Audit 307825

FY End
2023-08-31
Total Expended
$20.89M
Findings
6
Programs
27
Year: 2023 Accepted: 2024-05-31

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
399352 2023-002 Significant Deficiency - L
399353 2023-002 Significant Deficiency - L
399354 2023-002 Significant Deficiency - L
975794 2023-002 Significant Deficiency - L
975795 2023-002 Significant Deficiency - L
975796 2023-002 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
16.575 Crime Victim Assistance $915,086 - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $887,074 - 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $472,728 Yes 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $401,364 - 0
93.088 Advancing System Improvements for Key Issues in Women's Health $338,494 - 0
93.592 Covid-19 - Family Violence Prevention and Services/discretionary $159,604 - 0
93.323 Covid-19 - Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $155,072 - 0
93.837 Cardiovascular Diseases Research $145,751 Yes 0
93.495 Community Health Workers for Public Health Response and Resilient $121,541 - 0
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $90,649 - 0
93.928 Special Projects of National Significance $89,268 - 0
93.233 National Center on Sleep Disorders Research $80,797 Yes 0
93.310 Trans-Nih Research Support $61,476 Yes 0
14.241 Housing Opportunities for Persons with Aids $48,037 - 0
93.994 Maternal and Child Health Services Block Grant to the States $45,085 - 0
93.865 Child Health and Human Development Extramural Research $43,565 Yes 0
93.592 Family Violence Prevention and Services/discretionary $42,991 - 0
93.914 Hiv Emergency Relief Project Grants $37,857 Yes 0
93.855 Allergy, Immunology and Transplantation Research $29,222 Yes 0
93.395 Cancer Treatment Research $19,648 Yes 0
16.526 Ovw Technical Assistance Initiative $13,158 - 0
93.939 Hiv Prevention Activities_non-Governmental Organization Based $11,364 Yes 0
93.110 Maternal and Child Health Federal Consolidated Programs $9,559 Yes 0
93.940 Hiv Prevention Activities_health Department Based $7,935 - 0
93.917 Hiv Care Formula Grants $3,397 - 0
93.242 Mental Health Research Grants $2,142 Yes 0
93.399 Cancer Control $1,627 Yes 0

Contacts

Name Title Type
NRJ8QC6LM4T1 Mariela Romo Auditee
3127686021 Jennifer Culotta Auditor
No contacts on file

Notes to SEFA

Accounting Policies: The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal grant activity of The Hektoen Institute of Medicine, LLC (the “Institute”) under programs of the federal government for the year ended August 31, 2023. The information in the 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 (the “Uniform Guidance”). Because the Schedule presents only a selected portion of the operations of the Institute, it is not intended to and does not present the financial position, changes in net assets, functional expenses, or cash flows of the Institute. Expenditures reported in the Schedule are reported on accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The pass through entity identifying numbers are presented where available. The Institute has elected not to use the 10 percent de minimis indirect cost rate to recover indirect costs as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The Institute has elected not to use the 10 percent de minimis indirect cost rate to recover indirect costs as allowed under the Uniform Guidance.

Finding Details

Assistance Listing, Federal Agency, and Program Name - 93.918, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease Federal Award Identification Number and Year - H76HA00107, 2022 Pass-through Entity - N/A Finding Type - Significant deficiency Repeat Finding - No Criteria - Per 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with the guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the Internal Control Framework, issued by the Committee of Sponoring Organizations of the Treadwy Commission (COSO). Condition - Management did not have controls in place to ensure required reporting submissions to HRSA were reviewed for accuracy, completeness, and compliance with the terms and conditions prescribed by the funding agency by an individual other than the indvidual preparing the report. Questioned Costs - None Identification of How Questioned Costs Were Computed -Not applicable, as no questioned costs were identified. Context - During testing of the Institute's annual submission of its Federal Financial Report (FFR or SF-425), we noted the individual compiling the information also prepared the report without a secondary level of review. Cause and Effect - Though some elements of the report automatically populate from HRSA's Payment Management System, other key pieces of information are manually added to the report from underlying ledgers or other reports. Without a level of review in advance of the submission, information in the report could be materially mistated or out of compliance with HRSA's reporting requirements. Recommendation - We recommend management implement a level of review in advance of the report submission to ensure individuals who prepare reports are different from those who review and file the reports and to ensure reports are prepared in compliance with funding agency requirements. Views of Responsible Officials and Corrective Action Plan - Management concurs with the recommendation and will review the appropriate guidance and implement enhanced procedures for including secondary levels of review.
Assistance Listing, Federal Agency, and Program Name - 93.918, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease Federal Award Identification Number and Year - H76HA00107, 2022 Pass-through Entity - N/A Finding Type - Significant deficiency Repeat Finding - No Criteria - Per 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with the guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the Internal Control Framework, issued by the Committee of Sponoring Organizations of the Treadwy Commission (COSO). Condition - Management did not have controls in place to ensure required reporting submissions to HRSA were reviewed for accuracy, completeness, and compliance with the terms and conditions prescribed by the funding agency by an individual other than the indvidual preparing the report. Questioned Costs - None Identification of How Questioned Costs Were Computed -Not applicable, as no questioned costs were identified. Context - During testing of the Institute's annual submission of its Federal Financial Report (FFR or SF-425), we noted the individual compiling the information also prepared the report without a secondary level of review. Cause and Effect - Though some elements of the report automatically populate from HRSA's Payment Management System, other key pieces of information are manually added to the report from underlying ledgers or other reports. Without a level of review in advance of the submission, information in the report could be materially mistated or out of compliance with HRSA's reporting requirements. Recommendation - We recommend management implement a level of review in advance of the report submission to ensure individuals who prepare reports are different from those who review and file the reports and to ensure reports are prepared in compliance with funding agency requirements. Views of Responsible Officials and Corrective Action Plan - Management concurs with the recommendation and will review the appropriate guidance and implement enhanced procedures for including secondary levels of review.
Assistance Listing, Federal Agency, and Program Name - 93.918, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease Federal Award Identification Number and Year - H76HA00107, 2022 Pass-through Entity - N/A Finding Type - Significant deficiency Repeat Finding - No Criteria - Per 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with the guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the Internal Control Framework, issued by the Committee of Sponoring Organizations of the Treadwy Commission (COSO). Condition - Management did not have controls in place to ensure required reporting submissions to HRSA were reviewed for accuracy, completeness, and compliance with the terms and conditions prescribed by the funding agency by an individual other than the indvidual preparing the report. Questioned Costs - None Identification of How Questioned Costs Were Computed -Not applicable, as no questioned costs were identified. Context - During testing of the Institute's annual submission of its Federal Financial Report (FFR or SF-425), we noted the individual compiling the information also prepared the report without a secondary level of review. Cause and Effect - Though some elements of the report automatically populate from HRSA's Payment Management System, other key pieces of information are manually added to the report from underlying ledgers or other reports. Without a level of review in advance of the submission, information in the report could be materially mistated or out of compliance with HRSA's reporting requirements. Recommendation - We recommend management implement a level of review in advance of the report submission to ensure individuals who prepare reports are different from those who review and file the reports and to ensure reports are prepared in compliance with funding agency requirements. Views of Responsible Officials and Corrective Action Plan - Management concurs with the recommendation and will review the appropriate guidance and implement enhanced procedures for including secondary levels of review.
Assistance Listing, Federal Agency, and Program Name - 93.918, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease Federal Award Identification Number and Year - H76HA00107, 2022 Pass-through Entity - N/A Finding Type - Significant deficiency Repeat Finding - No Criteria - Per 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with the guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the Internal Control Framework, issued by the Committee of Sponoring Organizations of the Treadwy Commission (COSO). Condition - Management did not have controls in place to ensure required reporting submissions to HRSA were reviewed for accuracy, completeness, and compliance with the terms and conditions prescribed by the funding agency by an individual other than the indvidual preparing the report. Questioned Costs - None Identification of How Questioned Costs Were Computed -Not applicable, as no questioned costs were identified. Context - During testing of the Institute's annual submission of its Federal Financial Report (FFR or SF-425), we noted the individual compiling the information also prepared the report without a secondary level of review. Cause and Effect - Though some elements of the report automatically populate from HRSA's Payment Management System, other key pieces of information are manually added to the report from underlying ledgers or other reports. Without a level of review in advance of the submission, information in the report could be materially mistated or out of compliance with HRSA's reporting requirements. Recommendation - We recommend management implement a level of review in advance of the report submission to ensure individuals who prepare reports are different from those who review and file the reports and to ensure reports are prepared in compliance with funding agency requirements. Views of Responsible Officials and Corrective Action Plan - Management concurs with the recommendation and will review the appropriate guidance and implement enhanced procedures for including secondary levels of review.
Assistance Listing, Federal Agency, and Program Name - 93.918, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease Federal Award Identification Number and Year - H76HA00107, 2022 Pass-through Entity - N/A Finding Type - Significant deficiency Repeat Finding - No Criteria - Per 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with the guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the Internal Control Framework, issued by the Committee of Sponoring Organizations of the Treadwy Commission (COSO). Condition - Management did not have controls in place to ensure required reporting submissions to HRSA were reviewed for accuracy, completeness, and compliance with the terms and conditions prescribed by the funding agency by an individual other than the indvidual preparing the report. Questioned Costs - None Identification of How Questioned Costs Were Computed -Not applicable, as no questioned costs were identified. Context - During testing of the Institute's annual submission of its Federal Financial Report (FFR or SF-425), we noted the individual compiling the information also prepared the report without a secondary level of review. Cause and Effect - Though some elements of the report automatically populate from HRSA's Payment Management System, other key pieces of information are manually added to the report from underlying ledgers or other reports. Without a level of review in advance of the submission, information in the report could be materially mistated or out of compliance with HRSA's reporting requirements. Recommendation - We recommend management implement a level of review in advance of the report submission to ensure individuals who prepare reports are different from those who review and file the reports and to ensure reports are prepared in compliance with funding agency requirements. Views of Responsible Officials and Corrective Action Plan - Management concurs with the recommendation and will review the appropriate guidance and implement enhanced procedures for including secondary levels of review.
Assistance Listing, Federal Agency, and Program Name - 93.918, U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease Federal Award Identification Number and Year - H76HA00107, 2022 Pass-through Entity - N/A Finding Type - Significant deficiency Repeat Finding - No Criteria - Per 2 CFR 200.303(a), non-federal entities must establish and maintain effective internal controls over the federal award that provides reasonable assurance that the non-federal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. These internal controls should be in compliance with the guidance in Standards for Internal Control in the Federal Government issued by the Comptroller General of the United States or the Internal Control Framework, issued by the Committee of Sponoring Organizations of the Treadwy Commission (COSO). Condition - Management did not have controls in place to ensure required reporting submissions to HRSA were reviewed for accuracy, completeness, and compliance with the terms and conditions prescribed by the funding agency by an individual other than the indvidual preparing the report. Questioned Costs - None Identification of How Questioned Costs Were Computed -Not applicable, as no questioned costs were identified. Context - During testing of the Institute's annual submission of its Federal Financial Report (FFR or SF-425), we noted the individual compiling the information also prepared the report without a secondary level of review. Cause and Effect - Though some elements of the report automatically populate from HRSA's Payment Management System, other key pieces of information are manually added to the report from underlying ledgers or other reports. Without a level of review in advance of the submission, information in the report could be materially mistated or out of compliance with HRSA's reporting requirements. Recommendation - We recommend management implement a level of review in advance of the report submission to ensure individuals who prepare reports are different from those who review and file the reports and to ensure reports are prepared in compliance with funding agency requirements. Views of Responsible Officials and Corrective Action Plan - Management concurs with the recommendation and will review the appropriate guidance and implement enhanced procedures for including secondary levels of review.