Audit 405064

FY End
2025-09-30
Total Expended
$149.72M
Findings
38
Programs
89
Year: 2025 Accepted: 2026-06-26

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1219085 2025-001 Material Weakness Yes I
1219086 2025-001 Material Weakness Yes I
1219087 2025-001 Material Weakness Yes I
1219088 2025-001 Material Weakness Yes I
1219089 2025-001 Material Weakness Yes I
1219090 2025-001 Material Weakness Yes I
1219091 2025-001 Material Weakness Yes I
1219092 2025-001 Material Weakness Yes I
1219093 2025-001 Material Weakness Yes I
1219094 2025-001 Material Weakness Yes I
1219095 2025-001 Material Weakness Yes I
1219096 2025-001 Material Weakness Yes I
1219097 2025-001 Material Weakness Yes I
1219098 2025-001 Material Weakness Yes I
1219099 2025-001 Material Weakness Yes I
1219100 2025-001 Material Weakness Yes I
1219101 2025-001 Material Weakness Yes I
1219102 2025-001 Material Weakness Yes I
1219103 2025-001 Material Weakness Yes I
1219104 2025-001 Material Weakness Yes I
1219105 2025-001 Material Weakness Yes I
1219106 2025-001 Material Weakness Yes I
1219107 2025-001 Material Weakness Yes I
1219108 2025-001 Material Weakness Yes I
1219109 2025-001 Material Weakness Yes I
1219110 2025-001 Material Weakness Yes I
1219111 2025-001 Material Weakness Yes I
1219112 2025-001 Material Weakness Yes I
1219113 2025-001 Material Weakness Yes I
1219114 2025-001 Material Weakness Yes I
1219115 2025-001 Material Weakness Yes I
1219116 2025-001 Material Weakness Yes I
1219117 2025-001 Material Weakness Yes I
1219118 2025-001 Material Weakness Yes I
1219119 2025-001 Material Weakness Yes I
1219120 2025-001 Material Weakness Yes I
1219121 2025-001 Material Weakness Yes I
1219122 2025-001 Material Weakness Yes I

Programs

ALN Program Spent Major Findings
93.260 FAMILY PLANNING PERSONNEL TRAINING $4.50M Yes 0
98.U03 Uganda USAID/PUMRA 14070 $3.79M Yes 0
93.U01 Uniform Data System (UDS) Training and Technical Assistance $2.70M Yes 0
93.088 ADVANCING SYSTEM IMPROVEMENTS FOR KEY ISSUES IN WOMEN'S HEALTH $2.38M Yes 0
93.297 TEENAGE PREGNANCY PREVENTION PROGRAM $1.58M Yes 0
93.U02 BPHC3 C 3125 Health Center Workforce Survey Evaluation and Technical Assistance $649,531 Yes 0
10.608 FOOD FOR EDUCATION $597,450 Yes 0
93.U03 Technical Assistance and Training of Uniform Data Systems for Health Centers (UDS) $538,853 Yes 0
93.387 NATIONAL AND STATE TOBACCO CONTROL PROGRAM $472,328 Yes 0
93.211 TELEHEALTH PROGRAMS $471,955 Yes 0
93.217 FAMILY PLANNING SERVICES $461,738 Yes 0
10.U57 WFP/USDA/CAM/MGD FFE $421,198 Yes 0
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $414,834 Yes 0
98.U27 RTI/USAID/CAM/IPEA 62478 $340,419 Yes 0
17.401 INTERNATIONAL LABOR PROGRAMS $268,095 Yes 0
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $266,974 Yes 0
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $245,619 Yes 0
93.U04 AIDS Education Training Centers (AETC) Evaluation Implementation Contract. $235,143 Yes 0
98.007 FOOD FOR PEACE DEVELOPMENT ASSISTANCE PROGRAM (DAP) $228,754 Yes 0
66.615 ENVIRONMENTAL JUSTICE THRIVING COMMUNITIES GRANTMAKING PROGRAM (EJ TCGM) $217,618 Yes 0
93.788 OPIOID STR $202,301 Yes 0
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $199,918 Yes 0
84.U37 DRAW2_JFF-OCTAE_FY25-27 $176,900 Yes 0
93.354 PUBLIC HEALTH EMERGENCY RESPONSE: COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE $162,700 Yes 0
97.012 BOATING SAFETY FINANCIAL ASSISTANCE $161,628 Yes 0
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $146,893 Yes 0
84.U36 EARN-2_RTI-IET-DOE OCTAE $135,542 Yes 0
98.U04 Zambia eSCMIS 13933 $132,064 Yes 0
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $131,433 Yes 0
93.917 HIV CARE FORMULA GRANTS $125,561 Yes 0
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $122,649 Yes 0
16.585 TREATMENT COURT DISCRETIONARY GRANT PROGRAM $118,889 Yes 0
98.U05 GHSC-TA-TZ 13628 $102,263 Yes 0
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $101,988 Yes 0
84.U04 MSG_ATB_OCTAE-DE-DAEL $96,035 Yes 0
84.U03 AIR-IET/OCTAE/NCTN 61296 $88,461 Yes 0
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $88,450 Yes 0
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $86,689 Yes 0
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $83,921 Yes 0
93.129 STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS (PCAS), NATIONAL TECHNICAL ASSISTANCE PROGRAMS (NTAPS), AND HEALTH CENTERED CONTROLLED NETWORKS (HCCNS) $81,972 Yes 0
16.838 COMPREHENSIVE OPIOID, STIMULANT, AND SUBSTANCE USE PROGRAM $72,833 Yes 0
98.U42 Strengthening Livelihoods $69,598 Yes 0
93.270 VIRAL HEPATITIS PREVENTION AND CONTROL $65,640 Yes 0
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $64,798 Yes 0
93.988 COOPERATIVE AGREEMENTS FOR DIABETES CONTROL PROGRAMS $61,976 Yes 0
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $61,857 Yes 0
19.800 WEAPONS REMOVAL AND ABATEMENT $61,638 Yes 0
93.130 COOPERATIVE AGREEMENTS TO STATES/TERRITORIES FOR THE COORDINATION AND DEVELOPMENT OF PRIMARY CARE OFFICES $57,511 Yes 0
66.616 ENVIRONMENTAL AND CLIMATE JUSTICE COMMUNITY CHANGE GRANTS PROGRAM $57,117 Yes 0
93.778 GRANTS TO STATES FOR MEDICAID $56,737 Yes 0
98.U99 HAI Nigeria ACE $55,068 Yes 0
93.073 BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES - PREVENTION AND SURVEILLANCE $49,732 Yes 0
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $47,886 Yes 0
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $43,419 Yes 0
93.945 ASSISTANCE PROGRAMS FOR CHRONIC DISEASE PREVENTION AND CONTROL $41,232 Yes 0
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $39,730 Yes 0
93.493 CONGRESSIONAL DIRECTIVES $38,362 Yes 0
93.940 HIV PREVENTION AND SURVEILLANCE ACTIVITIES-HEALTH DEPARTMENT BASED $34,972 Yes 0
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $34,048 Yes 0
84.425 EDUCATION STABILIZATION FUND $32,449 Yes 0
45.312 NATIONAL LEADERSHIP GRANTS $29,348 Yes 0
93.436 WELL-INTEGRATED SCREENING AND EVALUATION FOR WOMEN ACROSS THE NATION (WISEWOMAN) $27,304 Yes 0
93.495 COMMUNITY HEALTH WORKERS FOR PUBLIC HEALTH RESPONSE AND RESILIENT $27,109 Yes 0
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $27,095 Yes 0
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $22,654 Yes 0
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $22,500 Yes 0
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $21,884 Yes 0
84.U20 RTI/DOE/IET/NCTN 61297 $21,223 Yes 0
84.U14 MATHEMATICA/NCTN 61282 $17,410 Yes 0
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $15,190 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $13,509 Yes 0
98.U01 Zambia SAFE 13690 $13,414 Yes 0
93.928 SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE $11,332 Yes 0
84.002A NELRC CT FY25 $11,312 Yes 0
84.U19 RTI/OCTAE-EARN/NCTN 61272 $11,307 Yes 0
66.032 STATE AND TRIBAL INDOOR RADON GRANTS $10,447 Yes 0
98.001 USAID FOREIGN ASSISTANCE FOR PROGRAMS OVERSEAS $9,444 Yes 1
93.939 HIV PREVENTION ACTIVITIES NON-GOVERNMENTAL ORGANIZATION BASED $7,074 Yes 0
84.U02 AIR OCTAE TSTM2 $6,660 Yes 0
84.U01 AIR OCTAE NRS TA $5,899 Yes 0
66.605 PERFORMANCE PARTNERSHIP GRANTS $5,712 Yes 0
93.197 CHILDHOOD LEAD POISONING PREVENTION PROJECTS, STATE AND LOCAL CHILDHOOD LEAD POISONING PREVENTION AND SURVEILLANCE OF BLOOD LEAD LEVELS IN CHILDREN $5,368 Yes 0
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $5,112 Yes 0
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $4,001 Yes 0
93.008 MEDICAL RESERVE CORPS SMALL GRANT PROGRAM $3,669 Yes 0
93.318 PROTECTING AND IMPROVING HEALTH GLOBALLY: BUILDING AND STRENGTHENING PUBLIC HEALTH IMPACT, SYSTEMS, CAPACITY AND SECURITY $3,380 Yes 0
84.305 EDUCATION RESEARCH, DEVELOPMENT AND DISSEMINATION $2,067 Yes 0
84.U11 JFF/OCTAE/DIGTL LIT 61273 $23 Yes 0
98.U02 UGANDA RHITES Lango 13759 $-178,593 Yes 0

Contacts

Name Title Type
LKTNULLR6FL6 Janice Clark Auditee
6174829485 Alan Jutras Auditor
No contacts on file

Notes to SEFA

(1) Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. (2) Negative amounts shown on the Schedule represent adjustments or credits, which management has determined are not material to the Schedule nor the program to which they relate, made in the normal course of business to amounts reported as expenditures in prior years. Accordingly, such adjustments are presented on a current basis. (3) Federal Assistance Listing numbers and pass-through entity identifying numbers are presented when available.

Finding Details

Finding 2025-001 Procurement Controls (Significant Deficiency) Federal Programs Assistance Listing and Program Title* U.S. Agency For International Development 98.001 USAID Foreign Assistance for Programs Overseas Prime Contract #AID-391-A-17-00002 Award Year: Fiscal Year Ended September 30, 2025 Repeat Finding - No Criteria: Under 2 CFR 200.303, non-federal entities are required to establish and maintain effective internal controls over federal awards to provide reasonable assurance that federal awards are managed in compliance with applicable laws, regulations, and award terms and conditions. Such controls should include appropriate vendor due diligence, procurement oversight, monitoring of high-risk transactions, verification of vendor representations, and review controls over advance payments and procurement documentation. Condition: The Organization identified procurement irregularities and fraudulent representations by a vendor associated with the acquisition of mobile X-ray equipment under a federally funded program in Pakistan. Subsequent investigation determined that: • procurement advertisements had not been properly published, • falsified procurement support documentation had been submitted, • vendor representations regarding geographic code compliance were inaccurate, • and procurement controls did not timely identify irregularities associated with vendor selection and advance payment processing. The investigation further identified deficiencies in procurement oversight, vendor verification procedures, and monitoring controls, including insufficient review of supporting procurement documentation and inadequate safeguards surrounding an advance payment to the vendor. Upon identification of the matter, the Organization conducted internal and external investigations, terminated the procurement arrangement, and reduced the amount charged to the contract by approximately $2.2 million. Cause: Procurement oversight and vendor monitoring controls within the affected program location were not sufficiently designed and/or operating effectively to verify vendor representations, assess procurement risk indicators, validate procurement support documentation, and monitor compliance with procurement requirements on a timely basis. Effect: Improper procurement-related charges were incurred by the Organization. Questioned Costs: None. Recommendations: We recommend the Organization continue strengthening procurement oversight and compliance monitoring controls, particularly for high-risk and international procurements, including: • enhanced vendor due diligence procedures, • verification of critical procurement documentation, • strengthened review and approval controls over advance payments, • additional monitoring of vendor certifications and compliance representations, • escalation procedures for procurement irregularities, • and increased centralized oversight of significant procurement activities. Views of Responsible Officials and Planned Corrective Actions: Management concurs with the finding and has implemented corrective actions, including enhanced procurement oversight procedures, additional monitoring controls, and remediation activities within the affected country operations.