Audit 392528

FY End
2025-06-30
Total Expended
$6.87M
Findings
2
Programs
31
Organization: Mercy Health (MO)
Year: 2025 Accepted: 2026-03-18

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1181237 2025-001 Material Weakness Yes N
1181238 2025-001 Material Weakness Yes N

Programs

ALN Program Spent Major Findings
84.268 FEDERAL DIRECT STUDENT LOANS $1.02M Yes 1
84.063 FEDERAL PELL GRANT PROGRAM $674,824 Yes 1
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $548,136 Yes 0
17.280 WIOA DISLOCATED WORKER NATIONAL RESERVE DEMONSTRATION GRANTS $412,044 Yes 0
93.889 COVID-19: NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $396,911 Yes 0
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $389,470 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $289,629 Yes 0
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $264,355 Yes 0
93.493 CONGRESSIONAL DIRECTIVES $236,838 Yes 0
21.027 COVID-19: CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $225,436 Yes 0
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $71,226 Yes 0
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $64,696 Yes 0
93.969 PPHF GERIATRIC EDUCATION CENTERS $52,500 Yes 0
16.590 GRANTS TO ENCOURAGE ARREST POLICIES AND ENFORCEMENT OF PROTECTION ORDERS PROGRAM $47,043 Yes 0
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $34,759 Yes 0
16.575 CRIME VICTIM ASSISTANCE $22,865 Yes 0
93.870 COVID-19: MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $22,393 Yes 0
16.575 COVID-19: CRIME VICTIM ASSISTANCE $20,988 Yes 0
93.667 SOCIAL SERVICES BLOCK GRANT $15,925 Yes 0
93.671 FAMILY VIOLENCE PREVENTION AND SERVICES/DOMESTIC VIOLENCE SHELTER AND SUPPORTIVE SERVICES $15,681 Yes 0
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $14,787 Yes 0
10.558 CHILD AND ADULT CARE FOOD PROGRAM $14,028 Yes 0
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $14,017 Yes 0
93.945 ASSISTANCE PROGRAMS FOR CHRONIC DISEASE PREVENTION AND CONTROL $13,560 Yes 0
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $12,560 Yes 0
84.033 FEDERAL WORK-STUDY PROGRAM $10,759 Yes 0
84.007 FEDERAL SUPPLEMENTAL EDUCATIONAL OPPORTUNITY GRANTS $10,060 Yes 0
93.946 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS $10,000 Yes 0
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $6,000 Yes 0
14.231 EMERGENCY SOLUTIONS GRANT PROGRAM $5,773 Yes 0
16.839 STOP SCHOOL VIOLENCE $3,982 Yes 0

Contacts

Name Title Type
GB9NVW4QNBA6 Emily Bruening Auditee
3143643886 Karthik Ramaswamy Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of Mercy Health and is presented on the accrual basis of accounting. 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). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements. Mercy Health’s reporting entity is defined in Mercy Health’s consolidated financial statements.
Indirect cost rates for certain Mercy Health entities are based on applicable U.S. Department of Health and Human Services (HHS) negotiated rates or sponsor-specified rates. For Mercy Health entities that do not have a negotiated indirect cost rate with HHS, the 10% or 15% de minimis indirect cost rate allowed by the Uniform Guidance is used, as applicable.
During the fiscal year ending June 30, 2025, Mercy Health expended $1,019,508 in Federal Direct Student Loans (Assistance Listing No. 84.268), which includes Direct Stafford Loans and Parent Loans for Undergraduate Students from the federal government. The federal government is responsible for billings and collections of the loans. Mercy Health assists the federal government by processing the applications and applying funds to student accounts from the federal government. Since this program is administered by the federal government, new loans made during the period ended June 30, 2025, related to Federal Direct Student Loans, are considered current year federal expenditures, whereas the outstanding loan balances are not.

Finding Details

Finding 2025-001 – N. Special Tests and Provisions – N6. NSLDS Reporting Identification of the federal program: Federal Agency: U.S. Department of Education Federal Cluster: Student Financial Assistance (SFA) Cluster Assistance Listing Nos.: 84.063, Federal Pell Grant Program, and 84.268, Federal Direct Student Loans Award Year: July 1, 2024–June 30, 2025 Criteria or specific requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: “The recipient and subrecipient must establish, document, and maintain effective internal control over the Federal award that provides reasonable assurance that the recipient or subrecipient is managing the federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. The internal controls should align 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 — Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Condition: Internal controls over the review and approval of the enrollment report sent to the third-party servicer, National Student Clearinghouse (NSC), were not adequately designed or operating effectively as follows: • A record count reconciliation between the enrollment report submitted to the NSC and the number of files received by the NSC, and documentation over how any rejected records were addressed, is not performed as part of the internal control. • Details of the validation of student information included in the enrollment report for accuracy prior to being sent to the NSC were not retained by Mercy Health. • Details of the NSC error report and corrections made were not retained by Mercy Health. Cause: Mercy Health did not have adequately designed internal controls in place surrounding the enrollment reporting process to the National Student Loan Data System (NSLDS). Effect or Potential Effect: Mercy Health may not report accurate and complete enrollment data timely to the NSLDS. Questioned Costs: $0 Context: Total SFA Cluster expenditures reported in the schedule of expenditures of federal awards were $1,715,151, of which $674,824 represents Federal Pell Grant Program expenditures and $1,019,508 represents Federal Direct Student Loans. Identification as a Repeat Finding: This finding is not a repeat finding from the prior year. Recommendation: The internal control should be designed to include a reconciliation of records transmitted and received by NSC as well as maintain documentation over the review and approval of the enrollment report for accuracy and completeness prior to sending to NSC. Further, we recommend that documentation over rejections and details of NSC error report and corrections made should be retained to evidence the operating effectiveness of internal controls. Views of Responsible Officials: Mercy Health will implement a mandatory, documented reconciliation process for every submission, formalize the validation process and retain evidence of accuracy checks, and establish a procedure for downloading and retaining error reports. By implementing these actions, Southeast Missouri Hospital College of Nursing & Health Sciences will ensure compliance with federal regulations regarding the accuracy and timeliness of student enrollment reporting to the NSC and NSLDS.