Finding 964860 (2022-002)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2024-03-28
Audit: 300148
Organization: Christus Health (TX)

AI Summary

  • Core Issue: CHRISTUS failed to prepare a complete and accurate listing of federal awards in the SEFA, leading to a significant understatement of expenditures.
  • Impacted Requirements: This deficiency violates Uniform Guidance 2 CFR sections 200.303 and 200.510 regarding internal controls and accurate reporting of federal awards.
  • Recommended Follow-Up: CHRISTUS should enhance its internal controls to ensure all federal expenditures are accurately captured and reported in the SEFA.

Finding Text

Finding 2022-002 – Internal Control Deficiency and Noncompliance over Reporting Identification of the Federal Program: Federal Grantor: United States Department of the Treasury Pass-Through Entity: Smith County, Texas and the City of San Marcos, Texas Assistance Listing No.:21.027, Coronavirus State and Local Fiscal Recovery Funds Pass-Through Award Numbers: Not available Award Periods of Performance: Trinity Mother Frances, Pass-through Smith County, October 1, 2021 – November 30, 2021 Santa Rosa, Pass-through the City of San Marcos, March 03, 2021 through December 31, 2026 Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation): The Uniform Guidance 2 CFR section 200.303 states, “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).” The Uniform Guidance 2 CFR section 200.510 states, “(b) Schedule of expenditures of Federal awards. The auditee must also prepare a schedule of expenditures of federal awards (SEFA) 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 Basis for determining Federal awards expended.” Condition: CHRISTUS did not originally prepare a complete and accurate listing of all federal awards in the SEFA. Cause: CHRISTUS did not have controls in place to ensure all federal expenditures were captured on the SEFA. Effect or Potential Effect: The SEFA prepared by CHRISTUS was misstated but was subsequently corrected. The misstatement resulted in the omission of a major federal program under the Uniform Guidance report. Questioned Costs: None. Context: Expenditures for Assistance Listing Number 21.027 were originally understated on the SEFA by $2,500,000, or 71% of the program. Identification as a Repeat Finding, if Applicable: This is not a repeat finding. Recommendation: CHRISTUS should review its internal controls over the process of accumulating and reporting expenditures of federal awards. Views of Responsible Officials: CHRISTUS agrees with the finding and has developed internal controls to ensure accurate and complete reporting of federal expenditures.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 388416 2022-001
    Material Weakness Repeat
  • 388417 2022-002
    Material Weakness
  • 388418 2022-002
    Material Weakness
  • 388419 2022-002
    Material Weakness
  • 388420 2022-003
    Material Weakness
  • 388421 2022-003
    Material Weakness
  • 388422 2022-003
    Material Weakness
  • 964858 2022-001
    Material Weakness Repeat
  • 964859 2022-002
    Material Weakness
  • 964861 2022-002
    Material Weakness
  • 964862 2022-003
    Material Weakness
  • 964863 2022-003
    Material Weakness
  • 964864 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distributions $61.05M
93.461 Covid-19 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $41.68M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $793,310
21.027 Coronavirus State and Local Fiscal Recovery Funds $500,000
93.697 Covid-19 Testing and Mitigation for Rural Health Clinics $400,000
93.155 Rural Health Research Centers $255,561
16.575 Crime Victim Assistance $204,386
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $100,000
93.994 Maternal and Child Health Services Block Grant to the States $86,660
93.650 Accountable Health Communities $69,735
93.395 Cancer Treatment Research $69,408
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $20,968
93.393 Cancer Cause and Prevention Research $18,512
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $14,280
93.301 Small Rural Hospital Improvement Grant Program $10,969
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $1,830
93.889 National Bioterrorism Hospital Preparedness Program $1,615