Audit 396464

FY End
2025-06-30
Total Expended
$48.72M
Findings
6
Programs
38
Organization: Boston Public Health Commission (MA)
Year: 2025 Accepted: 2026-03-30

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1204824 2025-001 Material Weakness Yes L
1204825 2025-001 Material Weakness Yes L
1204826 2025-001 Material Weakness Yes L
1204827 2025-001 Material Weakness Yes L
1204828 2025-001 Material Weakness Yes L
1204829 2025-001 Material Weakness Yes L

Programs

ALN Program Spent Major Findings
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $13.43M Yes 0
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA — RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $2.76M Yes 1
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $2.47M Yes 0
93.495 COMMUNITY HEALTH WORKERS FOR PUBLIC HEALTH RESPONSE AND RESILIENT $1.61M Yes 0
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $1.41M Yes 1
93.137 COMMUNITY PROGRAMS TO IMPROVE MINORITY HEALTH $1.07M Yes 1
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $891,165 Yes 0
93.926 HEALTHY START INITIATIVE $855,023 Yes 0
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $721,262 Yes 0
16.045 COMMUNITY-BASED VIOLENCE INTERVENTION AND PREVENTION INITIATIVE $624,100 Yes 0
93.334 THE HEALTHY BRAIN INITIATIVE: TECHNICAL ASSISTANCE TO IMPLEMENT PUBLIC HEALTH ACTIONS RELATED TO COGNITIVE HEALTH, COGNITIVE IMPAIRMENT, AND CAREGIVING AT THE STATE AND LOCAL LEVELS $578,086 Yes 0
14.267 CONTINUUM OF CARE PROGRAM $575,553 Yes 0
97.067 HOMELAND SECURITY GRANT PROGRAM $519,704 Yes 0
93.304 RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH $472,040 Yes 0
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $428,684 Yes 0
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $354,331 Yes 0
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $194,240 Yes 0
16.842 OPIOID AFFECTED YOUTH INITIATIVE $194,039 Yes 0
93.788 OPIOID STR $188,972 Yes 0
17.285 REGISTERED APPRENTICESHIP $181,604 Yes 0
93.917 HIV CARE FORMULA GRANTS $173,596 Yes 0
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $166,934 Yes 0
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $135,439 Yes 0
93.107 AREA HEALTH EDUCATION CENTERS $133,511 Yes 0
10.569 EMERGENCY FOOD ASSISTANCE PROGRAM (FOOD COMMODITIES) $130,872 Yes 0
11.307 ECONOMIC ADJUSTMENT ASSISTANCE $125,528 Yes 0
16.548 DELINQUENCY PREVENTION PROGRAM $111,315 Yes 0
14.239 HOME INVESTMENT PARTNERSHIPS PROGRAM $92,230 Yes 0
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $66,100 Yes 0
93.135 CENTERS FOR RESEARCH AND DEMONSTRATION FOR HEALTH PROMOTION AND DISEASE PREVENTION $57,613 Yes 0
93.104 COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED) $52,080 Yes 0
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $37,473 Yes 0
93.217 FAMILY PLANNING SERVICES $32,677 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $31,169 Yes 0
93.421 STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION’S HEALTH $13,249 Yes 0
16.888 CONSOLIDATED AND TECHNICAL ASSISTANCE GRANT PROGRAM TO ADDRESS CHILDREN AND YOUTH EXPERIENCING DOMESTIC AND SEXUAL VIOLENCE AND ENGAGE MEN AND BOYS AS ALLIES $12,379 Yes 0
97.000 STATE 911 TRAINING GRANT $7,851 Yes 0
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $-80,500 Yes 0

Contacts

Name Title Type
EHHGWYELR4R3 Steve Simmons Auditee
6175345395 Jennifer Cook Auditor
No contacts on file

Notes to SEFA

The amounts reported of the Disaster Grants – Public Assistance Grants represent eligible expenditures once the project worksheet (PW) is approved for federal reimbursement.
The amount reported for the Emergency Food Assistance Program (Food Commodities) represents nonmonetary assistance and is reported in the Schedule at the fair market value of the commodities received.

Finding Details

Reporting Federal Agency: U.S. Department of Health and Human Services Federal Program Name: (1) Injury Prevention and Control Research and State and Community Based Programs (2) Community Programs to Improve Minority Health Grant, and (3) Ending the HIV Epidemic in the U.S. – Ryan White HIV/AIDS Program Parts A and B Assistance Listing Number: (1) 93.136, (2) 93.137, and (3) 93.686 Federal Award Identification Number and Year: (1) NH28CE003349, NH28CE003545, (2) CPIMP211244, CPIMP221343, CPIMP231370, and (3) UT8HA33922 Award Periods: (1) September 1, 2021 – August 31, 2026, and September 1, 2023 – August 31, 2028, (2) September 30, 2022 – September 29, 2027, (3) March 1, 2020 – February 28, 2025, and March 1, 2025 – February 28, 2030 Type of Finding: - Significant Deficiency in Internal Control over Compliance - Other Matters Criteria or specific requirement: The Federal Funding Accountability and Transparency Act (FFATA) requires non‑Federal entities to report required subaward information in the Federal Subaward Reporting System (FSRS) for each subaward meeting the reporting threshold. Subaward information must be reported no later than the last day of the month following the month in which the subaward was made. Condition: Adequate internal controls were not in place to ensure FFATA reports were submitted timely and properly for all subawards that meet the FFATA reporting requirements. Questioned costs: None Context: During our testing of FFATA reporting, we noted the following: - For AL #93.136 and AL #93.137, 4 of the 5 FFATA subaward reports tested were submitted after the required deadline, as the reports were not entered into FSRS by the end of the month following the subaward date. - For AL #93.686, FFATA subaward reports were not submitted for 7 of the 7 subrecipients that met FFATA reporting requirements. Cause: The Commission did not have procedures in place to ensure FFATA subaward reporting was completed timely and consistently for all applicable programs and subrecipients. Effect: Failure to submit FFATA reports timely and completely results in noncompliance with federal reporting requirements and reduces transparency over the use of federal funds. Recommendation: We recommend that management implement formal policies and procedures to ensure FFATA reporting requirements are identified, tracked, and reported timely for all applicable subawards. This should include documented review procedures and monitoring controls to ensure FFATA reports are submitted accurately and within required deadlines. Views of responsible officials: There is no disagreement with the audit finding.