Finding 971153 (2022-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2024-04-25
Audit: 304582
Organization: Maimonides Medical Center (NY)

AI Summary

  • Core Issue: The Schedule of Expenditures of Federal Awards (SEFA) was incomplete and inaccurate due to the exclusion of $33,715,590 in FEMA funds obligated in 2022 for prior expenditures.
  • Impacted Requirements: Compliance with 2 CFR 200.510, which mandates accurate reporting of federal awards in financial statements.
  • Recommended Follow-Up: Conduct a reconciliation of FEMA project applications in the FEMA portal with the consolidated financial statements and SEFA to ensure all obligated funds are reported correctly.

Finding Text

2022-002 – Completeness and accuracy of the Schedule of Expenditures of Federal Awards- Significant Deficiency Cluster: Not applicable Federal Granting Agency: Department of Homeland Security and Emergency Services Award Name: COVID-19 – Disaster Grants- Public Assistance (Presidentially Declared Disasters) Pass-Through from New York State Department of Homeland Security and Emergency Services Assistance Listing #: 97.036 Assistance Listing Title: COVID-19 - Disaster Grants- Public Assistance (Presidentially Declared Disasters) Pass-Through from New York State Department of Homeland Security and Emergency Services Award Year: January 1, 2022- December 31, 2022 Criteria 2 CFR 200.510 Financial statements requires auditees 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 2 CFR 200.502. The information presented should be consistent with the accounting records and other federal guidance. Condition FEMA funds obligated in 2022 for eligible expenditures expended in prior periods totaling $33,715,590 were excluded from the 2022 consolidated financial statements and Statement of Expenditures of Federal Awards (“SEFA”). Management has revised the consolidated financial statements as of and for the year ended December 31, 2022 and included this amount in the SEFA for the year ended December 31, 2022 (Refer to Note 1 and Note 10 in the accompanying consolidated financial statements and Note 2 and Note 7 in the accompanying SEFA). This error did not impact the major program selection for testing in 2022. Cause The status of the review and approval process by FEMA and New York State Department of Homeland Security and Emergency Services and requirement to record FEMA funds in the consolidated financial statements and SEFA when obligated by FEMA was not interpreted correctly by management. Effect A SEFA that is not complete and accurate could impact the scoping of an entity’s major programs and result in incomplete information being provided to the federal government. Questioned Costs None noted. Recommendation We recommend the Medical Center perform a reconciliation of FEMA project applications reported in the FEMA portal to the consolidated financial statements and SEFA to ensure all FEMA project funds obligated and expended are reported in the proper period. Management’s Views and Corrective Action Plan Management's views and corrective action plan is included at the end of this report after the summary schedule of prior audit findings and status.

Categories

Reporting Significant Deficiency

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
14.151 Supplemental Loan Insurance_multifamily Rental Housing $135.84M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $34.89M
93.498 Provider Relief Fund $9.65M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $8.72M
14.128 Mortgage Insurance_hospitals $990,938
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $403,745
93.994 Maternal and Child Health Services Block Grant to the States $145,224
93.136 Injury Prevention and Control Research and State and Community Based Programs $97,960
93.268 Immunization Cooperative Agreements $69,500
93.493 Congressional Directive $37,165
93.279 Drug Abuse and Addiction Research Programs $29,999
93.110 Maternal and Child Health Federal Consolidated Programs $21,334
93.395 Cancer Treatment Research $4,600
93.958 Block Grants for Community Mental Health Services $4,000
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $3,025
93.461 Covid-19 Testing for the Uninsured $-306,424