Audit 370096

FY End
2024-12-31
Total Expended
$271.05M
Findings
16
Programs
55
Organization: Atrium Health, Inc. (NC)
Year: 2024 Accepted: 2025-09-30

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1158177 2024-001 Material Weakness Yes ELN
1158178 2024-002 Material Weakness Yes CEN
1158179 2024-003 Material Weakness Yes N
1158180 2024-004 Material Weakness Yes N
1158181 2024-005 Material Weakness Yes L
1158182 2024-001 Material Weakness Yes ELN
1158183 2024-002 Material Weakness Yes CEN
1158184 2024-003 Material Weakness Yes N
1158185 2024-004 Material Weakness Yes N
1158186 2024-005 Material Weakness Yes L
1158187 2024-001 Material Weakness Yes ELN
1158188 2024-002 Material Weakness Yes CEN
1158189 2024-003 Material Weakness Yes N
1158190 2024-004 Material Weakness Yes N
1158191 2024-005 Material Weakness Yes L
1158192 2024-006 Material Weakness Yes AB

Programs

ALN Program Spent Major Findings
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $257.94M Yes 1
84.268 Federal Direct Student Loans $2.11M Yes 5
84.063 Federal Pell Grant Program $736,444 Yes 5
93.253 Poison Center Support and Enhancement Grant $504,792 Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $429,221 Yes 0
93.958 Block Grants for Community Mental Health Services $373,139 Yes 0
93.078 Strengthening Emergency Care Delivery in the United States Healthcare System Through Health Information and Promotion $253,881 Yes 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $239,599 Yes 0
12.420 Military Medical Research and Development $189,991 Yes 0
93.839 Blood Diseases and Resources Research $182,439 Yes 0
93.069 Public Health Emergency Preparedness $154,980 Yes 0
93.788 Opioid Str $116,081 Yes 0
16.575 Crime Victim Assistance $109,282 Yes 0
93.994 Maternal and Child Health Services Block Grant to the States $100,610 Yes 0
93.866 Aging Research $92,805 Yes 0
93.173 Research Related to Deafness and Communication Disorders $89,163 Yes 0
93.669 Child Abuse and Neglect State Grants $86,338 Yes 0
20.600 State and Community Highway Safety $68,610 Yes 0
93.RD4 Asymptomatic Cmv $58,130 Yes 0
93.855 Allergy, Immunology and Transplantation Research $54,000 Yes 0
93.837 Cardiovascular Diseases Research $51,600 Yes 0
14.250 Rural Housing and Economic Development $48,000 Yes 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $36,125 Yes 0
10.310 Agriculture and Food Research Initiative (afri) $32,756 Yes 0
93.361 Nursing Research $32,240 Yes 0
93.RD5 Research on Viral Infections $29,234 Yes 0
93.273 Alcohol Research Programs $27,437 Yes 0
84.007 Federal Supplemental Educational Opportunity Grants $27,182 Yes 5
93.310 Trans-Nih Research Support $20,470 Yes 0
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $20,000 Yes 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $15,600 Yes 0
93.838 Lung Diseases Research $9,300 Yes 0
93.RD6 Gateway for Cancer Research: T2016-002 $8,100 Yes 0
93.889 National Bioterrorism Hospital Preparedness Program $8,093 Yes 0
93.RD2 Chop_cog_agct1531 $7,400 Yes 0
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $7,147 Yes 0
93.RD3 Ecog-Acrin Ea4151 $5,550 Yes 0
12.420 Novel Topical Antibiotic Therapy to Reduce Infection After Operative Treatment of Fracturesat High Risk of Infection: Tobra -A Multicenter Randomized, Controlled Trial $5,350 Yes 0
93.394 Cancer Detection and Diagnosis Research $4,991 Yes 0
12.420 Evaluation of the Diagnostic and Therapeutic Value of Tissue Ultrafiltration in Patients at Risk of Acs $4,578 Yes 0
16.753 Congressionally Recommended Awards $3,885 Yes 0
93.110 Maternal and Child Health Federal Consolidated Programs $3,813 Yes 0
93.395 Cancer Treatment Research $2,940 Yes 0
93.399 Cancer Control $2,800 Yes 0
93.226 Research on Healthcare Costs, Quality and Outcomes $2,644 Yes 0
93.145 Aids Education and Training Centers $1,933 Yes 0
93.RD1 Alliance A011202 $900 Yes 0
93.558 Temporary Assistance for Needy Families $-186 Yes 0
93.121 Oral Diseases and Disorders Research $-394 Yes 0
16.758 Improving the Investigation and Prosecution of Child Abuse and the Regional and Local Children's Advocacy Centers $-1,800 Yes 0
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $-2,565 Yes 0
93.865 Child Health and Human Development Extramural Research $-3,172 Yes 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $-6,584 Yes 0
93.360 Biomedical Advanced Research and Development Authority (barda), Biodefense Medical Countermeasure Development $-13,481 Yes 0
93.137 Community Programs to Improve Minority Health Grant Program $-25,698 Yes 0

Contacts

Name Title Type
LCSFK2KRP5A4 David Thomas Auditee
7043353210 Laura Minder Auditor
No contacts on file

Notes to SEFA

The accompanying Schedule of Expenditures of Federal Awards and Schedule of Expenditures of State of North Carolina Awards (the Schedules) include the federal and state grant activity, respectively, of The Charlotte-Mecklenburg Hospital Authority (Atrium Health CMHA) during the year ended December 31, 2024. The information on these Schedules 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) and the North Carolina Single Audit Guidelines. Therefore, some amounts presented in these Schedules may differ from amounts presented in or used in the basic financial statements.
The expenditures on the Schedules are reported on the accrual basis of accounting when Atrium Health CMHA has met the qualifications for the incurred expenses according to the grant requirements. Atrium Health CMHA has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Atrium Health CMHA acts as an intermediary for students receiving Federal Direct Student Loans (Assistance Listing No. 84.268), which include Direct Stafford Loans, from the federal government. The federal government is responsible for billing and collections of the loans. Atrium Health CMHA assists the federal government by processing the applications and applying the funds to student accounts from the federal government. Since this program is administered by the federal government, new loans made in the fiscal year ended December 31, 2024, related to the Federal Direct Student Loans program, are considered current year federal expenditures, whereas the outstanding balances are not. The total amount processed during fiscal year 2024 is included on the Schedule of Expenditures of Federal Awards 2,112,626Atrium Health CMHA acts as an intermediary for students receiving Federal Direct Student Loans (Assistance Listing No. 84.268), which include Direct Stafford Loans, from the federal government. The federal government is responsible for billing and collections of the loans. Atrium Health CMHA assists the federal government by processing the applications and applying the funds to student accounts from the federal government. Since this program is administered by the federal government, new loans made in the fiscal year ended December 31, 2024, related to the Federal Direct Student Loans program, are considered current year federal expenditures, whereas the outstanding balances are not. The total amount processed during fiscal year 2024 is included on the Schedule of Expenditures of Federal Awards..Loans made by Atrium Health CMHA to eligible students under federal student loan programs during the year ended December 31, 2024 are summarized as follows: Federal Stafford loans $ 2,042,457 Federal Plus loan program 70,169 Total federal direct student loans $ 2,112,626
Atrium Health CMHA incurred eligible disaster expenditures related to the COVID-19 pandemic. After a presidentially declared disaster, Federal Emergency Management Agency (FEMA) provides Disaster Grants – Public Assistance (Presidentially Declared Disasters) (Assistance Listing Number 97.036) to reimburse eligible costs. In fiscal year 2024, FEMA approved $257.9 million of eligible expenditures that were incurred in prior fiscal years. This amount has been included in the Schedule of Expenditures of Federal Awards

Finding Details

Finding 2024-001: Internal controls within the Student Financial Assistance (SFA). IT Systems. Identification of the Federal Program: Federal Agency: United States Department of Education Federal Cluster: Student Financial Assistance Cluster. Assistance Listing No.: 84.268 Federal Direct Student Loans (Direct Loans), 84.063 Federal Pell Grant Program, 84.007 Federal Supplemental Education Opportunity Grant Program. Award Periods: July 1, 2023 through June 30, 2024; July 1, 2024 through June 30, 2025. Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation):. Section 200.303 of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) states the following regarding internal control: “The non-Federal entity must:Establish and maintain effective internal control 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 guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Condition: Atrium Health CMHA has two primary student financial assistance (SFA) information technology (IT) systems and related applications that are used to process student financial assistance eligibility and disbursements as well as various other special tests and provisions required by the United States Department of Education. Internal controls over the accuracy and completeness of the data and applications within the SFA IT systems at Atrium Health CMHA were not evaluated for fiscal year 2024. Cause: Internal controls over the accuracy and completeness of the data and applications within the SFA IT systems at Atrium Health CMHA were not evaluated for fiscal year 2024. Effect or Potential Effect: The data used within the IT systems and applications may not be complete or accurate or the applications may not function as intended. Questioned Costs: None. Context: Total federal expenditures for the Student Financial Assistance Cluster recorded on the Schedule of Expenditures of Federal Awards (Schedule) totaled $2,876,252 for the year ended December 31, 2024. Identification as a Repeat Finding, if Applicable: This finding is a repeat finding of 2023-002 from the prior year. Recommendation: Atrium Health CMHA should implement internal controls to ensure the IT systems are tested or implement compensating controls to ensure the data is accurate and complete. Views of Responsible Officials: Due to operational management turnover and restructuring experienced in 2024 and 2025, this corrective action plan has been delayed. Atrium Health CMHA management has engaged with outside consultants in the third quarter of 2025 to examine and redesign the reporting structures, process work flows, and procedures within the Student Financial Aid (SFA) office, the Business office, and Student Services specifically as those areas relate to student status and records. It is expected this engagement will ensure that the internal controls within the entire SFA office will improve, including that the SFA IT Systems are documented and tested and that any compensating controls identified as needed are implemented.
Finding 2024-002: SFA Review and Approval Internal ControlsIdentification of the Federal Program: Federal Agency: United States Department of Education. Federal Cluster: Student Financial Assistance Cluster. Assistance Listing No.: 84.268 Federal Direct Student Loans (Direct Loans), 84.063 Federal Pell Grant Program, 84.007 Federal Supplemental Education Opportunity Grant Program. Award Periods: July 1, 2023 through June 30, 204; July 1 2024 through June 30, 20250Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation):Section 200.303 of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) states the following regarding internal control:“The non-Federal entity must:Establish and maintain effective internal control 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 guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).”Condition:Atrium Health CMHA does not have review and approval internal controls or policies in place over the following compliance requirements:• Cash management• Eligibility• Verification• Enrollment Reporting• Incentive Compensation. Cause:While Atrium Health CMHA has procedures in place to process and record student financial assistance transactions, internal controls are not in place to review and approve the underlying transactions, reports and policies. Effect or Potential Effect:The underlying data may not be complete and accurate resulting in Atrium Health CMHA being noncompliant with the applicable compliance requirements. Reports may not be complete and accurate. Policies may not be up to date with the Department of Education requirements.Questioned Costs:None. Context:Total federal expenditures for the Student Financial Assistance Cluster recorded on the Schedule totaled $2,876,252 for the year ended December 31, 2024.Identification as a Repeat Finding, if Applicable:This finding is a repeat finding of 2023-003 from the prior year.Recommendation:Atrium Health CMHA should develop and implement internal controls related to each of the compliance requirements to ensure the completeness and accuracy of the underlying data. Views of Responsible Officials: Due to operational management turnover and restructuring experienced in 2024 and 2025, this corrective action plan has been delayed. Atrium Health CMHA management has engaged with outside consultants in the third quarter of 2025 to examine and redesign various processes and work flows. This project is expected to address the gap in SFA transactional review and approval internal controls that are arising due to the SFA program size, limited number of subject matter experts, and the management turn; and result in mitigating controls and policies being implemented to ensure the accuracy and completeness of all SFA transactions.
Finding 2024-003: Notification of Disbursements to or on Behalf of StudentsIdentification of the federal program: Federal Agency: United States Department of Education. Federal Cluster: Student Financial Assistance Cluster. Assistance Listing No.: 84.268 Federal Direct Student Loans (Direct Loans), 84.063 Federal Pell Grant Program, 84.007 Federal Supplemental Education Opportunity Grant Program. Award Periods: July 1, 2023 through June 30, 2024; July 1, 2024 through June 30, 2025. Criteria or specific requirement (including statutory, regulatory or other citation):Section 200.303 of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) states the following regarding internal control:“The non-Federal entity must:(a) Establish and maintain effective internal control 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 guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).”34 CFR 668.165(a)(1) – Before an institution disburses title IV, HEA program funds for any award year, the institution must notify a student of the amount of funds that the student or his or her parent can expect to receive under each title IV, HEA program, and how and when those funds will be disbursed. If those funds include Direct Loan program funds, the notice must indicate which funds are from subsidized loans, which are from unsubsidized loans, and which are from PLUS loans. Condition:When Direct Loans are being credited to a student’s account, an institution must notify the student, or parent, in writing of (1) the date and amount of the disbursement; (2) the student’s right, or parent’s right, to cancel all or a portion of that loan or loan disbursement and have the loan proceeds returned to the holder of that loan; and (3) the procedure and time by which the student or parent must notify the institution that he or she wishes to cancel the loan. Atrium Health CMHA was unable to provide the notification letters sent to the student as they are not maintained. Further, there were three instances where student disbursements were not made timely and one instance where a disbursement resulted in a credit that was not returned timely. Cause:The current IT system does not allow for the letters sent to be saved.Effect or potential effect: The disbursement notification letters may not have be sent in accordance with the regulations.Questioned costs:None.Context:Total expenditures for the Student Financial Assistance Cluster were $2,876,252 for the year ended December 31, 2024. We selected a sample of 40 disbursements and identified 33 that did not have notification of disbursement and one disbursement that resulted in a credit that was not refunded within the time frame.Identification as a repeat finding, if applicable:This finding is a repeat finding of 2023-004 from the prior year. Recommendation:Atrium Health CMHA should implement internal controls to retain all disbursement notification letters sent to students.Views of responsible officials:Atrium Health CMHA management, as part of the 2025 process and procedures consulting engagement, will develop a plan to ensure that the IT systems are changed such that notification letters can be retained or a control exists whereby hard-copies of notification letters are maintained.
Finding 2024-004: Gramm-Leach-Bliley Act (GLBA) – Student Information Security Controls. Identification of the Federal Program:Federal Agency: United States Department of Education. Federal Cluster: Student Financial Assistance Cluster. Assistance Listing No.: 84.268 Federal Direct Student Loans (Direct Loans), 84.063 Federal Pell Grant Program, 84.007 Federal Supplemental Education Opportunity Grant ProgramAward Periods: July 1, 2023 through June 30, 2024; July 1, 2024 through June 30, 2025. Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation):Section 200.303 of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) states the following regarding internal control:“The non-Federal entity must:(a) Establish and maintain effective internal control 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 guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).”The Gramm-Leach-Bliley Act (Pub. L. No. 106-102) (GLBA) requires financial institutions to explain their information-sharing practices to their customers and to safeguard sensitive data (16 CFR 314).Institutions are required to develop, implement, and maintain a comprehensive information security program that is written in one or more readily accessible parts. Condition:Atrium Health CMHA did not have adequate internal controls in place surrounding the Information Security Program. During our testing, we noted there was no documentation retained to evidence that a review of certain elements of the Information Security Program was performed to ensure compliance with federal regulations. Additionally, the written Information Security Program did not address certain required elements per 16 CFR 314.4 to ensure compliance with federal regulations.Cause:Atrium Health CMHA did not retain sufficient documentation of their review procedures over certain elements of the Information Security Program. Atrium Health CMHA did not include certain required elements within its Information Security Program. Effect or Potential Effect:The written Information Security Program is not compliant with federal regulations. Questioned Costs:None. Context:Total federal expenditures for the Student Financial Assistance Cluster recorded on the Schedule of Expenditures of Federal Awards (Schedule) totaled $2,876,252 for the year ended December 31, 2024.Identification as a Repeat Finding, if Applicable:This finding is a repeat finding of 2023-005 from the prior year. Recommendation:Atrium Health CMHA should design and implement internal controls over the Information Security Program to ensure all requirements of the GLBA are included in the written Information Security Program appropriately.Views of Responsible Officials:Atrium Health CMHA management, as part of the 2025 process and procedures consulting engagement, will ensure that all GLBA requirements over the Information Security Program are both documented completely and inclusive in scope of both general CMHA IT systems as well as IT systems specific to the SFA program.
Finding 2024-005: Fiscal Operations Report and Application to Participate (FISAP) Reporting. Identification of the Federal Program:Federal. Agency: United States Department of Education. Federal Cluster: Student Financial Assistance Cluster. Assistance Listing No.: 84.268 Federal Direct Student Loans (Direct Loans), 84.063 Federal Pell Grant Program, 84.007 Federal Supplemental Education Opportunity Grant ProgramAward Periods: July 1, 2023 through June 30, 2024; July 1, 2024 through June 30, 2025. Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation):Section 200.303 of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) states the following regarding internal control:“The non-Federal entity must:(a) Establish and maintain effective internal control 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 guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).”Section 200.508 of Title U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) state the following: “The auditee must:(d) Provide the auditor access to personnel, accounts, books, records, supporting documentation, and any other information needed for the auditor to perform the audit required by this part. Condition:Atrium Health CMHA did not have adequate internal controls in place to retain supporting documentation in regards to Section F. Information on Eligible Aid Applicants Enrolled in Your School for Award Year 2023-2024 of the FISAP.Cause:Atrium Health CMHA did not retain sufficient documentation to support the count of students used in Section F. Information on Eligible Aid Applicants Enrolled in Your School for Award Year 2023-2024. Effect or Potential Effect:Incorrect information could be reported to the Department of Education. Questioned Costs:None. Context:Total federal expenditures for the Student Financial Assistance Cluster recorded on the Schedule of Expenditures of Federal Awards (Schedule) totaled $2,876,252 for the year ended December 31, 2024.Identification as a Repeat Finding, if Applicable:This finding is not a repeat finding from the prior year. Recommendation:Atrium Health CMHA should design and implement internal controls over FISAP reporting to ensure supporting documentation is maintained. Views of Responsible Officials:Atrium Health CMHA management, as part of the 2025 process and procedure consulting engagement, will ensure that appropriate training and process design for Jenzabar Financial Aid (JFA) system are implemented to accurately capture and retain all data required for FISAP reporting.
Finding 2024-006 Information on the Federal Program:Federal. Agency: Department of Homeland SecurityAssistance Listing No.: 97.036 COVID-19 Disaster Grants – Public Assistance (Presidentially Declared Disasters) (FEMA)Pass-Through: North Carolina Department of Public Safety. Pass-Through Award Number: N/APass-Through Award Period of Performance: 1/1/2021 through 7/1/22 and 7/2/22 through 5/11/23Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation):Section 200.303 of the Uniform Guidance states the following regarding internal control: “The non-Federal entity must: (a) Establish and maintain effective internal control 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 guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).”Condition:Atrium Health CMHA’s internal controls were not suitably designed to retain all supporting documentation over their review and approval of FEMA federal expenditures. Cause:Atrium Health CMHA’s management designed a process to accumulate and review expenditures related to the FEMA award; however, for certain components of the review and approval the supporting documentation was not retained to evidence that the internal review was sufficiently designed and operating effectively throughout the process. Questioned Costs:None. Context:Atrium Health CMHA developed protocols of what expenses should be charged to the Presidentially Declared Disaster grant and communicated these protocols to the appropriate levels of management. Management then developed a process to review the costs and determine which ones were applicable to the Presidentially Declared Disaster grant. However, management did not maintain evidence supporting the approval of expenses under the Presidentially Declared Disaster grant terms.Total federal expenditures for Assistance Listing 97.036 recorded on the Schedule totaled $257,938,430 for the year ended December 31, 2024. Effect or Potential Effect:The amounts submitted for reimbursement and the FEMA reports submitted could be inaccurate or incomplete.Identification as a Repeat Finding, if Applicable:This is not a repeat finding from the previous year. Recommendation:Atrium Health CMHA should design and implement internal controls that are sufficiently precise and require supporting documentation be retained over the review and approval of FEMA expenses. Views of Responsible Officials:Atrium Health CMHA management in the future will ensure that all correspondence, including notes from review meetings and approvals of key decisions, will be documented and retained as part of the support records for FEMA related awards. Atrium Health CMHA should design and implement internal controls over FISAP reporting to ensure supporting documentation is maintained. Views of Responsible Officials:Atrium Health CMHA management, as part of the 2025 process and procedure consulting engagement, will ensure that appropriate training and process design for Jenzabar Financial Aid (JFA) system are implemented to accurately capture and retain all data required for FISAP reporting.