Audit 398186

FY End
2025-12-31
Total Expended
$15.89M
Findings
1
Programs
35
Organization: The Metrohealth System (OH)
Year: 2025 Accepted: 2026-04-09

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1206213 2025-001 Material Weakness Yes L

Programs

ALN Program Spent Major Findings
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $3.61M Yes 0
66.616 ENVIRONMENTAL AND CLIMATE JUSTICE COMMUNITY CHANGE GRANTS PROGRAM $2.11M Yes 1
97.036 COVID-19 - DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $1.71M Yes 0
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $1.29M Yes 0
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $1.03M Yes 0
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $850,407 Yes 0
93.516 PUBLIC HEALTH TRAINING CENTERS PROGRAM $698,716 Yes 0
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA €” RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $496,564 Yes 0
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $466,768 Yes 0
16.575 CRIME VICTIM ASSISTANCE $404,966 Yes 0
93.788 OPIOID STR $391,563 Yes 0
93.917 HIV CARE FORMULA GRANTS $287,985 Yes 0
16.838 COMPREHENSIVE OPIOID, STIMULANT, AND OTHER SUBSTANCES USE PROGRAM $277,088 Yes 0
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $273,501 Yes 0
93.393 CANCER CAUSE AND PREVENTION RESEARCH $270,680 Yes 0
93.530 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PAYMENT $236,827 Yes 0
12.RD IDIQ Contract $226,267 Yes 0
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $204,146 Yes 0
93.137 COMMUNITY PROGRAMS TO IMPROVE MINORITY HEALTH $166,335 Yes 0
93.048 SPECIAL PROGRAMS FOR THE AGING, TITLE IV, AND TITLE II, DISCRETIONARY PROJECTS $161,244 Yes 0
93.926 HEALTHY START INITIATIVE $130,950 Yes 0
93.059 TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTRY $126,281 Yes 0
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $75,298 Yes 0
93.283 CENTERS FOR DISEASE CONTROL AND PREVENTION INVESTIGATIONS AND TECHNICAL ASSISTANCE $69,600 Yes 0
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $52,575 Yes 0
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $49,368 Yes 0
93.310 TRANS-NIH RESEARCH SUPPORT $44,804 Yes 0
93.837 CARDIOVASCULAR DISEASES RESEARCH $43,021 Yes 0
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $40,000 Yes 0
21.027 COVID 19: CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $37,734 Yes 0
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $21,652 Yes 0
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $20,478 Yes 0
93.810 PAUL COVERDELL NATIONAL ACUTE STROKE PROGRAM NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION $3,733 Yes 0
12.420 Military Medical Research and Development $2,150 Yes 0
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $140 Yes 0

Contacts

Name Title Type
FM8VV9SAL6M3 Patrick Woods, CPA Auditee
4405921445 Oliver Jurkovic Auditor
No contacts on file

Notes to SEFA

Included in the Schedule for the year ended December 31, 2025 is $1,714,030 of expenditures incurred, under the Disaster Grants Public Assistance grant (ALN 97.036), in previous fiscal years. The project worksheet for these expenditures was approved in the current fiscal year and these expenditures have been reported in the current fiscal year in accordance with the reporting requirements outlined in the 2025 Compliance Supplement.

Finding Details

Assistance Listing Number, Federal Agency, and Program Name - 66.616 - U.S. Environmental Protection Agency - Environmental and Climate Justice Community Change Grants Program Federal Award Identification Number and Year - 2024-00E04015 Pass-through Entity - N/A Finding Type - Material weakness Repeat Finding - No Criteria - The Federal Funding Accountability and Transparency Act (FFATA) as mended by Section 6202 of Public Las 110-252 requires recipients of federal awards to report data using the FFATA Subaward Reporting System (FSRS) Tool (pre-March 8, 2025) or SAM.gov (post-March 8, 2025). 2 CFR 200.303 requires that recipients and subrecipients receiving federal awards establish, document, and maintain effective internal control over the federal awards that provide reasonable assurance that the recipient or subrecipient is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Condition - While the System had controls over accumulating the data for inputs into the portal, it did not have an adequate control in place to ensure transactions subject to FFATA reporting were reviewed for completeness and accuracy upon submission. If Questioned Costs Are Not Determinable, Description of Why Known Questioned Costs Were Undetermined or Otherwise Could Not Be Reported - There were no questioned costs identified. Identification of How Questioned Costs Were Computed - There were no questioned costs identified. Context - The System's internal controls over FFATA reporting were not designed to review submissions of FFATA reports. The System did not have a formal review process to verify the completeness and accuracy of data submitted to SAM.gov, nor did it maintain a reconciliation between the accounting system's subaward records and the information entered into SAM.gov. There were no instances of noncompliance or questioned cost identified related to this lack of control. Cause and Effect - The System has not developed or implemented a review structure over the FFATA reporting process at the time of submission. As a result, the System was at increased risk of submitting inaccurate, incomplete, or untimely FFATA reports. Recommendation - The System should implement controls regarding review of prepared FFATA submissions to ensure that all required subaward data is accurately and timely reported to SAM.gov. Views of Responsible Officials and Planned Corrective Actions - Management concurs with this recommendation. MetroHealth will establish and maintain a log documenting FFATA report submission, with internal reviews of disclosures prior to submission.