Finding 967617 (2023-004)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-04-01
Audit: 301777
Organization: Mercy Health (MO)

AI Summary

  • Core Issue: Mercy Health failed to provide evidence of timely submission for quarterly reports required by the State of Missouri for FEMA grants.
  • Impacted Requirements: Non-compliance with 2 CFR Section 200.303 regarding internal controls and reporting obligations.
  • Recommended Follow-Up: Implement internal controls to retain proof of report submissions, such as using certified mail or email confirmations.

Finding Text

Finding 2023-004 Reporting Identification of the federal program: Federal Grantor: United States Department of Homeland Security Pass-Through Grantor: State of Missouri, State Emergency Management Agency Assistance Listing No.: 97.036, COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) (FEMA) Pass-Through Award Numbers: Project# 699963 P/W# 624; Project# 185883 P/W# 529; and Project# 150136 P/W# 171 Criteria or Specific Requirement (Including Statutory, Regulatory, or Other Citation): 2 CFR Section 200.303 of the Uniform Guidance states the following regarding 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).” Instructions from State of Missouri, State Emergency Management Agency states “In accordance with Public Assistance Program policy, applicants, on quarterly basis, must submit a report identifying the status of each of their open/incomplete projects in each disaster for which they are applicant”. Condition: Timeliness and submission of the quarterly reports required by the State of Missouri could not be verified. Cause: Management did not retain the supporting documentation to evidence the submission of the quarterly reports. Effect or potential effect: Mercy Health potentially did not file the required reports with the State of Missouri on a timely basis and was not in compliance with the program reporting requirements. Questioned costs: None. Context: Mercy Health had a total of eight quarterly report submissions for the year ended June 30, 2023. We tested five of the eight quarterly reports and management did not retain supporting documentation of timely submission for any of the reports. The total federal expenditures for the program in fiscal year 2023 related to the FEMA grants was $3,383,897. Identification as a repeat finding, if applicable: The finding is not a repeat finding from the prior year. Recommendation: Mercy Health should implement internal controls over the retention of supporting evidence of timely submission of the reports. Views of Responsible Officials: The state of Missouri requires all quarterly reports be mailed. While we did send in our quarterly reports to the state of Missouri as required, we do not have proof of submissions as we did not send by certified mail. All future quarterly reporting will be documented with an email to our state SEMA representative when we send out quarterly reports so there is documentation for our records.

Categories

Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 391168 2023-001
    Material Weakness
  • 391169 2023-002
    Significant Deficiency
  • 391170 2023-003
    Material Weakness
  • 391171 2023-004
    Significant Deficiency
  • 391172 2023-003
    Material Weakness
  • 391173 2023-004
    Significant Deficiency
  • 391174 2023-003
    Material Weakness
  • 391175 2023-004
    Significant Deficiency
  • 391176 2023-003
    Material Weakness
  • 391177 2023-004
    Significant Deficiency
  • 967610 2023-001
    Material Weakness
  • 967611 2023-002
    Significant Deficiency
  • 967612 2023-003
    Material Weakness
  • 967613 2023-004
    Significant Deficiency
  • 967614 2023-003
    Material Weakness
  • 967615 2023-004
    Significant Deficiency
  • 967616 2023-003
    Material Weakness
  • 967618 2023-003
    Material Weakness
  • 967619 2023-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19: Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $104.54M
93.493 Congressional Directives $1.00M
97.036 Covid-19: Disaster Grants - Public Assistance (presidentially Declared Disasters) $689,052
32.006 Covid-19: Covid-19 Telehealth Program $497,692
93.155 Covid-19: Rural Health Research Centers $473,291
16.575 Crime Victim Assistance $337,103
10.855 Distance Learning and Telemedicine Loans and Grants $336,510
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $290,537
93.889 National Bioterrorism Hospital Preparedness Program $168,145
93.575 Covid-19: Child Care and Development Block Grant $131,950
16.588 Violence Against Women Formula Grants $127,186
21.027 Covid-19: Coronavirus State and Local Fiscal Recovery Funds $103,031
93.103 Food and Drug Administration_research $86,990
93.671 Covid-19: Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $71,096
93.558 Temporary Assistance for Needy Families $65,493
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $57,013
93.301 Small Rural Hospital Improvement Grant Program $56,983
14.231 Emergency Solutions Grant Program $34,891
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $32,123
20.600 State and Community Highway Safety $30,958
93.945 Assistance Programs for Chronic Disease Prevention and Control $29,666
10.558 Child and Adult Care Food Program $18,826
93.667 Social Services Block Grant $16,150
93.994 Maternal and Child Health Services Block Grant to the States $13,411
93.310 Trans-Nih Research Support $6,518
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Support $4,621
16.590 Grants to Encourage Arrest Policies and Enforcement of Protection Orders Program $1,916
93.242 Mental Health Research Grants $1,000
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $1,000
14.231 Covid-19: Emergency Solutions Grant Program $936