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entitled 'Disaster Relief: Reimbursement to American Red Cross for 
Hurricanes Charley, Frances, Ivan and Jeanne' which was released on May 
30, 2006. 

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Report to Congressional Committees: 

May 2006: 

Disaster Relief: 

Reimbursement to American Red Cross for Hurricanes Charley, Frances, 
Ivan, and Jeanne: 

GAO-06-518: 

GAO Highlights: 

Highlights of GAO-06-518, a report to congressional committees. 

Why GAO Did This Study: 

In accordance with Public Law 108-324, GAO is required to audit the 
reimbursement of up to $70 million of appropriated funds to the 
American Red Cross (Red Cross) for disaster relief associated with 2004 
hurricanes Charley, Frances, Ivan, and Jeanne. The audit was performed 
to determine if (1) the Federal Emergency Management Agency (FEMA) 
established criteria and defined allowable expenditures to ensure that 
reimbursement claims paid to the Red Cross met the purposes of the law, 
(2) reimbursement funds paid to the Red Cross did not duplicate funding 
by other federal sources, (3) reimbursed funds assisted only eligible 
states and territories for disaster relief, and (4) reimbursement 
claims were supported by adequate documentation. 

The 2004 hurricane season was one of the most destructive in U.S. 
history. Fifteen named storms resulted in 21 federal disaster 
declarations. Four hurricanes affecting 19 states and 2 U.S. 
territories from August 13 through September 26, 2004, triggered the 
nation’s biggest natural-disaster response up to that time. Over 150 
deaths and $45 billion of estimated property damage are attributed to 
hurricanes Charley, Frances, Ivan, and Jeanne in the United States 
alone. Through 2005, these four storms rank among the seven costliest 
in U.S. history. 

GAO is not making any recommendations in this report. 

What GAO Found: 

The signed agreement between FEMA and the Red Cross properly 
established criteria for the Red Cross to be reimbursed for allowable 
expenses for disaster relief, recovery, and emergency services related 
to hurricanes Charley, Frances, Ivan, and Jeanne. The Red Cross 
incurred $88.6 million of allowable expenses. 

Consistent with the law, the agreement explicitly provided that the Red 
Cross would not seek reimbursement for any expenses reimbursed by other 
federal funding sources. GAO identified $0.3 million of FEMA paid costs 
that the Red Cross properly deducted from its reimbursement requests, 
so as not to duplicate funding by other federal sources. The Red Cross 
also reduced its requested reimbursements by $60.2 million to reflect 
private donations for disaster relief for the four hurricanes, for a 
net reimbursement of 28.1 million. 

Red Cross expenses were incurred in states and territories eligible for 
disaster relief associated with the four hurricanes in accordance with 
the FEMA/Red Cross agreement. The Red Cross requested reimbursement of 
$28.1 million for the period August 11, 2004, through June 30, 2005, 
for payment from federal appropriated funds under Public Law 108-324. 

After review and some retesting, GAO relied upon audit work conducted 
by the CPA firm of KPMG, LLP, which determined that most Red Cross 
expenses were incurred for eligible disaster services and were 
supported by adequate documentation. However, KPMG identified six 
weaknesses in the Red Cross’s internal controls related to expenses 
incurred for the four hurricanes and reported $712,000 of known 
questioned costs, with which Red Cross concurred. The Red Cross also 
concurred with the content of the GAO report. 

Figure: Paths of 2004 Hurricanes Charley, Frances, Ivan, and Jeanne: 

[See PDF for Image] 

Note: For official hurricane tracks, see [Hyperlink, 
http://www.nhc.noaa.gov]. 

[End of Figure] 

[Hyperlink, http://www.gao.gov/cgi-bin/getrpt?GAO-06-518]. 

To view the full product, including the scope and methodology, click on 
the link above. For more information, contact Steven J. Sebastian at 
(202) 512-3406 or sebastians@gao.gov. 

[End of Section] 

Contents: 

Letter: 

Results in Brief: 

Background: 

Scope and Methodology: 

Criteria Were Established for Reimbursement: 

Controls Avoided Duplication of Expenses Reimbursed by Other Federal 
Funds: 

Expenses Were Incurred in Eligible States and Territories: 

Incurred Expenses Were Generally for Eligible Services and Were 
Adequately Supported: 

Agency Comments: 

Appendix: 

Appendix I: Comments from the American Red Cross: 

Tables: 

Table 1: Red Cross Reported Expenses by State and U.S. Territory: 

Table 2: Reported Red Cross Expenses and Reimbursement Requests, August 
11, 2004, through June 30, 2005: 

Table 3: KPMG Known and Likely Questioned Costs: 

Figures: 

Figure 1: Paths of 2004 Hurricanes Charley, Frances, Ivan, and Jeanne: 

Figure 2: Tornadoes Spawned from Hurricanes: 

Figure 3: Red Cross Sheltering Efforts: 

Figure 4: Extensive Damage to Homes Caused by the Hurricanes: 

Figure 5: Emergency Response Vehicles Provide Disaster Relief: 

Figure 6: Red Cross Reported Expenses by Hurricane: 

Letter: 
May 30, 2006: 

The Honorable Christopher Bond: 
Chairman: 
The Honorable Patty Murray: 
Ranking Member: 
Subcommittee on Transportation, Treasury, the Judiciary, Housing and 
Urban Development, and Related Agencies: 
Committee on Appropriations: 
United States Senate: 

The Honorable Joe Knollenberg: 
Chairman: 
The Honorable John W. Olver: 
Ranking Member: 
Subcommittee on Transportation, Treasury, and Housing and Urban 
Development, the Judiciary, District of Columbia, and Independent 
Agencies: 
Committee on Appropriations: 
House of Representatives: 

The 2004 hurricane season was one of the most destructive in U.S. 
history. Fifteen named storms resulted in 21 federal disaster 
declarations. Four hurricanes affected 19 states and 2 U.S. territories 
from August 13 through September 29, 2004, which triggered the nation's 
largest natural-disaster response up to that time. Over 150 
deaths[Footnote 1] and $45 billion[Footnote 2] of estimated property 
damage are attributed to hurricanes Charley, Frances, Ivan, and Jeanne 
in the United States alone. The National Oceanic and Atmospheric 
Administration's (NOAA) National Weather Service has ranked these four 
storms within the seven costliest hurricanes for property damage in 
U.S. history.[Footnote 3] 

The Military Construction Appropriations and Emergency Hurricane 
Supplemental Appropriations Act, 2005 (Public Law 108-324), enacted on 
October 13, 2004, provided up to $70 million of appropriated federal 
funds to reimburse the American Red Cross (Red Cross) for disaster 
relief, recovery expenses, and emergency services associated with the 
four 2004 hurricanes. The reimbursement was only to the extent funds 
were not made available for eligible activities by other federal 
sources. The Office of Management and Budget (OMB) designated the 
Federal Emergency Management Agency (FEMA) to administer the 
appropriated funds. 

The Red Cross, founded by Clara Barton in May 1881, was issued a 
federal charter by an act of the U.S. Congress on January 5, 1905. 
Initially, its primary purpose was to furnish volunteer aid to the sick 
and wounded of the armed forces in time of war and to carry on a system 
of national and international relief in time of peace to mitigate the 
suffering caused by fire, famine, floods, and other great natural 
calamities. This mission has since expanded to help people prevent, 
prepare for, and respond to emergencies. The disaster and emergency 
relief effort is the flagship program of the Red Cross today. 

Public Law 108-324 required that we audit the Red Cross reimbursement. 
Our objectives were to determine whether (1) criteria were established 
for allowable reimbursable Red Cross expenses, (2) reimbursements did 
not duplicate funding by other federal sources, (3) reimbursements were 
paid only for services in states and territories eligible for disaster 
relief under the four hurricanes, and (4) reimbursements were for 
eligible services and supported by adequate documentation. We performed 
our work in accordance with generally accepted government auditing 
standards. 

Results in Brief: 

We found that FEMA and the Red Cross properly established criteria for 
Red Cross reimbursement requests through a signed agreement that 
included allowable categories for disaster relief, recovery, and 
emergency services associated with hurricanes Charley, Frances, Ivan, 
and Jeanne. This agreement also included definitions of eligibility, 
listed 18 states and 2 territories where the Red Cross had incurred 
expenses related to the four hurricanes, and established administrative 
procedures for reimbursement requests and payment of appropriated 
funds. 

The FEMA/Red Cross agreement also provided that the Red Cross would not 
seek reimbursement for any expenses reimbursed by other federal funding 
sources. We identified about $0.3 million of transient accommodations 
and deployment expenses paid by FEMA that were properly deducted by the 
Red Cross from its reimbursement requests, so as not to duplicate 
funding by other federal sources. The Red Cross also deducted from the 
reimbursement requests $60.2 million of private donations designated 
for disaster relief related to the four hurricanes. 

The Red Cross incurred expenses of $88.6 million in states and 
territories eligible for disaster relief under the four hurricanes in 
accordance with the FEMA/Red Cross agreement. Twenty-one federal 
disaster declarations were made by the President and issued by FEMA for 
the four hurricanes that cumulatively covered federal disaster aid to 
12 states and 2 territories. Federal disaster declarations were also 
issued for 4 additional states as a result of severe flooding caused by 
these hurricanes. However, the Red Cross, as a not-for-profit 
organization, funded primarily through private donations, is not 
limited by federal disaster declarations and can provide emergency 
assistance where it determines there is a need. As a result, the FEMA/ 
Red Cross agreement included some hurricane-associated expenses 
incurred in states that were not covered by federal disaster 
declarations. Arkansas and Texas were used by the Red Cross as staging 
areas for emergency relief aid to the areas affected by the hurricanes, 
and Maryland was affected by flooding as a result of Hurricane Ivan. 

The Red Cross requested reimbursements of $28.1 million related to the 
four 2004 hurricanes for the period August 11, 2004, through June 30, 
2005, that were included in a schedule of $50.0 million of federal 
funds from other programs operated by the Red Cross. For the fiscal 
year ended June 30, 2005, the Red Cross's entitywide financial 
statements and schedule of expenditures of federal awards were audited 
by the public accounting firm of KPMG, LLP (KPMG) in accordance with 
OMB Circular No. A-133, Audits of States, Local Governments, and Non- 
Profit Organizations. So as not to duplicate audit effort as provided 
by the Single Audit Act, as amended,[Footnote 4] we reviewed and tested 
the audit work of KPMG related to the $88.6 million of incurred Red 
Cross expenses associated with the four 2004 hurricanes. In its audit, 
KPMG concluded that Red Cross expenses were generally incurred for 
eligible disaster services and supported by adequate documentation. We 
concurred with that determination. However, KPMG identified six 
weaknesses in the Red Cross's internal controls related to the 
reimbursement of expenses associated with the four 2004 hurricanes that 
it considered to be reportable conditions.[Footnote 5] KPMG also 
considered one of these, related to debit cards for client assistance, 
to be a material weakness.[Footnote 6] 

In its report, KPMG made recommendations to Red Cross to strengthen 
internal controls related to these six reportable conditions, with 
which the Red Cross concurred. The report also identified about 
$712,000 of known questioned costs related to the federal share of the 
2004 hurricane program. Known questioned costs were primarily caused by 
a bank reporting error of $657,000 on client assistance debit cards and 
$55,000 of missing or incomplete documentation to support incurred 
expenses. The Red Cross subsequently reduced its final request to FEMA 
for the 2004 hurricane reimbursement to $28.1 million after adjusting 
for the amount of the bank reporting error. The Department of Health 
and Human Services, which serves as the cognizant federal agency for 
the Red Cross under the Single Audit Act audit process, will review the 
KPMG report and coordinate a management decision for KPMG findings and 
questioned costs. The awarding federal agency has 6 months from receipt 
of the report to issue management's decision. Corrective action should 
also be initiated within 6 months after receiving the audit report and 
proceed as rapidly as possible. 

We provided a draft copy of this report to the American Red Cross; 
FEMA; and the Department of Homeland Security (DHS), for which FEMA is 
a component agency. The Red Cross stated that it agreed with the report 
contents, including the six weaknesses identified by KPMG, and 
described steps it is taking to remedy the weaknesses in anticipation 
of the 2006 Hurricane Season. The full Red Cross response is presented 
in appendix I. FEMA had no comments on the draft report. 

Background: 

The terms hurricane and typhoon are regionally specific names for a 
strong tropical cyclone. These storms are referred to as tropical 
depressions when sustained winds are less than 39 miles-per-hour (mph) 
and are given a name as a tropical storm if sustained winds exceed gale 
force of 39 mph up to 74 mph. Hurricanes are tropical cyclones with 
sustained winds that exceed 74 mph, which circulate counterclockwise 
about their centers in the Northern Hemisphere. The Atlantic hurricane 
season runs from June 1 through November 30 each year. 

On August 13, 2004, the third storm of the 2004 hurricane season, named 
Hurricane Charley, made U.S. landfall as a category 4 hurricane near 
Charlotte Harbor on the Gulf of Mexico side of the Florida peninsula 
with sustained winds of 150 mph.[Footnote 7] This hurricane was the 
strongest hurricane to hit the United States since the category 5 
Hurricane Andrew in 1992. Hurricane Charley caused catastrophic wind 
damage across central Florida, with nine tornadoes reported on August 
13 in association with the hurricane. As indicated in figure 1, the 
hurricane's path moved northeast across central Florida, with the 
center passing near Orlando at 86 mph as it moved off the northeast 
coast near Daytona Beach and into the Atlantic Ocean. 

Figure 1: Paths of 2004 Hurricanes Charley, Frances, Ivan, and Jeanne: 

[See PDF for image] 

Note: For official hurricane tracks, see [Hyperlink, 
http://www.nhc.noaa.gov]. 

[End of figure] 

Charley then moved north along the South Carolina coast, making U.S. 
landfall again at North Myrtle Beach as a category 1 hurricane with 
sustained winds of 75 mph. The hurricane rapidly weakened to a tropical 
storm over North Carolina as it moved up the Atlantic coast. Hurricane 
Charley created rain, flooding, and seven tornadoes in North Carolina 
and Virginia, including category F1 tornado damage at Kitty Hawk, North 
Carolina.[Footnote 8] On August 15, Charley merged with a frontal zone 
in southeastern Massachusetts that eventually moved into Canada. 
Hurricane Charley was cited in two federal disaster declarations for 
Florida and South Carolina. It was responsible for 33 U.S. deaths 
according to the Red Cross and 34 U.S. deaths according to NOAA's 
National Climate Data Center (NCDC). The Property Claims Service and 
the Insurance Information Institute, both of which provide insurance 
damage information, estimated damage to insured property that averaged 
$7.2 billion and an equal amount for uninsured damages. With total 
damage estimated at about $15 billion, Charley became the third 
costliest hurricane in U.S. history through 2005. 

The sixth storm of the 2004 hurricane season, named Hurricane Frances, 
reached peak intensity as a category 4 hurricane with sustained winds 
of 144 mph out in the Atlantic Ocean as it passed north of the U.S. 
Virgin Islands on August 31, 2004. Frances was downgraded to a category 
2 hurricane with sustained winds of around 100 mph by the time it made 
U.S. landfall near Sewall's Point, 35 miles north of West Palm Beach on 
the east coast of Florida on September 5. As indicated in figure 1, 
Frances moved northwest across central Florida and became a tropical 
storm as it moved into the Gulf of Mexico near New Port Richey, 
Florida, on September 6. Later that day it again made U.S. landfall on 
the Florida panhandle and moved west into eastern Alabama and western 
Georgia. It weakened to a tropical depression on September 7, and moved 
into West Virginia early on September 9. Hurricane Frances produced 
gale force winds as it briefly accelerated northeast across New York 
and into northern New England until dissipating over the Gulf of St. 
Lawrence on September 10. 

Frances caused widespread rains and flooding over much of the eastern 
United States and a total of 101 tornadoes were reported in association 
with this hurricane, with 56 occurring in the Carolinas on September 7. 
Hurricane Frances was cited in five federal disaster declarations for 
Florida, Georgia, North Carolina, Pennsylvania, and South Carolina. It 
was responsible for 45 U.S. deaths according to the Red Cross and 38 
U.S. deaths according to NOAA/NCDC. The American Insurance Services 
Group, an insurance trade association, estimated damage to insured 
property at $4.43 billion and an equal amount for uninsured damages. 
With total damage estimated at $8.9 billion, Frances became the fifth 
costliest hurricane in U.S. history through 2005. 

The ninth storm of the 2004 hurricane season, named Hurricane Ivan, 
reached category 5 strength three times in the course of its journey 
across the Atlantic into the Gulf of Mexico, with sustained winds as 
high as 167 mph. From September 5 to 12, Ivan caused considerable 
property damage and loss of life primarily in Grenada and Jamaica as it 
passed through the Caribbean Sea. Ivan weakened to a category 3 
hurricane with sustained winds of 121 mph when it made U.S. landfall 
just west of Gulf Shores, Alabama, on September 16. As indicated in 
figure 1, Ivan moved across central Alabama where it weakened to a 
tropical storm and moved northeast as far as the Delmarva 
Peninsula[Footnote 9] on September 18. However, even as a weak tropical 
storm, Ivan produced considerable rain and flooding, spawning 113 
tornadoes across the southeastern United States, as depicted in figure 
2. 

Figure 2: Tornadoes Spawned from Hurricanes: 

[See PDF for image] 

Note: The hurricanes generated numerous tornadoes, such as the one 
depicted here. 

[End of figure] 

This included two category F2 tornadoes[Footnote 10] in Florida that 
resulted in five deaths, and 61 tornadoes reported on September 17. 
Ivan then ceased its northeast movement and over the next 3 days made a 
large loop and moved southwest along the eastern U.S. coast, crossing 
Florida back into the Gulf of Mexico on September 21. There Ivan 
completed its loop and became a tropical storm, making landfall in 
southwestern Louisiana on September 24. Later that day, it dissipated 
over the upper Texas coast after completing a storm track more than 
5,600 miles long. Hurricane Ivan was cited in nine federal disaster 
declarations for Alabama, Florida, Georgia, Louisiana, Mississippi, New 
Jersey, New York, North Carolina, and Pennsylvania. It was responsible 
for 63 U.S. deaths according to the Red Cross and 52 U.S. deaths 
according to NOAA/NCDC. The American Insurance Services Group estimated 
insured property damage at $7.1 billion and an equal amount for 
uninsured damages. With total damage estimated at $14.2 billion, Ivan 
became the fourth costliest hurricane in U.S. history through 2005. 

The 10th storm of the 2004 hurricane season, named Hurricane Jeanne, 
was a tropical storm as it moved over the U.S. Virgin Islands on 
September 14, 2004, and produced heavy rain over Puerto Rico on 
September 15, with sustained winds of 69 mph. Jeanne became a category 
1 hurricane over the Dominican Republic with sustained winds of 81 mph 
that resulted in an estimated 3,000 deaths in Haiti from torrential 
rainfall, mudslides, and flooding on September 17. Jeanne made U.S. 
landfall at Port St. Lucie on the east coast of Florida, very near 
where hurricane Frances made U.S. landfall on September 5, as a 
category 3 hurricane with sustained winds of 121 mph on the morning of 
September 26. 

As indicated in figure 1, Jeanne moved westward across central Florida 
but quickly became a tropical storm by the time it reached Tampa. It 
further weakened to a tropical depression as it moved northward, 
dumping heavy rains across central Georgia and into the Carolinas, 
Virginia, and the Delmarva Peninsula. On September 29, Jeanne merged 
with a frontal zone that dissipated eastward into the Atlantic. 
Hurricane Jeanne was cited in five federal disaster declarations for 
the U.S. Virgin Islands, Puerto Rico, Florida, Virginia, and Delaware. 
It was responsible for 13 U.S. deaths, according to the Red Cross, and 
28 U.S. deaths, according to NOAA/NCDC. The American Insurance Services 
Group estimated damage to insured property at $3.44 billion and an 
equal amount for uninsured damages. With total damage estimated at $6.9 
billion, Jeanne became the seventh costliest hurricane in U.S. history 
through 2005. 

The Red Cross activated its preparedness and disaster relief operations 
before hurricane Charley made landfall, and remained on the ground 
providing critical emergency services through the three subsequent 
hurricanes. The Red Cross stated that this effort, through the 2004 
hurricane season, resulted in the largest hurricane relief operation in 
its 123-year history. From mid-August through mid-October 2004, the Red 
Cross reported that it had established over 1,800 shelters that housed 
almost 425,000 people displaced by the hurricanes, provided over 11 
million meals and snacks to hurricane victims and emergency workers, 
and provided more than 149,000 comfort kits and 113,000 cleanup kits. 
The Red Cross stated that this effort involved over 35,000 workers, of 
whom 90 percent were volunteers, to set up shelters, provide 
transportation, support the sheltering and feeding effort, and 
distribute supplies. 

As required by statute and regulation, the Red Cross receives an annual 
audit of its consolidated financial statements, including a schedule of 
expenditures of federal awards. The Red Cross is required to have its 
activities, including a complete, itemized report of all receipts and 
expenditures, audited by the Secretary of Defense through the U.S. Army 
Audit Agency pursuant to 36 U.S.C. 300110; Department of Defense 
Directive 1330.5; and Army Regulation 930-5. The Red Cross is also 
subject to the audit requirements of the Single Audit Act[Footnote 11] 
and OMB Circular No. A-133, Audits of States, Local Governments, and 
Non-Profit Organizations. 

The Red Cross contracted with an independent public accounting firm, 
KPMG, to conduct a financial audit of its consolidated financial 
statements, as well as an audit of its schedule of expenditures of 
federal awards, for the fiscal year ended June 30, 2005. To fulfill its 
audit responsibilities, avoid duplication and unnecessary expense, and 
make the most efficient use of available resources, the U.S. Army Audit 
Agency reviewed KPMG's work and reports. According to its report of 
October 21, 2005, the U.S. Army Audit Agency found nothing during its 
review to indicate that KPMG's unqualified opinion on the Red Cross's 
2005 consolidated financial statements was inappropriate or could not 
be relied on. 

For the Red Cross single audit, the Department of Health and Human 
Services serves as the cognizant federal agency on behalf of all 
participating federal agencies under the Single Audit Act audit 
process. The cognizant agency will review the audit report submitted by 
KPMG, determine if additional workpaper review is necessary, and 
coordinate a management decision for KPMG findings and questioned 
costs. The awarding federal agency has 6 months from receipt of the 
report to assess any audit findings and questioned costs and issue 
management's decision. Known questioned costs are those specifically 
identified by the auditor. Likely questioned costs are projected based 
upon an error rate of transactions tested. Resolution of questioned 
costs may be by repayment; financial adjustments; or other actions, 
such as changing procedures. 

Scope and Methodology: 

The objectives of our audit were to determine whether (1) FEMA and the 
Red Cross established criteria for allowable reimbursable expenses 
related to hurricanes Charley, Frances, Ivan, and Jeanne; (2) Red Cross 
reimbursements did not duplicate funding paid by other federal 
programs; (3) Red Cross reimbursable claims were paid only for services 
in states and territories declared eligible for disaster relief; and 
(4) Red Cross reimbursable claims were paid only for allowable 
categories of services and support and were supported by adequate 
documentation. 

To determine whether there were established criteria for allowable 
reimbursable Red Cross expenses, we initially reviewed a draft 
agreement between FEMA and the Red Cross in March 2005. This draft 
agreement outlined the operating definitions and the proposed approach 
for federal reimbursement of Red Cross disaster relief, emergency 
services, and recovery expenditures associated with hurricanes Charley, 
Frances, Ivan, and Jeanne. We then participated in a series of meetings 
with representatives of the Red Cross, FEMA, DHS's Office of Inspector 
General, KPMG, and OMB. The purpose of these meetings was to refine the 
criteria to be consistent with FEMA and Red Cross policies and 
procedures for disaster relief and Public Law 108-324. The final 
agreement was signed by FEMA and Red Cross officials in May 2005. 

To ensure that Red Cross reimbursements did not duplicate funds paid by 
other federal programs, we examined the FEMA and Red Cross agreement 
that provided that the Red Cross would not request reimbursement for 
any expenses paid by other federal funding sources. As the primary 
federal funding source for disaster assistance, FEMA identified any 
payments it had made to the Red Cross and reconciled amounts to 
reimbursement requests to ensure that its federal funds were not 
duplicated. We reviewed this identification and reconciliation process, 
conducted discussions with FEMA and Red Cross officials, and reviewed 
for indications of other federal funding during our audit of Red Cross 
reimbursement requests. 

To determine if Red Cross reimbursable claims were paid only for 
services in states and territories declared eligible for disaster 
relief, we reconciled 21 federal disaster declarations for hurricanes 
Charley, Frances, Ivan, and Jeanne to the FEMA and Red Cross agreement. 
We also identified states where federal disaster declarations were 
issued as a result of severe flooding caused by these four hurricanes. 
However, the Red Cross, as a not-for-profit organization, is not 
limited by federal disaster declarations and can provide emergency 
assistance where it determines there is a need. As a result, we 
identified several other states where Red Cross incurred some hurricane-
associated expenses related to the four hurricanes that were part of 
the FEMA/Red Cross agreement. 

To determine whether reimbursable claims were paid only for allowable 
categories of services and support, and whether those claims were 
supported by adequate documentation, we reviewed audit work performed 
by the public accounting firm of KPMG. The Red Cross hired KPMG to 
perform an entitywide audit of its consolidated financial statements, 
including all of its federal awards in accordance with OMB Circular No. 
A-133, Audits of States, Local Governments, and Non-Profit 
Organizations. In order to avoid duplication of audit work, we reviewed 
KPMG's Single Audit Act audit of the Red Cross for the fiscal year 
ended June 30, 2005, that contained $88.6 million of incurred expenses 
and $28.1 million of net reimbursements to be paid from federal funds 
that we were mandated to audit under Public Law 108-324. We relied on 
KPMG's work on the Red Cross's internal controls and tests of 
transactions, retested 10 percent of 741 transactions sampled by KPMG, 
and performed other audit tests as we deemed necessary. 

We performed our work from March 2005 through March 2006 in accordance 
with generally accepted government auditing standards. We suspended our 
work from October 2005 through February 2006 because KPMG was waiting 
for support from an expanded test of client assistance debit cards from 
Red Cross chapter offices in the Gulf States affected by hurricanes 
Katrina and Rita. 

We provided a draft copy of this report to the American Red Cross and 
to FEMA for their review and comment on April 14, 2006, with a follow- 
up copy to DHS on May 11, 2006. We received written comments from Red 
Cross in a letter dated May 1, 2006, which is reprinted in its entirety 
in appendix I of this report. According to DHS, FEMA officials have 
been actively preparing for the 2006 Atlantic Hurricane Season and had 
no comments on the draft report. 

Criteria Were Established for Reimbursement: 

We found that FEMA and the Red Cross had properly established criteria 
for Red Cross reimbursement requests through a May 2005 agreement that 
identified allowable categories for disaster relief, recovery, and 
emergency services associated with hurricanes Charley, Frances, Ivan, 
and Jeanne. This agreement also included definitions of eligibility, 
listed 18 states and 2 territories where the Red Cross had incurred 
expenses associated with the four hurricanes, and established 
administrative procedures for Red Cross reimbursement requests and 
subsequent payment by federal appropriated funds. Allowable categories 
for disaster relief, recovery, and emergency services under the May 
2005 FEMA/Red Cross agreement consisted of (1) mass care, (2) client 
personal living needs, (3) client housing needs, (4) client health 
needs, (5) direct service delivery support, and (6) operational 
support. These categories are discussed in more detail below. 

Mass Care: 

Mass care covered relief supplies and services provided for or 
distributed to disaster victims and emergency workers that included 
food, supplies, and expendable equipment to provide mass feeding and 
shelter operations. An example of Red Cross sheltering efforts is 
depicted in figure 3. 

Figure 3: Red Cross Sheltering Efforts: 

[See PDF for image] 

Note: People sought refuge in shelters established by the Red Cross in 
response to hurricanes Charley, Frances, Ivan, and Jeanne. 

[End of figure] 

Mass care operations included: 

* clothing, medical and other supplies, and expendable equipment 
intended for bulk distribution or used in mass care activities, such as 
comfort kits, cleanup kits, blankets, lanterns, camp stoves, ice 
chests, and cots; 

* food, water, ice, fuel, and other consumable supplies for bulk 
distribution; 

* shipping and storage for safekeeping of household goods; 

* sanitation projects, mass immunization, emergency first aid, and 
supplies used in shelters, first aid stations, service centers, or 
other Red Cross facilities; and: 

* food, transportation, and other services provided to emergency 
workers. 

The Red Cross reported that from mid-August through mid-October 2004, 
it had established over 1,800 shelters that housed almost 425,000 
people displaced by the hurricanes, provided over 11 million meals and 
snacks to hurricane victims and emergency workers,[Footnote 12] and 
provided more than 149,000 comfort kits and 113,000 cleanup kits. 

Client Personal Living and Housing Needs: 

Client personal living and housing needs covered relief supplies and 
service given to individuals and families to meet immediate living 
necessities or to operate households, such as: 

* living needs, including food, water, clothing, toilet articles, 
household supplies, laundry and dry cleaning, storage containers, 
bedding and linens, cribs and baby items, and coolers to store food, 
and: 

* housing needs, including accommodations in commercial facilities, 
rent and security deposits, utilities, and emergency repairs to make 
residences temporarily habitable. 

The Red Cross reported that more than 330,000 homes were damaged by 
hurricanes Charley, Frances, Ivan, and Jeanne, with more than 27,000 
homes completely destroyed, including the one shown in figure 4. 

Figure 4: Extensive Damage to Homes Caused by the Hurricanes: 

[See PDF for image] 

Note: This home near the Alabama coast was destroyed, and the owners 
lost their business and farm as well. 

[End of figure] 

From mid-August through mid-October 2004, the Red Cross stated that it 
had helped more than 73,000 individuals and families in determining 
their needs, developing recovery plans, and providing financial aid. 

Client Health Needs: 

Client health needs covered relief supplies and services provided to 
disaster victims on an individual or family basis to provide for 
physical and mental health benefits, such as: 

* medical professional fees; 

* hospital, ambulance, X ray, and laboratory charges; 

* eyeglasses, dentures, hearing aids, and artificial limbs; 

* prescriptions, over-the-counter medication, and first aid supplies; 

* special dietary, housing, or mobility devices; 

* mental health services; 

* blood and blood products; and: 

* burial or cremation expenses. 

From mid-August through mid-October 2004, the Red Cross reported that 
volunteer nurses helped over 46,000 people with physical needs, and 
trained mental health professionals made over 78,000 contacts with 
people in need to begin the recovery process. 

Direct Service Delivery Support: 

Direct service delivery support covered expenses associated with the 
delivery of disaster services to disaster victims and workers. 
Emergency response vehicles provided mobile relief sites to distribute 
hot meals, water, and snacks to hurricane victims, as depicted in 
figure 5. 

Figure 5: Emergency Response Vehicles Provide Disaster Relief: 

[See PDF for image] 

Note: Emergency response vehicles provide meals, water, and snacks to 
hurricane victims. 

[End of figure] 

Direct service delivery support included: 

* salaries, travel, and maintenance of disaster staff assigned to 
provide mass care, family living and housing, and client health 
services; 

* purchase, rental, repair, and service of nonexpendable equipment and 
vehicles used to provide direct services and services in shelters and 
facilities; 

* telephone and related communications equipment; 

* rent, repair, and operating expenses of facilities used to provide 
direct services; 

* shipping, freight, and handling expenses; and: 

* other miscellaneous expenses. 

The Red Cross stated that over 35,000 workers, 90 percent of whom were 
volunteers, were involved in setting up shelters, providing 
transportation, supporting the sheltering and feeding effort, and 
distributing supplies. 

Operational Support: 

Operational support covered expenses of managing and administering a 
disaster relief operation that included: 

* salaries, travel, and maintenance of disaster staff assigned to 
functions that support direct service to disaster victims and workers 
such as administration, records and reports, accounting, public 
affairs, logistics, training, staffing, local disaster volunteers, 
communications, computer operations, and liaison functions with other 
entities; 

* rental, repair, and service of nonexpendable equipment, computer 
equipment, and vehicles used to provide management and administration; 

* telephone and related communications equipment for field, district, 
and administrative offices; 

* rent, repair, and operating expenses of facilities used to provide 
management and administration; 

* printing, copy, postage, and delivery expenses; and: 

* meeting expenses and activity expenses to recognize volunteer 
efforts. 

Controls Avoided Duplication of Expenses Reimbursed by Other Federal 
Funds: 

Consistent with the law, the May 2005 FEMA/Red Cross agreement provided 
that the Red Cross would not seek reimbursement for any expenses 
reimbursed by other federal funding sources. We identified about $0.3 
million of FEMA paid transient accommodations and deployment 
costs[Footnote 13] that were properly deducted by the Red Cross from 
its reimbursement requests, so as not to duplicate funding by other 
federal sources. The Red Cross also deducted from the reimbursements 
$60.2 million of private donations designated for disaster relief 
related to the four hurricanes. 

As the primary federal funding source for disaster assistance, FEMA 
established internal controls to identify any payments it made to the 
Red Cross. It subsequently reconciled these amounts to Red Cross 
requests for reimbursement to ensure that amounts were deducted so that 
federal funds were not used to reimburse Red Cross expenses more than 
once. During our audit, we reviewed this identification and 
reconciliation process and conducted discussions with FEMA and Red 
Cross officials. We did not identify any evidence of other federal 
funding during our audit of the Red Cross reimbursements. 

Expenses Were Incurred in Eligible States and Territories: 

The Red Cross reported $88.6 million of incurred expenses in states and 
territories eligible for disaster relief under the four hurricanes in 
accordance with the FEMA/Red Cross agreement. This included $3.1 
million for general relief for a call center, FEMA transient 
accommodations, and other recovery expenses not specifically identified 
with any particular one of the four hurricanes. Twenty-one federal 
disaster declarations were made by the President and issued by FEMA for 
hurricanes Charley (2), Frances (5), Ivan (9), and Jeanne (5), which 
cumulatively covered federal disaster aid to 12 states and 2 
territories. Federal disaster declarations were also issued for four 
additional states--Ohio, Tennessee, Vermont, and West Virginia--as a 
result of severe flooding caused by these hurricanes. 

However, the Red Cross, as a not-for-profit organization funded 
primarily through private donations, is not limited by federal disaster 
declarations and can provide assistance where it determines there is a 
need. As a result, the FEMA/Red Cross agreement included some hurricane-
associated expenses incurred in Arkansas and Texas that were used by 
Red Cross as staging areas for emergency relief aid to the areas 
affected by the four hurricanes. The agreement also included Red Cross 
assistance in Maryland, which was affected by flooding caused by 
Hurricane Ivan but was not covered by a federal disaster declaration. 

From August 11, 2004, through June 30, 2005, the Red Cross reported 
incurred expenses of $88.6 million in connection with hurricanes 
Charley, Frances, Ivan, and Jeanne. These expenses are presented by 
hurricane in figure 6. 

Figure 6: Red Cross Reported Expenses by Hurricane: 

[See PDF for image] 

Notes: Red Cross combined expenses for hurricanes Frances and Jeanne of 
$31,283,711 were allocated 57 percent and 43 percent, respectively, 
based upon FEMA incurred expenses of $1.2 billion and $0.9 billion, 
respectively. 

[End of figure] 

General relief includes call center, other recovery costs, and FEMA 
funding not specifically identified with any particular one of the four 
hurricanes. 

The reported $88.6 million of Red Cross incurred expenses for the four 
hurricanes by state and U.S. territory are presented in table 1. 

Table 1: Red Cross Reported Expenses by State and U.S. Territory: 

State or territory: Alabama[A]; 
Reported expenses: $4,346,183. 

State or territory: Arkansas; 
Reported expenses: 193,942. 

State or territory: Florida[A]; 
Reported expenses: 70,124,454. 

State or territory: Delaware; 
Reported expenses: 0. 

State or territory: Georgia[A]; 
Reported expenses: 1,383,791. 

State or territory: Louisiana; 
Reported expenses: 653,402. 

State or territory: Maryland; 
Reported expenses: 11,109. 

State or territory: Mississippi[A]; 
Reported expenses: 532,388. 

State or territory: New Jersey; 
Reported expenses: 58,459. 

State or territory: New York; 
Reported expenses: 0. 

State or territory: North Carolina; 
Reported expenses: 1,035,541. 

State or territory: Ohio; 
Reported expenses: 168,329. 

State or territory: Pennsylvania; 
Reported expenses: 2,031,663. 

State or territory: Puerto Rico; 
Reported expenses: 3,272,864. 

State or territory: South Carolina; 
Reported expenses: 42,823. 

State or territory: Tennessee[A]; 
Reported expenses: 50,037. 

State or territory: Texas; 
Reported expenses: 0. 

State or territory: U.S. Virgin Islands; 
Reported expenses: 472. 

State or territory: Vermont; 
Reported expenses: 0. 

State or territory: Virginia; 
Reported expenses: 2,763. 

State or territory: West Virginia; 
Reported expenses: 1,582,654. 

State or territory: General relief; 
Reported expenses: 3,074,977. 

State or territory: Total; 
Reported expenses: $88,565,851. 

Source: GAO analysis of Red Cross reimbursement information. 

[A] Red Cross combined regional expenses for hurricane Ivan of 
$20,014,594 were allocated based upon assistance cases opened by state: 
Alabama, 20.64 percent; Florida, 74.88 percent; Georgia, 1.57 percent; 
Mississippi, 2.66 percent; and Tennessee, 0.25 percent. 

[End of table] 

The May 2005 agreement signed by FEMA and the Red Cross identified 18 
states and 2 territories as eligible for reimbursement from the 2004 
hurricane appropriation. The agreement did not include Delaware, which 
was eligible for federal disaster assistance, because the Red Cross 
stated it incurred no expenses in the state. The 12 states and 2 
territories presented in bold in table 1 were determined to be eligible 
for federal disaster relief in declarations by the President and FEMA 
that specifically cited hurricanes Charley, Frances, Ivan, or Jeanne. 
Another 4 states--Ohio, Tennessee, Vermont, and West Virginia--were 
declared eligible for federal disaster relief as a result of severe 
flooding caused by the four hurricanes, even though none of the 
hurricanes were specifically mentioned in the federal disaster 
declarations. 

Arkansas and Texas were not declared eligible for federal disaster 
relief, but the Red Cross stated that it had incurred some staging 
expenses there, although its expenses in Texas were included with its 
expenses for Louisiana. Maryland was not declared eligible for federal 
disaster relief, but the Red Cross provided some assistance there when 
heavy rains generated by hurricane Ivan caused flooding of the 
Susquehanna River in Port Deposit, Maryland, in September 2004. The 
state of New York expenses incurred by the Red Cross were included as 
general relief, which included a centralized call center and other 
recovery costs not specifically identified with any particular one of 
the four hurricanes. 

Incurred Expenses Were Generally for Eligible Services and Were 
Adequately Supported: 

The Red Cross's requested reimbursements of $28.1 million related to 
the four 2004 hurricanes were included in a schedule of $50.0 million 
of federal funds from other programs operated by the Red Cross for the 
fiscal year ended June 30, 2005. Since the Red Cross expends more than 
$500,000 annually of federal awards, it is required by the Single Audit 
Act to obtain an annual audit.[Footnote 14] The Red Cross's entitywide 
financial statements and a schedule of expenditures of federal awards 
for the fiscal year ended June 30, 2005, were audited by the public 
accounting firm of KPMG in accordance with OMB Circular No. A-133, 
Audits of States, Local Governments, and Non-Profit Organizations. In 
order to not duplicate audit efforts, we reviewed and tested the audit 
work of KPMG related to the reported $88.6 million of Red Cross 
incurred expenses for the four 2004 hurricanes. 

In its Single Audit Act audit, KPMG determined that Red Cross expenses 
were generally incurred for eligible disaster services and supported by 
adequate documentation. We concur with that determination. However, 
KPMG identified six weaknesses in the Red Cross's internal controls 
related to the reimbursement for the four 2004 hurricanes that it 
considered to be reportable conditions. KPMG also considered one of 
these, related to debit cards for client assistance, to be a material 
weakness. In its report, KPMG made recommendations to the Red Cross to 
strengthen internal controls related to these six reportable 
conditions, with which the Red Cross concurred. 

The report also identified about $712,000 of known questioned costs 
related to the federal share of the 2004 hurricane program identified 
through audit sampling that were caused by (1) a bank reporting error 
of $657,000 on client assistance debit cards and (2) missing or 
incomplete documentation of $55,000 to support incurred expenses. 

The Red Cross Reported $88.6 Million of Incurred Expenses: 

The Red Cross reported $88.6 million of incurred expenses related to 
the four 2004 hurricanes for the period August 11, 2004, through June 
30, 2005. These expenses, less other federal funds and private 
donations received, were submitted to FEMA for reimbursement from 
federal appropriated funds provided under Public Law 108-324, as 
indicated in table 2. 

Table 2: Reported Red Cross Expenses and Reimbursement Requests, August 
11, 2004, through June 30, 2005: 

Expense category: Personal living and housing needs; 
Amount: $32,628,820. 

Expense category: Mass care, shelter, and feeding; 
Amount: $22,110,251. 

Expense category: Health services; 
Amount: $99,968. 

Expense category: Operational support; 
Amount: $42,518. 

Expense category: Total victim financial assistance by Red Cross; 
Amount: $54,881,557. 

Expense category: Red Cross expenses:  

Expense category: Travel; 
Amount: $15,849,991. 

Expense category: Equipment; 
Amount: $7,532,683. 

Expense category: Miscellaneous; 
Amount: $7,649,457. 

Expense category: Professional fees; 
Amount: $1,148,339. 

Expense category: Supplies; 
Amount: $750,202. 

Expense category: Building and occupancy; 
Amount: $565,800. 

Expense category: Program materials; 
Amount: $187,822. 

Expense category: Total expenses; 
Amount: $88,565,851. 

Expense category: Less: Other federal funds; 
Amount: $-294,266. 

Expense category: Less: Private donations; 
Amount: $-60,161,105. 

Expense category: Reimbursement request; 
Amount: $28,110,480. 

Source: GAO analysis of Red Cross reimbursement information. 

[End of table] 

As indicated in table 2, the reported $88.6 million of Red Cross 
incurred expenses were reduced by $0.3 million of other federal funds 
and $60.2 million of private donations that resulted in a net 
reimbursement amount of $28.1 million. 

Audit Identified Six Reportable Conditions in Internal Controls: 

We reviewed KPMG's Single Audit Act audit work on the Red Cross's 
internal controls and tests of transactions, and we retested 10 percent 
of its 741 sample transactions of Red Cross expenses related to the 
four 2004 hurricanes. We found that we could rely upon the KPMG audit 
work. In conducting its audit, KPMG identified six reportable 
conditions in internal controls, the first of which KPMG also 
determined to be a material weakness. These conditions are discussed in 
more detail below. 

Client Assistance Debit Cards Were Missing Support and Approval 
Signatures, Had Occasional Loading Errors, and Were Not Reconciled: 

One method used by the Red Cross to provide financial assistance to 
disaster victims is the client assistance card, which is a MasterCard® 
branded debit card with client assistance amounts determined by on-site 
caseworkers. The cards were introduced on a large scale basis for the 
first time during the 2004 hurricane response in Florida. The cards are 
preferred by the Red Cross in part because of their acceptance by 
merchants, reduced paperwork, and the flexibility afforded to disaster 
clients. An internal authorizing approval document (Red Cross Form 
1030) is used to issue a card to individual clients following initial 
casework. Individual card spending limits are determined by the 
caseworker's assessment of the client's immediate needs for housing, 
food, transportation, and other personal expenses, with a current 
maximum card balance of $5,000. Card spending limits can be restored 
after they are consumed if the caseworker determines additional client 
need exists. Most cards were "cash-enabled," meaning they could be used 
to withdraw cash from any ATM. To limit certain risks of unauthorized 
card use, specific merchant codes are blocked by the card program's 
bank administrator in order to prevent the card from being used at 
locations that principally sell goods such as alcohol and tobacco and 
at certain luxury retail outlets. 

KPMG conducted a monetary unit statistical sample of 336 transactions 
on 334 individual debit cards from a population of about 40,000 debit 
cards that generated $24.0 million of transactions. The Red Cross could 
not locate Form 1030s from local Red Cross chapters to support the 
debit card authorization for 23 of the 334 cards. An additional 17 Form 
1030s did not have evidence of appropriate Red Cross approval 
signatures. For an additional 3 card transactions that KPMG tested 
outside the monetary unit sample, the Red Cross could not locate 
documentation to support the transactions. As a result of these 
exceptions, KPMG identified questioned costs of $55,334 because of 
missing support or approval signatures related to these 43 
transactions. 

Various reports are available to the Red Cross from the bank issuing 
the client assistance debit cards to assist in monitoring the cards. 
These included reports showing amounts "loaded" for the authorized 
spending limit onto new and existing cards each month, as well as 
spending reports detailing amounts, dates, and merchants for all card 
charges. KPMG reported that the Red Cross did not have a procedure in 
place to reconcile the total amounts authorized by the casework process 
to the amounts actually loaded onto the cards. In one case identified 
in a Red Cross internal audit, the amount authorized by supporting 
casework was $41.26 but a debit card was erroneously loaded with an 
authorized limit of $4,126.00, all of which was spent. KPMG questioned 
the excess difference of $4,085. 

Additionally, while determining the population of client assistance 
card transactions for audit testing, KPMG identified an amount of 
$657,619 that the Red Cross could not initially resolve. This amount 
was the difference between detail amounts reported by the issuing bank 
based upon card transactions and summary amounts the bank reported to 
the Red Cross for the debit card program. The Red Cross used the 
amounts from the bank summary reports to record entries to its general 
ledger and to recognize debit card expenses for the 2004 hurricane 
program. No reconciliation between these two bank reports had been 
performed by the Red Cross following the 2004 hurricane season. The 
bank investigated the difference and discovered that its summary 
program reports were erroneously capturing duplicate cardholder 
information if a card was assigned to a cardholder more than one time. 
This caused an overstatement in the summary of debit card amounts, 
although the bank's detail transaction reports on cards were correct. 
As a result of this bank error, KPMG identified questioned costs of 
$657,619. The Red Cross subsequently reduced its final request to FEMA 
for the 2004 hurricane reimbursement to $28.1 million after adjusting 
for the amount of the bank reporting error. 

Client Assistance Debit Cards Were Not Being Adequately Monitored: 

Client assistance cards were introduced by the Red Cross shortly before 
the 2004 hurricane season. During the season, its Disaster Operations 
unit was responsible for monitoring transactions on client assistance 
cards issued by Red Cross headquarters in Washington, D.C. This unit 
was to review reports showing the amounts loaded onto cards for 
duplicate names and cards as well as for unusual balances. Any 
questionable transactions were to be referred to the Family Services 
unit for further investigation. However, no standard procedures were 
developed for monitoring cards until May 2005, when a one-page 
procedure provided examples of questionable card activity that should 
be pursued. This included reviewing card usage that exceeded normal 
authorized dollar limits, investigating multiple cards issued to 
individuals with the same or similar names, and spot-checking for other 
unusual data. This guidance also did not specify how identified 
suspicious transactions will be referred to the compliance units within 
the Red Cross, or require that follow-up or other ultimate resolution 
of questionable card activity be documented. 

The frequency and depth of Red Cross monitoring activities was unclear, 
and those activities were not routinely documented as to follow-up and 
resolution of any transactions referred to the Family Services unit. 
KPMG therefore considered this to be a reportable condition, with no 
questioned costs identified. 

Disbursing Orders for Client Assistance Were Not Always Signed or 
Supported: 

Another method used by the Red Cross to provide financial assistance to 
disaster clients is the disbursing order (DO). A DO is a hard copy Red 
Cross form prepared by a caseworker that describes the specific goods 
or services to be provided to the disaster client, the name of the 
merchant to provide the goods or services, and the authorized dollar 
limit of the expenditure. The DO is first signed by both the caseworker 
and the disaster client. After providing the described goods or 
services to the client, the merchant submits the DO to the Red Cross 
for reimbursement. The DO is to be signed by both the merchant and the 
disaster client, who acknowledges receipt of the goods or services. 

KPMG judgmentally selected and tested 133 DOs from a population of 
$32.3 million that had been paid to merchants. KPMG found that 6 DOs 
were not signed by either the disaster client or the merchant and did 
not contain sufficient supporting documentation, such as an invoice or 
merchant receipt, which might provide alternative documentation that 
the goods were received by the intended client. KPMG accepted either 
signature as substantiation that the goods were delivered, though Red 
Cross procedure is to obtain both signatures. In addition, for another 
2 DOs tested, each amount reimbursed to the merchant was equal to the 
DO's authorized expenditure limit, which was greater than the actual 
expense requested by the merchant. As a result of these exceptions, 
KPMG identified questioned costs of $2,405 because of missing 
signatures and $4 because of excess merchant reimbursement. 

Disbursing Orders for Client Assistance Were Not Always Reconciled to 
Merchant Reimbursements: 

From August 2004 through March 2005, the Red Cross negotiated a master 
billing contract with a national retailer. The retailer was to 
centrally gather all DOs honored at its retail locations for 
reimbursement, and invoice the Red Cross for the sum of all such DOs on 
a monthly basis. Prior to payment to the merchant, the Red Cross 
reconciled the invoices to the underlying DOs, based on the information 
provided by the retailer. Approximately $2 million of financial 
assistance was provided to disaster clients through this individual 
merchant billing arrangement. The contract was discontinued in March 
2005 after the bulk of client assistance had been provided. 

During a test of the Red Cross reconciliation process, KPMG could not 
match charges of $85,588 reimbursed to the merchant to any supporting 
DOs. The Red Cross investigated these differences as they were 
identified by KPMG, but was unable to resolve them. These unsupported 
expenses were included in the pool of costs subject to reimbursement 
and appear to be the only unmatched charges under the master billing 
arrangement based on a review of a sample of other monthly invoices and 
related reconciliations. As a result of these unsupported differences, 
KPMG identified questioned costs of $85,588. 

Expense Transactions Were Sometimes Missing Support: 

While providing disaster assistance, the Red Cross incurs other 
expenses related to managing the overall response effort, such as those 
for supplies, staff travel, and other logistics expenses. Most of these 
expenses for large-scale disasters are procured and paid for through 
the Red Cross National Shared Services Center, while other expenses may 
be incurred at the Red Cross chapter level and subsequently reimbursed 
by Red Cross national headquarters. 

KPMG judgmentally selected and tested 120 expense transactions incurred 
for other than client financial assistance from a population of $32.6 
million. For 9 transactions primarily related to staff travel and other 
staff expenses, the Red Cross could not find supporting documents. As a 
result of these exceptions, KPMG identified questioned expenses of 
$21,526 because of missing support. 

Client Case Files Were Sometimes Missing Support to Determine 
Eligibility: 

Individuals and families requesting financial assistance are required 
to provide identification showing that they resided within the disaster-
affected area at the time the disaster struck. During disaster response 
operations, Red Cross case workers interview affected clients to 
determine their eligibility and assess the type and level of assistance 
to best meet the clients' need. For each client, a case file is opened, 
and a Red Cross standard assistance Form 901 is completed by the 
caseworker to document eligibility. The form is then signed by the 
caseworker to indicate that he or she has concluded that the individual 
or family is eligible for a specified level of financial assistance. 
For the 2004 hurricane season, some, but not all, of the case files 
were entered after the fact into a Red Cross database known as the 
Client Assistance System. 

KPMG judgmentally selected and tested 60 case files from the Client 
Assistance System. The Red Cross could not find 7 of the case files, 
although for 3 files, other records were found to corroborate 
eligibility. For 2 other case files, there was no evidence of 
caseworker signature, and for another case file there was insufficient 
information to document eligibility. KPMG identified questioned costs 
of $2,415 because of the 4 missing case files and the 1 case file with 
insufficient documentation. 

Known and Likely Questioned Costs: 

Based on its audit testing, KPMG identified about $712,000 of known 
questioned costs and $0.9 million of likely questioned costs related to 
the federal share of the 2004 hurricane program in its Single Audit Act 
audit of the Red Cross through June 30, 2005. These questioned costs 
are shown by reportable condition in table 3. 

Table 3: KPMG Known and Likely Questioned Costs: 

Reportable condition: 1; 
KPMG test: Support for client assistance cards; 
Known questioned costs: $55,334; 
Likely questioned costs: $2,893,650. 

Reportable condition: 1; 
KPMG test: Loading of client assistance cards; 
Known questioned costs: $4,085; 
Likely questioned costs: N/A. 

Reportable condition: 1; 
KPMG test: Reconciliation of client assistance cards; 
Known questioned costs: $657,619; 
Likely questioned costs: N/A. 

Reportable condition: 2; 
KPMG test: Monitoring of client assistance cards; 
Known questioned costs: 0; 
Likely questioned costs: N/A. 

Reportable condition: 3; 
KPMG test: Support for disbursing orders; 
Known questioned costs: $2,409; 
Likely questioned costs: N/A. 

Reportable condition: 4; 
KPMG test: Reconciliation of disbursing orders; 
Known questioned costs: $85,588; 
Likely questioned costs: N/A. 

Reportable condition: 5; 
KPMG test: Support for other expenses; 
Known questioned costs: $21,526; 
Likely questioned costs: N/A. 

Reportable condition: 6; 
KPMG test: Support for disaster client eligibility; 
Known questioned costs: $2,415; 
Likely questioned costs: N/ A. 

Reportable condition: Subtotal; 
KPMG test: Total questioned costs; 
Known questioned costs: $828,976; 
Likely questioned costs: $2,893,650. 

Reportable Condition: [Empty]; 
Known questioned costs: ($116,523)[A]; 
Likely questioned costs: ($1,967,682)[B]. 

Reportable condition: Total; 
KPMG test: Federal share of questioned costs; 
Known questioned costs: $712,453; 
Likely questioned costs: $925,968. 

Source: GAO analysis of KPMG report. 

Note: The nonfederal contribution of $60.2 million divided by $88.6 
million of total incurred expenses results in a 68 percent nonfederal 
share. 

[A] After deduction of $657,619 for the reconciliation error that 
affected the entire federal reimbursement share, the remaining known 
questioned costs of $171,357 were reduced by the 68 percent nonfederal 
share, or $116,523. 

[B] Total likely questioned costs of $2,893,650 were reduced by the 68 
percent nonfederal share, or $1,967,682. 

[End of table] 

In addition to known questioned costs that are specifically identified 
by the auditor, OMB Circular No. A-133 requires the auditor to consider 
the best estimate of total costs questioned (likely questioned costs). 
Based upon the percentage rate of known errors in the statistical 
monetary unit sample of client assistance cards, KPMG projected an 
error rate to the entire population of $24.0 million using a 96 percent 
confidence level and identified total likely questioned costs of about 
$2.9 million with 32 percent, or about $926,000, related to the federal 
share, as indicated in table 3. However, that projection is a 
statistical extrapolation and therefore is not supported by detailed 
exceptions within the total population. 

The Red Cross reduced its final request for FEMA reimbursement by the 
amount of the bank reporting error of $657,619, but did not reduce its 
reimbursement request for the other $171,000 of known questioned costs 
that included 32 percent, or about $55,000, related to the federal 
share. The Department of Health and Human Services, which serves as the 
cognizant federal agency for the Red Cross under the Single Audit Act 
audit process, will review the KPMG report and coordinate a management 
decision for the auditor's findings and questioned costs. The awarding 
federal agency has 6 months from receipt of the report to assess any 
audit findings and questioned costs and issue management's decision. 
Corrective action should also be initiated within 6 months after 
receiving the audit report and proceed as rapidly as possible. 

Agency Comments: 

We received written comments from the American Red Cross Executive Vice 
President and Chief Financial Officer on a draft of this report. The 
Red Cross agreed with the report content, including the six weaknesses 
identified by KPMG, and stated that it is taking steps to strengthen 
its policies, procedures, and practices to remedy these weaknesses. It 
also described steps being taken in anticipation of the 2006 Atlantic 
Hurricane Season, which runs from June 1 through November 1, 2006. We 
have reprinted the American Red Cross comments in their entirety in 
appendix I. FEMA had no comments on the draft report. 

We are sending copies of this report to Senate Committee on Homeland 
Security and Governmental Affairs and the House Committee on Government 
Reform. We are also sending copies of this report to the Under 
Secretary of Emergency Preparedness and Response in the Department of 
Homeland Security responsible for FEMA, the Inspector General for the 
Department of Homeland Security, the Director of OMB, and the Vice 
President of Finance at the American Red Cross. Copies of this report 
are available to other interested parties on request. This report will 
also be available at no charge on GAO's Web site at [Hyperlink, 
http://www.gao.gov]. 

Should you or your staffs have any questions concerning this report, 
please contact me at (202) 512-3406 or by e-mail at sebastians@gao.gov. 
Contact points for our Offices of Congressional Relations and Public 
Affairs may be found on the last page of this report. Key contributors 
to this report were Roger R. Stoltz, Assistant Director; Patricia A. 
Summers; and Eric S. Huff. 

Signed by: 

Steven J. Sebastian: 
Director Financial Management and Assurance: 

[End of section] 

Appendix I: Comments from the American Red Cross: 

American Red Cross: 
National Headquarters: 
2025 E Sreet, N.W Washingon, DC 20006: 

May 1, 2006: 

Mr. Steven J. Sebastian: 

Director, Financial Management and Assurance United States Government 
Accountability Office Washington, DC 20548: 

Dear Mr. Sebastian: 

On behalf of the American Red Cross, I would like to express our thanks 
to the Government Accountability Office (GAO) for the thorough review 
you have provided and the constructive approach you have taken to help 
us improve our accountability to the American people. GAO represents 
the interests of American taxpayers and we at Red Cross value the trust 
your oversight engenders. We are grateful to the United States 
Government for recognizing the value of our services and authorizing 
the taxpayer dollars needed to cover the additional costs of our 
disaster relief services for the 2004 hurricanes. 

American Red Cross has thoroughly reviewed the findings of the GAO 
Report to Congressional Committees, Disaster Relief, Reimbursement to 
American Red Cross for Hurricanes Charley, Frances, Ivan and Jeanne and 
offers the following comments. Your findings determined that the 
Federal Emergency Management Agency (FEMA) and Red Cross established 
criteria for allowable reimbursable expenses, that reimbursement to Red 
Cross did not duplicate funding paid by other Federal programs, and 
that Red Cross reimbursable claims were paid only for services in 
states and territories declared eligible. GAO's fourth objective was to 
determine whether reimbursement claims were supported by adequate 
documentation and here you reviewed, tested and relied upon the A-133 
audit work conducted by the public accounting firm of KPMG. 

KPMG performed their audit in accordance with OMB Circular No. A-133, 
Audits of States, Local Governments, and Non-Profit Organization and 
issued their final report on March 31, 2006. While determining that Red 
Cross expenses were generally incurred for eligible disaster services 
and supported by adequate documentation, KPMG identified six 
weaknesses. Red Cross is in agreement with the KPMG findings and is 
taking the steps necessary to strengthen its policies, procedures and 
practices to remedy these weaknesses. The following steps are being 
taken in anticipation of Hurricane Season 2006. 

1) Client Assistance Debit Cards Were Missing Support and Approval 
Signatures, Had Occasional Loading Errors, and Were Not Reconciled - We 
are reviewing casework procedures to ensure that appropriate and 
approved documentation exists for all client cases. We are establishing 
routine reconciliation procedures to ensure that the dollar amounts 
loaded to Client Assistance Cards are reconciled to the amounts 
authorized by caseworkers in a timely manner. We have corrected the 
reconciliation issues between the summary level data reports from the 
bank to the general ledger and all reconciliations are current. 

2) Client Assistance Debit Cards Were Not Being Adequately Monitored - 
For the 2005 Hurricane Season, we have monitored Client Assistance Card 
activity daily to detect situations such as multiple loads on the same 
card, cards loads outside the norm, or non-financial data changes. 
Procedures are in place to research anomalies and a tracking sheet of 
all anomalies found during these reviews is being maintained. Routine 
daily monitoring will continue. 

3) Disbursing Orders for Client Assistance Were Not Always Signed or 
Supported - We are reviewing our Disbursing Order processing policies 
to address incomplete or unsupported Disbursing Orders. Our procedures 
will be improved accordingly to ensure completeness. 

4) Disbursing Orders for Client Assistance Were Not Always Reconciled 
to Merchant Reimbursements - We are reviewing our Disbursing Order 
processing policies to ensure that only the actual amount of a 
merchant's expense, up to the maximum authorized amount on the 
Disbursing Order, is reimbursed. 

5) Expense Transactions Were Sometimes Missing Support: 

We are reviewing our procedures to maintain adequate documentation. We 
will identify and implement the necessary steps to ensure our ability 
to substantiate the allowability of expenses - both at the point of 
incurrence and after the fact. 

6) Client Case Files Were Sometimes Missing Support to Determine 
Eligibility: 

We are developing more robust procedures to maintain and retrieve 
documentation to ensure timely access and retrieval of all case files. 

Continuing our efforts to improve service delivery and provide greater 
accountability, American Red Cross has undertaken several new 
initiatives based upon the lessons learned from Hurricane Katrina. Red 
Cross will significantly expand operating capacity to enable us to 
respond more effectively in the event of a worst-case scenario by 
dramatically increasing pre-positioned supplies, forming partnerships 
with community-based organizations, and upgrading our disaster response 
infrastructure. 

Red Cross will upgrade Information Technology infrastructure to allow 
it to speed financial assistance to one million affected families 
within a ten-day period and two million over a longer term. We will 
dramatically increase the stockpiling of supplies in key risk states to 
enable us to serve one million meals and shelter 500,000 people per day 
in the initial days after a disaster strikes. We will pre-stock one 
million debit cards for families displaced by catastrophic events. We 
will pre-position redundant communications equipment - satellite 
phones, cell phones and radios - in 21 cities in nine coastal states. 

With FEMA, Red Cross will create a nationwide database to track the 
location of shelters and the numbers of people sheltered during a major 
disaster. We will dedicate Red Cross staff to coordinate closely with 
state emergency management agencies in 13 high-risk areas. Red Cross 
will ask its local chapters to form partnerships with faith-based and 
community groups. We will provide these groups with training, funding, 
technical assistance, and clear protocols for effective and accountable 
operations. 

Again, I thank you for supporting our organization as we strive to 
improve our service delivery while maintaining our accountability to 
the American people. 

Signed by: 

Ian McCurry: 
Executive Vice President: 
Chapter and International Operations: 

Signed by: 

Robert P. McDonald: 
Chief Financial Officer: 
Finance: 

(196067): 

FOOTNOTES 

[1] The American Red Cross reported 154 deaths and the National Oceanic 
and Atmospheric Administration, National Climatic Data Center, reported 
152 deaths for these four hurricanes. 

[2] The insurance industry reported $22 billion in insured claims and 
estimated another $22 billion for uninsured losses. There was also an 
estimated $1 billion of damages to federal government property. 

[3] For hurricane property damage in nominal dollars from 1900 to 2005, 
Charley is ranked as third, Ivan as fourth, Frances as fifth, and 
Jeanne as seventh. Hurricane Katrina in 2005 ranked first, Andrew in 
1992 as second, and Hugo in 1989 as sixth. 

[4] See 31 U.S.C. Chapter 75. 

[5] Reportable conditions represent significant deficiencies in the 
design or operation of internal control over compliance that, in the 
auditor's judgment, could adversely affect the organization's ability 
to administer a major federal program in accordance with the applicable 
requirements of laws, regulations, contracts, and grants. 

[6] A material weakness is a reportable condition in which the design 
or operation of one or more of the internal control components does not 
reduce to a relatively low level the risk that noncompliance with the 
applicable requirements of laws, regulations, contracts, and grants 
caused by error or fraud that would be material to a major federal 
program being audited may occur and not be detected within a timely 
period by employees in the normal course of performing their assigned 
functions. 

[7] The Saffir-Simpson Hurricane Scale is a 1-5 rating based upon a 
hurricane's present intensity of wind speed. A category 1 hurricane has 
winds of 74 to 95 mph; a category 2 hurricane has winds of 96 to 110 
mph; a category 3 hurricane has winds of 111 to 130 mph; a category 4 
hurricane has winds of 131 to 155 mph; and a category 5 hurricane has 
winds over 155 mph. 

[8] The Fujita Tornado Damage Scale is a 0-5 rating based upon a 
tornado's intensity of wind speed and resulting damage. A category F1 
tornado has estimated winds of 73 to 112 mph that cause moderate 
damage, such as peeling roof surfaces, pushing mobile homes off 
foundations or overturning them, and blowing automobiles off roads. 

[9] The Delmarva Peninsula on the Chesapeake Bay is named for the 
portion of the three states it occupies: Delaware, Maryland, and 
Virginia. 

[10] A category F2 tornado has estimated winds of 113 to 157 mph that 
cause considerable damage, such as tearing roofs off frame houses, 
demolishing mobile homes, overturning boxcars, uprooting large trees, 
generating objects as missiles, and lifting cars off the ground. 

[11] 31 U.S.C. Chapter 75. 

[12] The Red Cross reported over 16 million meals and snacks provided 
through December 31, 2004. 

[13] Costs were incurred under the Department of Homeland Security, 
National Response Plan (2004) for Emergency Support Function Number 6, 
Mass Care, Housing and Human Services Annex, for which Red Cross serves 
as a primary organization in coordinating the use of federal mass care 
resources in incidents of national significance. 

[14] 31 U.S.C. 7502. 

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