Audit 300960

FY End
2023-06-30
Total Expended
$226.43M
Findings
2
Programs
114
Year: 2023 Accepted: 2024-03-29
Auditor: Forvis LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
390087 2023-001 Significant Deficiency Yes L
966529 2023-001 Significant Deficiency Yes L

Programs

ALN Program Spent Major Findings
84.268 Federal Direct Student Loans $58.34M Yes 0
93.498 Provider Relief Fund $27.89M Yes 0
93.600 Head Start $8.71M Yes 1
93.011 National Organizations of State and Local Officials $7.99M Yes 0
93.342 Health Professions Student Loans, Including Primary Care Loans/loans for Disadvantaged Students $2.95M Yes 0
93.788 Opioid Str $2.81M - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $2.15M - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $2.14M - 0
93.838 Lung Diseases Research $1.82M Yes 0
93.495 Community Health Workers for Public Health Response and Resilient $1.57M - 0
93.107 Area Health Education Centers $1.54M - 0
84.063 Federal Pell Grant Program $1.53M Yes 0
93.155 Rural Health Research Centers $1.48M Yes 0
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $1.31M - 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $1.30M - 0
93.926 Healthy Start Initiative $1.27M - 0
93.738 Pphf: Racial and Ethnic Approaches to Community Health Program Financed Solely by Public Prevention and Health Funds $1.22M - 0
93.086 Healthy Marriage Promotion and Responsible Fatherhood Grants $1.01M - 0
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $1.00M Yes 0
16.582 Crime Victim Assistance/discretionary Grants $881,747 - 0
93.173 Research Related to Deafness and Communication Disorders $848,578 Yes 0
93.969 Pphf Geriatric Education Centers $747,080 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $720,199 Yes 0
93.558 Temporary Assistance for Needy Families $698,690 - 0
93.439 State Physical Activity and Nutrition (span $668,793 - 0
93.137 Community Programs to Improve Minority Health Grant Program $548,681 - 0
93.530 Teaching Health Center Graduate Medical Education Payment $546,559 - 0
93.998 Autism and Other Developmental Disabilities, Surveillance, Research, and Prevention $533,210 - 0
10.310 Agriculture and Food Research Initiative (afri) $523,926 Yes 0
14.218 Community Development Block Grants/entitlement Grants $469,078 - 0
10.855 Distance Learning and Telemedicine Loans and Grants $462,742 - 0
93.800 Organized Approaches to Increase Colorectal Cancer Screening $443,101 - 0
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $406,049 - 0
10.874 Delta Health Care Services Grant Program $404,089 - 0
93.247 Advanced Nursing Education Grant Program $402,074 - 0
93.113 Environmental Health $386,723 Yes 0
93.398 Cancer Research Manpower $371,965 Yes 0
47.074 Biological Sciences $329,649 Yes 0
43.003 Exploration $318,866 Yes 0
84.038 Federal Perkins Loan Program Federal Capital Contributions $315,465 Yes 0
10.558 Child and Adult Care Food Program $305,404 - 0
11.307 Economic Adjustment Assistance $257,130 - 0
16.839 Stop School Violence $253,740 - 0
93.060 Sexual Risk Avoidance Education $251,235 - 0
93.867 Vision Research $242,185 Yes 0
84.425F Education Stabilization Fund - Heerf Institutional Aid $239,778 - 0
93.253 Poison Center Support and Enhancement Grant $222,525 - 0
93.310 Trans-Nih Research Support $220,797 Yes 0
93.940 Hiv Prevention Activities_health Department Based $219,251 Yes 0
93.859 Biomedical Research and Research Training $211,662 Yes 0
93.234 Traumatic Brain Injury State Demonstration Grant Program $207,339 - 0
93.000 Miscellaneous US Department of Health and Human Services Programs $198,801 Yes 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $183,381 Yes 0
93.110 Maternal and Child Health Federal Consolidated Programs $183,194 - 0
16.575 Crime Victim Assistance $180,711 - 0
93.516 Public Health Training Centers Program $167,770 - 0
93.855 Allergy, Immunology and Transplantation Research $162,965 Yes 0
93.643 Children's Justice Grants to States $152,146 - 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $132,711 Yes 0
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $125,779 - 0
93.319 Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas $111,211 Yes 0
93.680 Medical Student Education $108,231 Yes 0
93.077 Family Smoking Prevention and Tobacco Control Act Regulatory Research $107,701 Yes 0
93.958 Block Grants for Community Mental Health Services $102,847 - 0
93.211 Telehealth Programs $101,326 - 0
94.013 Volunteers in Service to America $97,907 - 0
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $96,792 - 0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $91,488 - 0
93.397 Cancer Centers Support Grants $88,771 Yes 0
93.279 Drug Abuse and Addiction Research Programs $85,745 Yes 0
93.226 Research on Healthcare Costs, Quality and Outcomes $85,309 Yes 0
93.839 Blood Diseases and Resources Research $83,361 Yes 0
93.121 Oral Diseases and Disorders Research $77,633 Yes 0
93.396 Cancer Biology Research $77,250 Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $70,412 - 0
93.364 Nursing Student Loans $69,896 Yes 0
11.619 Arrangements for Interdisciplinary Research Infrastructure $69,643 Yes 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $59,397 - 0
93.393 Cancer Cause and Prevention Research $57,608 Yes 0
93.884 Grants for Primary Care Training and Enhancement $52,472 - 0
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $49,210 Yes 0
93.351 Research Infrastructure Programs $45,462 - 0
84.007 Federal Supplemental Educational Opportunity Grants $42,260 Yes 0
93.991 Preventive Health and Health Services Block Grant $39,203 - 0
10.170 Specialty Crop Block Grant Program - Farm Bill $32,668 Yes 0
93.590 Community-Based Child Abuse Prevention Grants $27,461 - 0
47.083 Integrative Activities $27,212 Yes 0
93.361 Nursing Research $27,131 Yes 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $23,218 Yes 0
17.502 Occupational Safety and Health_susan Harwood Training Grants $23,061 - 0
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $21,902 Yes 0
93.866 Aging Research $20,212 Yes 0
93.307 Minority Health and Health Disparities Research $19,715 Yes 0
93.865 Child Health and Human Development Extramural Research $17,894 Yes 0
93.213 Research and Training in Complementary and Integrative Health $17,782 Yes 0
93.143 Niehs Superfund Hazardous Substances_basic Research and Education $17,497 Yes 0
93.273 Alcohol Research Programs $17,296 Yes 0
93.242 Mental Health Research Grants $15,476 Yes 0
93.395 Cancer Treatment Research $14,590 Yes 0
16.000 Miscellaneous US Department of Justice Programs $13,317 - 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $12,000 Yes 0
32.006 Covid-19 Telehealth Program $10,640 - 0
12.420 Military Medical Research and Development $8,132 Yes 0
93.837 Cardiovascular Diseases Research $7,874 Yes 0
93.241 State Rural Hospital Flexibility Program $6,941 - 0
93.575 Child Care and Development Block Grant $6,814 - 0
47.041 Engineering $6,422 Yes 0
32.011 Affordable Connectivity Outreach Grant Program $6,127 - 0
93.262 Occupational Safety and Health Program $5,318 Yes 0
43.008 Office of Stem Engagement (ostem) $5,246 Yes 0
93.747 Elder Abuse Prevention Interventions Program $4,731 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $1,876 Yes 0
93.350 National Center for Advancing Translational Sciences $1,520 Yes 0
93.394 Cancer Detection and Diagnosis Research $802 Yes 0

Contacts

Name Title Type
VDFYLZPJEAV6 Kristy Walters Auditee
5016866836 David Coleman Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation 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. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: UAMS has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal award activity of the University of Arkansas for Medical Sciences (UAMS) under programs of the federal government for the year ended June 30, 2023. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of UAMS, it is not intended to and does not present the financial position, changes in net position or cash flows of UAMS.
Title: Federal Loan Programs 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. Negative amounts shown on the Schedule, if any, represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: UAMS has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The federal loan programs listed subsequently are administered directly by UAMS, and balances and transactions relating to these programs are included in UAMS’ basic financial statements. Loans outstanding at the beginning of the year and loans made during the year are included in the federal expenditures presented in the Schedule. The balance of loans outstanding at June 30, 2023, consists of: 84.038 - Federal Perkins Loan Program Federal Capital Contributions - $192,667 93.342 - Health Professions Student Loans, Including Primary Care Loans and Loans for Disadvantaged Students - $3,140,349 93.364 - Nursing Student Loans - $475,003

Finding Details

Head Start Cluster Head Start, ALN 93.600 Department of Health and Human Services Program Year 2022-2023 Criteria or specific requirement - Reporting - The requirements for reporting are contained in Section 200.328 which states unless otherwise approved by OMB, the Federal awarding agency must solicit only the OMB-approved governmentwide data elements for collection of financial information (at time of publication the Federal Financial Report or such future), OMB-approved, governmentwide data elements available from the OMB-designated standards lead. This information must be collected with the frequency required by the terms and conditions of the federal award. Condition - UAMS did not submit the annual Federal Financial Report (FFR) timely. Questioned costs - $0 Context - Out of the population of seven reports required to be submitted for the Head Start program during FY2023, 2 were selected for testing. Our sampling method was not, and was not intended to be, statistically valid. There were 5 attributes tested for each report selected for testing. Effect - UAMS did not submit the annual Federal Financial Report (FFR) timely. Cause - UAMS' processes did not ensure reports were submitted timely. Repeat finding - Yes, 2022-007 Recommendation - We recommend that management design and implement internal controls that will ensure that all required reports are submitted timely. View of Responsible Officials - In order to address the exceptions identified in the audit, UAMS has implemented new processes where the staff member assigned to the Head Start program meets weekly with the Head Start Finance Manager and Director to discuss expenses allocated to the grants, assign tasks to be completed each week, and discuss reporting needs and deadlines. This finding recurred due to UAMS not implementing the new process until after January 2023. The new implemented processes have proven to assist in proper oversight and accurate financial management of the grants and allowed UAMS to meet the last reporting deadline in November 2023.
Head Start Cluster Head Start, ALN 93.600 Department of Health and Human Services Program Year 2022-2023 Criteria or specific requirement - Reporting - The requirements for reporting are contained in Section 200.328 which states unless otherwise approved by OMB, the Federal awarding agency must solicit only the OMB-approved governmentwide data elements for collection of financial information (at time of publication the Federal Financial Report or such future), OMB-approved, governmentwide data elements available from the OMB-designated standards lead. This information must be collected with the frequency required by the terms and conditions of the federal award. Condition - UAMS did not submit the annual Federal Financial Report (FFR) timely. Questioned costs - $0 Context - Out of the population of seven reports required to be submitted for the Head Start program during FY2023, 2 were selected for testing. Our sampling method was not, and was not intended to be, statistically valid. There were 5 attributes tested for each report selected for testing. Effect - UAMS did not submit the annual Federal Financial Report (FFR) timely. Cause - UAMS' processes did not ensure reports were submitted timely. Repeat finding - Yes, 2022-007 Recommendation - We recommend that management design and implement internal controls that will ensure that all required reports are submitted timely. View of Responsible Officials - In order to address the exceptions identified in the audit, UAMS has implemented new processes where the staff member assigned to the Head Start program meets weekly with the Head Start Finance Manager and Director to discuss expenses allocated to the grants, assign tasks to be completed each week, and discuss reporting needs and deadlines. This finding recurred due to UAMS not implementing the new process until after January 2023. The new implemented processes have proven to assist in proper oversight and accurate financial management of the grants and allowed UAMS to meet the last reporting deadline in November 2023.