Audit 363178

FY End
2024-06-30
Total Expended
$1.38M
Findings
6
Programs
1
Year: 2024 Accepted: 2025-07-28

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
572065 2024-001 Material Weakness - M
572066 2024-002 Material Weakness - L
572067 2024-003 Material Weakness - M
1148507 2024-001 Material Weakness - M
1148508 2024-002 Material Weakness - L
1148509 2024-003 Material Weakness - M

Programs

ALN Program Spent Major Findings
93.889 National Bioterrorism Hospital Preparedness Program $1.38M Yes 3

Contacts

Name Title Type
DS38MXLNBK85 Catina Downey, CPA Auditee
8043067440 Kriste Cullum Auditor
No contacts on file

Notes to SEFA

Title: Summary of Significant Accounting Policies Accounting Policies: The Schedule of Expenditures of Federal Awards includes the federal grant activity of Old Dominion Emergency Medical Services Alliance, Inc. (the "Alliance") and is presented on the accrual basis of accounting. 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 of Federal Awards (Uniform Guidance). Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the financial statements. De Minimis Rate Used: N Rate Explanation: Actual costs incurred. The Schedule of Expenditures of Federal Awards includes the federal grant activity of Old Dominion Emergency Medical Services Alliance, Inc. (the "Alliance") and is presented on the accrual basis of accounting. 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 of Federal Awards (Uniform Guidance). Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the financial statements.
Title: Indirect Cost Rate Accounting Policies: The Schedule of Expenditures of Federal Awards includes the federal grant activity of Old Dominion Emergency Medical Services Alliance, Inc. (the "Alliance") and is presented on the accrual basis of accounting. 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 of Federal Awards (Uniform Guidance). Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the financial statements. De Minimis Rate Used: N Rate Explanation: Actual costs incurred. The Alliance has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
Title: Federal Loan Programs Accounting Policies: The Schedule of Expenditures of Federal Awards includes the federal grant activity of Old Dominion Emergency Medical Services Alliance, Inc. (the "Alliance") and is presented on the accrual basis of accounting. 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 of Federal Awards (Uniform Guidance). Therefore, some amounts presented in this schedule may differ from amounts presented in or used in the preparation of the financial statements. De Minimis Rate Used: N Rate Explanation: Actual costs incurred. The Alliance did not have any federal loan programs for the year eneded June 30, 2024.

Finding Details

Finding: Item 2024-001 – Financial Statements- Material Weakness Criteria: The VHHA grant and Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements of Federal Awards, requires a single audit to be performed if more than $750,000 in federal awards is received during the fiscal year. Condition/context: The Alliance was unaware that they had met the requirements of a single audit as required by the VHHA grant and 2 CFR 200. 2 CFR 200.508 (b) states the auditee must prepare appropriate financial statements, including the schedule of expenditures of federal funds. Cause: Inexperience and lack of understanding of the VHHA grant requirements as well as 2 CFR 200. Effect or potential effect:A single audit would not have been performed and inappropriate financial statements could have been issued, resulting in noncompliance with the VHHA grant and 2 CFR 200 and possible loss of grant funds. Questioned cost: Not applicable. Repeat Finding: Not applicable Recommendation: Grant documents should be reviewed thoroughly and monitored periodically to obtain an understanding of all compliance requirements. View of responsible officials: Management’s response is reported in “Corrective Action Plan” at the end of this report.
Finding: Item 2024-002 – Prior Period Adjustment- Material Weakness Criteria: Management is responsible for establishing and maintaining effective internal control over financial reporting. Condition/context: The Alliance’s financial statements required adjustments applicable to the prior year to be in conformity with accounting principles generally accepted in the United States of America (GAAP). The adjustments to the prior year were related to an over accrual of paid time off for CVHC designated employees that are not eligible. Cause: The Alliance failed to exclude ineligible employees from the accrued PTO calculation and did not identify certain necessary adjustments required to present the financial statements in accordance with GAAP. Effect or possible effect: An adjusting journal entry was proposed during the financial statement audit. Questioned cost: Not applicable. Repeat Finding: Not applicable Recommendation: Management should continue to monitor month-end and year-end closing procedures to ensure controls in place are sufficient to ensure that financial statements are prepared in accordance with GAAP. View of responsible officials: Management’s response is reported in “Corrective Action Plan” at the end of this report.
Finding: Item 2024-003 – U.S. GAAP Accounting- Material Weakness Criteria: The Organization's financial statements should be reported in accordance with U.S. GAAP. Condition/Context: Reconciliations for payroll liabilities (taxes and fringe benefits) were not completed throughout the fiscal year. Adjusting entries were recorded during the audit for the financial statements to be in accordance with U.S. GAAP. Cause: Internal control policies and procedures were not folowed or enforced. Effect or potential effect: The Organization was not able to generate interim and year-end financial statements in accordance with U.S. GAAP. Additionally, failure to reconcile the simplified employee pension liability may result in noncomplance with the plan and penalties. Questioned cost: Not applicable. Repeat Finding: Not applicable Recommendation: We recommend that reconciliations and accruals be prepared and reviewed on a timely basis, monthly at a minimum. View of responsible officials: Management’s response is reported in “Corrective Action Plan” at the end of this report.
Finding: Item 2024-001 – Financial Statements- Material Weakness Criteria: The VHHA grant and Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements of Federal Awards, requires a single audit to be performed if more than $750,000 in federal awards is received during the fiscal year. Condition/context: The Alliance was unaware that they had met the requirements of a single audit as required by the VHHA grant and 2 CFR 200. 2 CFR 200.508 (b) states the auditee must prepare appropriate financial statements, including the schedule of expenditures of federal funds. Cause: Inexperience and lack of understanding of the VHHA grant requirements as well as 2 CFR 200. Effect or potential effect:A single audit would not have been performed and inappropriate financial statements could have been issued, resulting in noncompliance with the VHHA grant and 2 CFR 200 and possible loss of grant funds. Questioned cost: Not applicable. Repeat Finding: Not applicable Recommendation: Grant documents should be reviewed thoroughly and monitored periodically to obtain an understanding of all compliance requirements. View of responsible officials: Management’s response is reported in “Corrective Action Plan” at the end of this report.
Finding: Item 2024-002 – Prior Period Adjustment- Material Weakness Criteria: Management is responsible for establishing and maintaining effective internal control over financial reporting. Condition/context: The Alliance’s financial statements required adjustments applicable to the prior year to be in conformity with accounting principles generally accepted in the United States of America (GAAP). The adjustments to the prior year were related to an over accrual of paid time off for CVHC designated employees that are not eligible. Cause: The Alliance failed to exclude ineligible employees from the accrued PTO calculation and did not identify certain necessary adjustments required to present the financial statements in accordance with GAAP. Effect or possible effect: An adjusting journal entry was proposed during the financial statement audit. Questioned cost: Not applicable. Repeat Finding: Not applicable Recommendation: Management should continue to monitor month-end and year-end closing procedures to ensure controls in place are sufficient to ensure that financial statements are prepared in accordance with GAAP. View of responsible officials: Management’s response is reported in “Corrective Action Plan” at the end of this report.
Finding: Item 2024-003 – U.S. GAAP Accounting- Material Weakness Criteria: The Organization's financial statements should be reported in accordance with U.S. GAAP. Condition/Context: Reconciliations for payroll liabilities (taxes and fringe benefits) were not completed throughout the fiscal year. Adjusting entries were recorded during the audit for the financial statements to be in accordance with U.S. GAAP. Cause: Internal control policies and procedures were not folowed or enforced. Effect or potential effect: The Organization was not able to generate interim and year-end financial statements in accordance with U.S. GAAP. Additionally, failure to reconcile the simplified employee pension liability may result in noncomplance with the plan and penalties. Questioned cost: Not applicable. Repeat Finding: Not applicable Recommendation: We recommend that reconciliations and accruals be prepared and reviewed on a timely basis, monthly at a minimum. View of responsible officials: Management’s response is reported in “Corrective Action Plan” at the end of this report.