Audit 300345

FY End
2023-06-30
Total Expended
$2.10M
Findings
8
Programs
3
Year: 2023 Accepted: 2024-03-29
Auditor: Uhy LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
389344 2023-002 Significant Deficiency - C
389345 2023-003 Significant Deficiency - P
389346 2023-003 Significant Deficiency - P
389347 2023-003 Significant Deficiency - P
965786 2023-002 Significant Deficiency - C
965787 2023-003 Significant Deficiency - P
965788 2023-003 Significant Deficiency - P
965789 2023-003 Significant Deficiency - P

Programs

ALN Program Spent Major Findings
12.420 Military Medical Research and Development $1.43M Yes 2
93.110 Maternal and Child Health Federal Consolidated Programs $646,417 - 1
93.103 Food and Drug Administration_research $21,192 Yes 1

Contacts

Name Title Type
UNXYPCADCLR7 Nicole Schaefer Auditee
4103579932 Jason Ostroski Auditor
No contacts on file

Notes to SEFA

Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: Cure HHT has elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.

Finding Details

Federal Program: Research and Development Cluster Grantor Agency: Department of Defense Program Title: Randomized Trial for Pazopanib in HHT-Related Bleeding Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance • Compliance, Other Matter Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Additionally, 2 CFR 200.305(b)(1) requires an organization receiving advances on federal funds must maintain or demonstrate the willingness to maintain both written procedures that minimize the time elapsing between the transfer of funds and disbursement by the non-Federal entity, and financial management systems that meet the standards for fund control and accountability as established in this part, and the timing and amount of advance payments must be as close as is administratively feasible to the actual disbursements by the non-Federal entity for direct program or project costs and the proportionate share of any allowable indirect costs. Condition: One reimbursement request submitted to the cognizant agency included expenditures for which the organization had already been reimbursed and, per review of the organization’s SF-425 submissions and accounting records, we noted that Federal funds advanced to the organization were not disbursed in a timely manner. Context: During our review of the organization’s Federal grant revenue reconciliation, an amount classified as an advance on Federal funds was determined to include amounts for which the organization had already requested reimbursement and been paid. Additionally, through review of grant reports, accounting records and inquiries with management, we discovered that the funds the organization had received in advance had not been used for project costs in a timely manner, consistent with 2 CFR 200.305. Cause: During the preparation of the fiscal year-end drawdown request, the data used to determine the amount the organization needed to draw down was not reviewed or reconciled against amounts previously requested and, thus, the drawdown included duplicate and/or incorrect requests for grant funds. Effect or possible effect of condition: Proper internal controls were not in place to mitigate the excess drawdown due to incorrect underlying information and procedures were not in place to minimize the time elapsing between receipt and disbursement of Federal funds. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management strengthen its internal controls over cash management to ensure that amounts submitted for reimbursement are properly reconciled against internal data used to request funding to date. Additionally, we recommend that management develop written procedures to minimize the time elapsed between receipt of Federal funds and the disbursement thereof. Views of responsible officials: This error occurred during a time of transition from one outsourced accounting firm and accounting system to another. The new outsourced accounting systems were not fully in place or automated at the time of the reporting error and there was no internal review process. The outsourced accounting firm is now fully transitioned, all systems are fully integrated with the accounting software, and the accounting team provides the program managers and organization managers with the reports needed to prepare drawdown requests. Cure HHT has developed and fully implemented a corrective action plan. The organization has communicated with the cognizant agency and all expenses eligible for submission for payment through grant funding will be submitted to and paid from the overdrawn funds. Once these funds are depleted, the organization will resume monthly draw submissions for all eligible expenses. The organization will reconcile all eligible expenses prior to requesting grant funds to avoid future duplicate and/or incorrect requests for grant funds. In addition, pending proper internal approvals of all submitted expenses, grant funds received will be dispersed within 3-7 business days from the date received.
Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Condition: During our audit, we identified errors relating to expense accruals and grant revenue recognition that resulted in adjustment to the organization’s financial statements and schedule of expenditures of federal awards. Context: We performed a search for unrecorded liabilities, which entails selecting payments made after year-end to determine if the payment was made for an expense that was incurred during the organization’s fiscal year under audit. Such testing is performed to assess whether the organization had properly accrued for all period expenses, as well as assessing the reliability of the internal controls in place to capture all accrued expenses. We sampled 20 payments made between July 1, 2023 and February 1, 2024, one of which was improperly accrued and four that were improperly not accrued, resulting in a net understatement of $154,969 to the schedule of expenditures of federal awards. Cause: Revenue was underrecognized due to inaccurate recording of fiscal year expenses. Revenue was recognized for the expenses recorded for the fiscal year, however, there were expenses that should have been recorded in the fiscal year but were not, causing revenue to be underrecognized. Effect or possible effect of condition: Without effective internal controls over compliance and financial reporting, the organization’s financial statements and schedule of expenditures of federal awards could be materially misstated. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management review and strengthen its internal controls surrounding expense accruals for vendor and subrecipient payments for services rendered during the audit period but made after year-end and reconcile grant revenues and expenditures to ensure each are properly recognized and incurred, respectively. Views of responsible officials: The outsourced accounting firm will create and execute a year-end process that will analyze all payments made during the 60 days following the fiscal year-end to ensure that expenses are recorded in the correct fiscal year. This process will ensure the Schedule of Expenditures of Federal Awards (SEFA) is reported properly. The grant program manager will ask vendors to submit their invoices for services rendered through the fiscal year end to Cure HHT within 30 days of the fiscal year end. Each grant contract year differs from the Cure HHT fiscal year. Cure HHT will create and execute a grant reconciliation process that involves financial reporting from the outsourced accounting firm, members of the outsourced accounting team, Cure HHT grant managers, and Cure HHT management to validate that all cost reimbursable grants recognize revenue as costs are incurred. All parties will ensure appropriate accounting processes and controls are in place on an ongoing basis. The reconciliation process will take place monthly and at fiscal year-end.
Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Condition: During our audit, we identified errors relating to expense accruals and grant revenue recognition that resulted in adjustment to the organization’s financial statements and schedule of expenditures of federal awards. Context: We performed a search for unrecorded liabilities, which entails selecting payments made after year-end to determine if the payment was made for an expense that was incurred during the organization’s fiscal year under audit. Such testing is performed to assess whether the organization had properly accrued for all period expenses, as well as assessing the reliability of the internal controls in place to capture all accrued expenses. We sampled 20 payments made between July 1, 2023 and February 1, 2024, one of which was improperly accrued and four that were improperly not accrued, resulting in a net understatement of $154,969 to the schedule of expenditures of federal awards. Cause: Revenue was underrecognized due to inaccurate recording of fiscal year expenses. Revenue was recognized for the expenses recorded for the fiscal year, however, there were expenses that should have been recorded in the fiscal year but were not, causing revenue to be underrecognized. Effect or possible effect of condition: Without effective internal controls over compliance and financial reporting, the organization’s financial statements and schedule of expenditures of federal awards could be materially misstated. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management review and strengthen its internal controls surrounding expense accruals for vendor and subrecipient payments for services rendered during the audit period but made after year-end and reconcile grant revenues and expenditures to ensure each are properly recognized and incurred, respectively. Views of responsible officials: The outsourced accounting firm will create and execute a year-end process that will analyze all payments made during the 60 days following the fiscal year-end to ensure that expenses are recorded in the correct fiscal year. This process will ensure the Schedule of Expenditures of Federal Awards (SEFA) is reported properly. The grant program manager will ask vendors to submit their invoices for services rendered through the fiscal year end to Cure HHT within 30 days of the fiscal year end. Each grant contract year differs from the Cure HHT fiscal year. Cure HHT will create and execute a grant reconciliation process that involves financial reporting from the outsourced accounting firm, members of the outsourced accounting team, Cure HHT grant managers, and Cure HHT management to validate that all cost reimbursable grants recognize revenue as costs are incurred. All parties will ensure appropriate accounting processes and controls are in place on an ongoing basis. The reconciliation process will take place monthly and at fiscal year-end.
Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Condition: During our audit, we identified errors relating to expense accruals and grant revenue recognition that resulted in adjustment to the organization’s financial statements and schedule of expenditures of federal awards. Context: We performed a search for unrecorded liabilities, which entails selecting payments made after year-end to determine if the payment was made for an expense that was incurred during the organization’s fiscal year under audit. Such testing is performed to assess whether the organization had properly accrued for all period expenses, as well as assessing the reliability of the internal controls in place to capture all accrued expenses. We sampled 20 payments made between July 1, 2023 and February 1, 2024, one of which was improperly accrued and four that were improperly not accrued, resulting in a net understatement of $154,969 to the schedule of expenditures of federal awards. Cause: Revenue was underrecognized due to inaccurate recording of fiscal year expenses. Revenue was recognized for the expenses recorded for the fiscal year, however, there were expenses that should have been recorded in the fiscal year but were not, causing revenue to be underrecognized. Effect or possible effect of condition: Without effective internal controls over compliance and financial reporting, the organization’s financial statements and schedule of expenditures of federal awards could be materially misstated. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management review and strengthen its internal controls surrounding expense accruals for vendor and subrecipient payments for services rendered during the audit period but made after year-end and reconcile grant revenues and expenditures to ensure each are properly recognized and incurred, respectively. Views of responsible officials: The outsourced accounting firm will create and execute a year-end process that will analyze all payments made during the 60 days following the fiscal year-end to ensure that expenses are recorded in the correct fiscal year. This process will ensure the Schedule of Expenditures of Federal Awards (SEFA) is reported properly. The grant program manager will ask vendors to submit their invoices for services rendered through the fiscal year end to Cure HHT within 30 days of the fiscal year end. Each grant contract year differs from the Cure HHT fiscal year. Cure HHT will create and execute a grant reconciliation process that involves financial reporting from the outsourced accounting firm, members of the outsourced accounting team, Cure HHT grant managers, and Cure HHT management to validate that all cost reimbursable grants recognize revenue as costs are incurred. All parties will ensure appropriate accounting processes and controls are in place on an ongoing basis. The reconciliation process will take place monthly and at fiscal year-end.
Federal Program: Research and Development Cluster Grantor Agency: Department of Defense Program Title: Randomized Trial for Pazopanib in HHT-Related Bleeding Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance • Compliance, Other Matter Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Additionally, 2 CFR 200.305(b)(1) requires an organization receiving advances on federal funds must maintain or demonstrate the willingness to maintain both written procedures that minimize the time elapsing between the transfer of funds and disbursement by the non-Federal entity, and financial management systems that meet the standards for fund control and accountability as established in this part, and the timing and amount of advance payments must be as close as is administratively feasible to the actual disbursements by the non-Federal entity for direct program or project costs and the proportionate share of any allowable indirect costs. Condition: One reimbursement request submitted to the cognizant agency included expenditures for which the organization had already been reimbursed and, per review of the organization’s SF-425 submissions and accounting records, we noted that Federal funds advanced to the organization were not disbursed in a timely manner. Context: During our review of the organization’s Federal grant revenue reconciliation, an amount classified as an advance on Federal funds was determined to include amounts for which the organization had already requested reimbursement and been paid. Additionally, through review of grant reports, accounting records and inquiries with management, we discovered that the funds the organization had received in advance had not been used for project costs in a timely manner, consistent with 2 CFR 200.305. Cause: During the preparation of the fiscal year-end drawdown request, the data used to determine the amount the organization needed to draw down was not reviewed or reconciled against amounts previously requested and, thus, the drawdown included duplicate and/or incorrect requests for grant funds. Effect or possible effect of condition: Proper internal controls were not in place to mitigate the excess drawdown due to incorrect underlying information and procedures were not in place to minimize the time elapsing between receipt and disbursement of Federal funds. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management strengthen its internal controls over cash management to ensure that amounts submitted for reimbursement are properly reconciled against internal data used to request funding to date. Additionally, we recommend that management develop written procedures to minimize the time elapsed between receipt of Federal funds and the disbursement thereof. Views of responsible officials: This error occurred during a time of transition from one outsourced accounting firm and accounting system to another. The new outsourced accounting systems were not fully in place or automated at the time of the reporting error and there was no internal review process. The outsourced accounting firm is now fully transitioned, all systems are fully integrated with the accounting software, and the accounting team provides the program managers and organization managers with the reports needed to prepare drawdown requests. Cure HHT has developed and fully implemented a corrective action plan. The organization has communicated with the cognizant agency and all expenses eligible for submission for payment through grant funding will be submitted to and paid from the overdrawn funds. Once these funds are depleted, the organization will resume monthly draw submissions for all eligible expenses. The organization will reconcile all eligible expenses prior to requesting grant funds to avoid future duplicate and/or incorrect requests for grant funds. In addition, pending proper internal approvals of all submitted expenses, grant funds received will be dispersed within 3-7 business days from the date received.
Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Condition: During our audit, we identified errors relating to expense accruals and grant revenue recognition that resulted in adjustment to the organization’s financial statements and schedule of expenditures of federal awards. Context: We performed a search for unrecorded liabilities, which entails selecting payments made after year-end to determine if the payment was made for an expense that was incurred during the organization’s fiscal year under audit. Such testing is performed to assess whether the organization had properly accrued for all period expenses, as well as assessing the reliability of the internal controls in place to capture all accrued expenses. We sampled 20 payments made between July 1, 2023 and February 1, 2024, one of which was improperly accrued and four that were improperly not accrued, resulting in a net understatement of $154,969 to the schedule of expenditures of federal awards. Cause: Revenue was underrecognized due to inaccurate recording of fiscal year expenses. Revenue was recognized for the expenses recorded for the fiscal year, however, there were expenses that should have been recorded in the fiscal year but were not, causing revenue to be underrecognized. Effect or possible effect of condition: Without effective internal controls over compliance and financial reporting, the organization’s financial statements and schedule of expenditures of federal awards could be materially misstated. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management review and strengthen its internal controls surrounding expense accruals for vendor and subrecipient payments for services rendered during the audit period but made after year-end and reconcile grant revenues and expenditures to ensure each are properly recognized and incurred, respectively. Views of responsible officials: The outsourced accounting firm will create and execute a year-end process that will analyze all payments made during the 60 days following the fiscal year-end to ensure that expenses are recorded in the correct fiscal year. This process will ensure the Schedule of Expenditures of Federal Awards (SEFA) is reported properly. The grant program manager will ask vendors to submit their invoices for services rendered through the fiscal year end to Cure HHT within 30 days of the fiscal year end. Each grant contract year differs from the Cure HHT fiscal year. Cure HHT will create and execute a grant reconciliation process that involves financial reporting from the outsourced accounting firm, members of the outsourced accounting team, Cure HHT grant managers, and Cure HHT management to validate that all cost reimbursable grants recognize revenue as costs are incurred. All parties will ensure appropriate accounting processes and controls are in place on an ongoing basis. The reconciliation process will take place monthly and at fiscal year-end.
Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Condition: During our audit, we identified errors relating to expense accruals and grant revenue recognition that resulted in adjustment to the organization’s financial statements and schedule of expenditures of federal awards. Context: We performed a search for unrecorded liabilities, which entails selecting payments made after year-end to determine if the payment was made for an expense that was incurred during the organization’s fiscal year under audit. Such testing is performed to assess whether the organization had properly accrued for all period expenses, as well as assessing the reliability of the internal controls in place to capture all accrued expenses. We sampled 20 payments made between July 1, 2023 and February 1, 2024, one of which was improperly accrued and four that were improperly not accrued, resulting in a net understatement of $154,969 to the schedule of expenditures of federal awards. Cause: Revenue was underrecognized due to inaccurate recording of fiscal year expenses. Revenue was recognized for the expenses recorded for the fiscal year, however, there were expenses that should have been recorded in the fiscal year but were not, causing revenue to be underrecognized. Effect or possible effect of condition: Without effective internal controls over compliance and financial reporting, the organization’s financial statements and schedule of expenditures of federal awards could be materially misstated. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management review and strengthen its internal controls surrounding expense accruals for vendor and subrecipient payments for services rendered during the audit period but made after year-end and reconcile grant revenues and expenditures to ensure each are properly recognized and incurred, respectively. Views of responsible officials: The outsourced accounting firm will create and execute a year-end process that will analyze all payments made during the 60 days following the fiscal year-end to ensure that expenses are recorded in the correct fiscal year. This process will ensure the Schedule of Expenditures of Federal Awards (SEFA) is reported properly. The grant program manager will ask vendors to submit their invoices for services rendered through the fiscal year end to Cure HHT within 30 days of the fiscal year end. Each grant contract year differs from the Cure HHT fiscal year. Cure HHT will create and execute a grant reconciliation process that involves financial reporting from the outsourced accounting firm, members of the outsourced accounting team, Cure HHT grant managers, and Cure HHT management to validate that all cost reimbursable grants recognize revenue as costs are incurred. All parties will ensure appropriate accounting processes and controls are in place on an ongoing basis. The reconciliation process will take place monthly and at fiscal year-end.
Federal Award Year: July 1, 2022 - June 30, 2023 Type of finding: • Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303 requires that organizations establish and maintain effective internal controls in place over Federal awards that provide reasonable assurance that the non-Federal entity is managing the award in compliance with Federal statues, regulations, and the terms of and conditions of the Federal award. Condition: During our audit, we identified errors relating to expense accruals and grant revenue recognition that resulted in adjustment to the organization’s financial statements and schedule of expenditures of federal awards. Context: We performed a search for unrecorded liabilities, which entails selecting payments made after year-end to determine if the payment was made for an expense that was incurred during the organization’s fiscal year under audit. Such testing is performed to assess whether the organization had properly accrued for all period expenses, as well as assessing the reliability of the internal controls in place to capture all accrued expenses. We sampled 20 payments made between July 1, 2023 and February 1, 2024, one of which was improperly accrued and four that were improperly not accrued, resulting in a net understatement of $154,969 to the schedule of expenditures of federal awards. Cause: Revenue was underrecognized due to inaccurate recording of fiscal year expenses. Revenue was recognized for the expenses recorded for the fiscal year, however, there were expenses that should have been recorded in the fiscal year but were not, causing revenue to be underrecognized. Effect or possible effect of condition: Without effective internal controls over compliance and financial reporting, the organization’s financial statements and schedule of expenditures of federal awards could be materially misstated. Questioned Costs: None. Repeat Finding: No. Recommendation: We recommend that management review and strengthen its internal controls surrounding expense accruals for vendor and subrecipient payments for services rendered during the audit period but made after year-end and reconcile grant revenues and expenditures to ensure each are properly recognized and incurred, respectively. Views of responsible officials: The outsourced accounting firm will create and execute a year-end process that will analyze all payments made during the 60 days following the fiscal year-end to ensure that expenses are recorded in the correct fiscal year. This process will ensure the Schedule of Expenditures of Federal Awards (SEFA) is reported properly. The grant program manager will ask vendors to submit their invoices for services rendered through the fiscal year end to Cure HHT within 30 days of the fiscal year end. Each grant contract year differs from the Cure HHT fiscal year. Cure HHT will create and execute a grant reconciliation process that involves financial reporting from the outsourced accounting firm, members of the outsourced accounting team, Cure HHT grant managers, and Cure HHT management to validate that all cost reimbursable grants recognize revenue as costs are incurred. All parties will ensure appropriate accounting processes and controls are in place on an ongoing basis. The reconciliation process will take place monthly and at fiscal year-end.