Audit 376251

FY End
2025-07-31
Total Expended
$924,161
Findings
1
Programs
1
Year: 2025 Accepted: 2025-12-19

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1165619 2025-001 Material Weakness Yes L

Programs

ALN Program Spent Major Findings
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $924,161 Yes 1

Contacts

Name Title Type
XXJEBCB6CVM9 Cheryl Powell Auditee
9194615506 Amelia Crawford Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (“SEFA”) includes the federal grant activity of the Medical Review of North Carolina, Inc. (the “Organization”) (a nonprofit organization) under the programs of the federal government for the year ended July 31, 2025. The information in this SEFA 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 SEFA presents only a selected portion of the operations of the Organization, it is not intended to, and does not, present the financial position, changes in its net assets, functional expenses, or cash flows of the Organization.

Finding Details

Finding: 2025-001 Significant Deficiency over reporting requirements U.S. Department of Health and Human Services Pass-through Entity: Centers for Disease Control and Prevention Program Name: The Innovative Cardiovascular Health Program Grant DP23-0005 Federal Assistance Listing Number: 93.426 Criteria: A well-defined financial reporting process ensures required reports are reviewed and submitted to the granting agency timely. Condition: The Federal Financial Report, commonly referred to as an SF-425 report, was prepared by the Finance team; however, it was not submitted timely before the required due date and the process did not require a documented review and approval of the SF-425 report prior to submission, resulting in late submission of the report and corrections requested by the granting agency. Context: The SF-425 report was prepared by the Organization, and discussions were held with members of management prior to submission; however, ultimate approval of the report for submission was not documented prior to submission of the report. In addition, the report was not submitted timely within a 90-day period provided by the granting agency. The Schedule of Expenditures of Federal Awards was not affected by these matters. Effect: Grant reports may not be submitted timely. Cause: The Organization did not have a formal process in place for a separate preparer and reviewer of the report to be formally documented or a process to ensure timely submission of reports in accordance with the grant agreement. Recommendation: We recommend that the Organization implement a process to ensure that all reporting requirements and applicable deadlines are known by management, to ensure that steps are being taken to prepare, review, and submit all required documentation by set deadlines. In addition, we recommend that the Organization implement a process to ensure that any reviews performed over these reports are properly documented. Managements Response: See Corrective action plan. Proposed Completion Date: December 31, 2025