Audit 404984

FY End
2025-09-30
Total Expended
$99.54M
Findings
34
Programs
82
Organization: Mainehealth (ME)
Year: 2025 Accepted: 2026-06-26

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1218941 2025-101 Material Weakness Yes B
1218942 2025-101 Material Weakness Yes B
1218943 2025-101 Material Weakness Yes B
1218944 2025-101 Material Weakness Yes B
1218945 2025-101 Material Weakness Yes B
1218946 2025-101 Material Weakness Yes B
1218947 2025-101 Material Weakness Yes B
1218948 2025-101 Material Weakness Yes B
1218949 2025-101 Material Weakness Yes B
1218950 2025-101 Material Weakness Yes B
1218951 2025-101 Material Weakness Yes B
1218952 2025-101 Material Weakness Yes B
1218953 2025-101 Material Weakness Yes B
1218954 2025-101 Material Weakness Yes B
1218955 2025-101 Material Weakness Yes B
1218956 2025-101 Material Weakness Yes B
1218957 2025-101 Material Weakness Yes B
1218958 2025-101 Material Weakness Yes B
1218959 2025-101 Material Weakness Yes B
1218960 2025-101 Material Weakness Yes B
1218961 2025-101 Material Weakness Yes B
1218962 2025-101 Material Weakness Yes B
1218963 2025-101 Material Weakness Yes B
1218964 2025-101 Material Weakness Yes B
1218965 2025-101 Material Weakness Yes B
1218966 2025-101 Material Weakness Yes B
1218967 2025-101 Material Weakness Yes B
1218968 2025-101 Material Weakness Yes B
1218969 2025-101 Material Weakness Yes B
1218970 2025-101 Material Weakness Yes B
1218971 2025-101 Material Weakness Yes B
1218972 2025-101 Material Weakness Yes B
1218973 2025-101 Material Weakness Yes B
1218974 2025-101 Material Weakness Yes B

Programs

ALN Program Spent Major Findings
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $57.99M Yes 0
93.493 CONGRESSIONAL DIRECTIVES $1.64M Yes 0
93.696 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS $997,660 Yes 0
93.310 TRANS-NIH RESEARCH SUPPORT $632,193 Yes 0
93.838 LUNG DISEASES RESEARCH $547,300 Yes 1
16.585 TREATMENT COURT DISCRETIONARY GRANT PROGRAM $486,896 Yes 0
93.117 PREVENTIVE MEDICINE RESIDENCY $451,541 Yes 1
93.351 RESEARCH INFRASTRUCTURE PROGRAMS $392,500 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $382,753 Yes 0
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $369,272 Yes 0
16.589 RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING ASSISTANCE PROGRAM $354,698 Yes 0
10.579 CHILD NUTRITION DISCRETIONARY GRANTS LIMITED AVAILABILITY $327,566 Yes 0
96.008 SOCIAL SECURITY - WORK INCENTIVES PLANNING AND ASSISTANCE PROGRAM $305,461 Yes 0
84.126 REHABILITATION SERVICES VOCATIONAL REHABILITATION GRANTS TO STATES $296,134 Yes 0
93.470 ALZHEIMER€™S DISEASE PROGRAM INITIATIVE (ADPI) $248,211 Yes 0
93.253 POISON CENTER SUPPORT AND ENHANCEMENT GRANT $247,864 Yes 0
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $206,915 Yes 0
93.687 MATERNAL OPIOID MISUSE MODEL $197,974 Yes 0
93.982 MENTAL HEALTH DISASTER ASSISTANCE AND EMERGENCY MENTAL HEALTH $195,981 Yes 0
16.831 CHILDREN OF INCARCERATED PARENTS $189,702 Yes 0
93.778 GRANTS TO STATES FOR MEDICAID $187,696 Yes 0
93.113 ENVIRONMENTAL HEALTH $161,517 Yes 1
93.472 TITLE IV-E PREVENTION PROGRAM $140,661 Yes 0
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $131,654 Yes 0
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $131,321 Yes 0
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $125,517 Yes 0
93.107 AREA HEALTH EDUCATION CENTERS $120,353 Yes 0
66.202 CONGRESSIONALLY MANDATED PROJECTS $104,086 Yes 0
43.003 EXPLORATION $103,764 Yes 0
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $100,784 Yes 1
93.859 BIOMEDICAL RESEARCH AND RESEARCH TRAINING $100,000 Yes 0
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $97,670 Yes 0
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $96,404 Yes 0
93.155 RURAL HEALTH RESEARCH CENTERS $93,802 Yes 0
10.028 WILDLIFE SERVICES $82,999 Yes 0
84.421 DISABILITY INNOVATION FUND (DIF) $81,432 Yes 0
93.866 AGING RESEARCH $80,444 Yes 1
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $80,346 Yes 0
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $75,513 Yes 0
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $73,158 Yes 0
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $69,180 Yes 0
93.840 TRANSLATION AND IMPLEMENTATION SCIENCE RESEARCH FOR HEART, LUNG, BLOOD DISEASES, AND SLEEP DISORDERS $61,401 Yes 1
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $60,264 Yes 0
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $58,538 Yes 1
93.823 PUBLIC HEALTH RESPONSE, FORECASTING, AND ANALYTIC CAPACITIES RELATED TO DISEASE OUTBREAKS, EPIDEMICS, AND PANDEMICS $56,996 Yes 0
93.387 NATIONAL AND STATE TOBACCO CONTROL PROGRAM $51,869 Yes 0
93.312 CHILD DEVELOPMENT AND, SURVEILLANCE, RESEARCH AND PREVENTION $51,555 Yes 0
93.276 DRUG-FREE COMMUNITIES SUPPORT PROGRAM GRANTS $48,304 Yes 0
93.647 SOCIAL SERVICES RESEARCH AND DEMONSTRATION $48,202 Yes 0
93.667 SOCIAL SERVICES BLOCK GRANT $43,202 Yes 0
10.446 RURAL COMMUNITY DEVELOPMENT INITIATIVE $39,761 Yes 0
93.846 ARTHRITIS, MUSCULOSKELETAL AND SKIN DISEASES RESEARCH $38,118 Yes 1
93.788 OPIOID STR $35,158 Yes 0
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $35,119 Yes 0
93.048 SPECIAL PROGRAMS FOR THE AGING, TITLE IV, AND TITLE II, DISCRETIONARY PROJECTS $35,013 Yes 0
93.084 PREVENTION OF DISEASE, DISABILITY, AND DEATH BY INFECTIOUS DISEASES $34,411 Yes 0
93.495 COMMUNITY HEALTH WORKERS FOR PUBLIC HEALTH RESPONSE AND RESILIENT $33,923 Yes 0
93.361 NURSING RESEARCH $31,130 Yes 0
93.359 NURSE EDUCATION, PRACTICE QUALITY AND RETENTION GRANTS $29,006 Yes 0
16.548 DELINQUENCY PREVENTION PROGRAM $26,496 Yes 0
93.837 CARDIOVASCULAR DISEASES RESEARCH $24,961 Yes 0
93.080 BLOOD DISORDER PROGRAM: PREVENTION, SURVEILLANCE, AND RESEARCH $24,000 Yes 0
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $19,898 Yes 0
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $19,087 Yes 0
16.838 COMPREHENSIVE OPIOID, STIMULANT, AND SUBSTANCE USE PROGRAM $17,153 Yes 0
93.350 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES $16,094 Yes 0
93.969 PPHF GERIATRIC EDUCATION CENTERS $14,854 Yes 0
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $12,551 Yes 0
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $8,481 Yes 0
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $8,203 Yes 0
16.710 PUBLIC SAFETY PARTNERSHIP AND COMMUNITY POLICING GRANTS $7,680 Yes 0
93.395 CANCER TREATMENT RESEARCH $7,085 Yes 0
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $6,500 Yes 0
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $5,956 Yes 0
93.286 DISCOVERY AND APPLIED RESEARCH FOR TECHNOLOGICAL INNOVATIONS TO IMPROVE HUMAN HEALTH $5,457 Yes 0
93.365 SICKLE CELL TREATMENT DEMONSTRATION PROGRAM $5,000 Yes 0
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $3,056 Yes 0
10.310 AGRICULTURE AND FOOD RESEARCH INITIATIVE (AFRI) $1,381 Yes 0
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $688 Yes 0
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $649 Yes 0
93.399 CANCER CONTROL $558 Yes 0
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $128 Yes 0

Contacts

Name Title Type
MAYKB1LWD5U9 Julie Paquette Auditee
2075221925 Anne Cloutier Auditor
No contacts on file

Notes to SEFA

The Schedule includes expenditures totaling $57,990,831 being reported under the United States Department of Homeland Security Federal Emergency Management Agency (FEMA) Assistance Listing Number 97.036, Department of Homeland Security Disaster Grants – Public Assistance (Presidentially Declared Disasters). These expenditures were incurred by the System during the years ended September 30, 2020 through 2023. The System's Project Worksheet covering these expenditures was approved by FEMA during the year ended September 30, 2025 and, in accordance with the 2025 OMB Compliance Supplement, these expenditures are therefore reported on the Schedule during the year ended September 30, 2025.
During the year ended September 30, 2025, the System did not receive donated PPE.

Finding Details

PAYROLL CONTROLS Federal Agency: NIH, Department of Defense and Department of Health and Human Services. Award Name: Research and Development Cluster. Program Year: 2025. Assistance Listing Number: 12.420, 93.113, 93.350, 93.837, 93.838, 93.840, 93.846, 93.855, 93.859, 93.865, 93.866, 93.103, 93.084, 93.117, 93.145, 93.243. Criteria: In accordance with the documentation standards of 2 CFR section 200.430(a), costs of compensation for personal services are allowable to the extent the total compensation for individual employees is reasonable for the services rendered, conforms to the established written policy of the recipient or subrecipient and is determined and supported as provided in 2 CFR section 200.430(g), which states that charges to federal awards for salaries and wages must be based on records that accurately reflect the work performed. Condition: Payroll testing was completed for a sample of 40 individuals for which time and expenses were charged to R&D grants. Within that selection, we noted instances where payroll controls did not function properly in regard to percentage of time allocated to a grant, proper pay code inclusion, fringe benefit calculation and timely and supervisor level review of time sheets. Context: Management was able to isolate the time allocation error to 20 employees for which the time and costs charges to the grants were in excess of actual time allocation. This resulted in $87,831.53 in excess charged to the grants. Additional control deficiencies did not result in significant improper grant expenditures. Cause: A new payroll system was implemented in fiscal 2025. Grant allocation percentages were not accurately established in the payroll system upon conversion. Effect: Time charged to grant efforts by certain individuals exceeded actual time worked. Questioned Costs: $87,831.53. Recommendation: Review controls should be enhanced to ensure grant expenditures accurately reflect payroll costs. Views of Responsible Parties: Management acknowledges the control deficiencies identified related to payroll allocations within the newly implemented payroll system. These issues were identified early following implementation and were promptly investigated. Management isolated the issue to a population of 20 employees with unique circumstances and quantified the associated impact. Corrective actions have since been implemented to strengthen controls and ensure payroll charges to grant awards accurately reflect actual time worked. These actions include updates to grant allocation setup procedures within the payroll system, enhanced review and approval processes for time reporting, and additional oversight of payroll and grant charging activities. Management believes these enhancements mitigate the risk of similar errors occurring in the future.