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) expenditures on the SEFA which resulted in the SEFA being understated by $14,249,269. We deemed this to be a material weakness in internal controls. Cause: BILH did not have an adequately designed internal control to identify the error in federal awards expended as such, the amount of the errors could have been greater and not detected by BILH’s control environment. Possible Asserted Effect: Potential misstatement to the schedule of expenditures of federal awards. Questioned Costs: None noted Statistical Sampling: The sample was not intended to be, and was not, a statistically valid sample. Identification of Whether the Audit Finding was a Repeat Finding: This is not a repeat finding. Recommendation: We recommend that BILH implement a more thorough and detailed process for preparing and reviewing the SEFA to identify adjustments that could result in a misstatement of the SEFA. This should include a formalized and detailed review of the SEFA and a reconciliation to the general ledger and financial statements by someone other than the preparer. Views of Responsible Officials: Management will enhance its review process by requiring a formal second sign-off of the SEFA with supporting documents.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 383958 2022-001
    Significant Deficiency
  • 383959 2022-002
    Material Weakness
  • 960400 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Cares Act $249.51M
97.036 United States Department of Homeland Security $14.25M
93.273 National Institutes of Health $1.88M
16.320 Department of Defense $960,555
93.360 National Institutes of Health $836,748
93.461 Health Resources and Services Administration $689,703
93.351 National Institutes of Health $604,221
47.041 National Science Foundation $569,853
93.839 National Institutes of Health $391,320
93.350 National Institutes of Health $371,974
93.839 National Institutes of Health $370,915
93.958 Substance Abuse and Mental Health Services Administration: $295,032
93.226 Agency for Health Care Policy and Research $217,603
93.918 Health Resources and Services Administration $212,962
93.351 National Institutes of Health $200,355
93.788 Substance Abuse and Mental Health Services Administration: $185,702
93.859 National Institutes of Health $183,507
93.914 Health Resources and Services Administration $133,190
16.320 Department of Justice $123,907
93.847 National Institutes of Health $110,311
93.172 National Institutes of Health $101,398
93.145 Health Resources and Services Administration $100,933
93.RD Agency for Health Care Policy and Research $97,554
93.213 National Institutes of Health $94,153
21.027 Substance Abuse and Mental Health Services Administration: $79,663
93.067 Centers for Disease Control $66,482
93.866 National Institutes of Health $64,236
93.838 National Institutes of Health $62,256
93.286 National Institutes of Health $54,482
93.355 National Institutes of Health $53,299
93.859 National Institutes of Health $51,227
93.394 National Institutes of Health $51,167
93.847 National Institutes of Health $43,565
93.853 National Institutes of Health $43,537
93.361 National Institutes of Health $40,703
83.838 National Institutes of Health $40,295
43.001 National Aeronautic & Space Administration $36,363
93.396 National Institutes of Health $33,024
93.310 National Institutes of Health $32,946
93.853 National Institutes of Health $27,520
93.867 National Institutes of Health $25,610
93.310 National Institutes of Health $25,396
93.855 National Institutes of Health $24,701
93.113 National Institutes of Health $20,334
93.865 National Institutes of Health $17,132
93.959 National Institutes of Health $15,667
93.103 Food and Drug Administration $15,328
93.279 National Institutes of Health $14,035
12.420 U.s. Army Medical Command $11,421
93.395 National Institutes of Health $11,095
94.846 National Institutes of Health $11,008
93.361 National Institutes of Health $5,897
93.242 National Institutes of Health $4,704
93.279 National Institutes of Health $3,930
93.838 National Institutes of Health $3,306
93.226 Agency for Healthcare Research and Quality $2,913
93.243 National Institutes of Health $2,636
93.360 National Institutes of Health $2,421
93.242 National Institutes of Health $1,968
93.959 Substance Abuse and Mental Health Services Administration: $1,877
93.837 National Institutes of Health $1,747
93.866 National Institutes of Health $1,379
93.846 National Institutes of Health $1,274
93.865 National Institutes of Health $1,042
93.846 National Institutes of Health $382
93.867 National Institutes of Health $210
93.350 National Institutes of Health $195
93.273 National Institutes of Health $174
93.286 National Institutes of Health $164
12.910 Defense Advanced Research Projects Agency $31
93.307 National Institutes of Health $21
98.001 National Institutes of Health $18
93.855 National Institutes of Health $-724
93.121 National Institutes of Health $-1,273
93.307 National Institutes of Health $-1,436
93.RD Centers for Disease Control $-1,737
93.396 National Institutes of Health $-2,640
16.575 Department of Justice $-4,091
93.837 National Institutes of Health $-4,301
93.879 National Institutes of Health $-10,890