Audit 406837

FY End
2024-09-30
Total Expended
$26.06M
Findings
8
Programs
21
Organization: Utah Navajo Health System, Inc. (UT)
Year: 2024 Accepted: 2026-07-09
Auditor: WIPFLI LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1223471 2024-001 Material Weakness Yes L
1223472 2024-001 Material Weakness Yes L
1223473 2024-001 Material Weakness Yes L
1223474 2024-001 Material Weakness Yes L
1223475 2024-001 Material Weakness Yes L
1223476 2024-001 Material Weakness Yes L
1223477 2024-001 Material Weakness Yes L
1223478 2024-001 Material Weakness Yes L

Programs

ALN Program Spent Major Findings
93.210 TRIBAL SELF-GOVERNANCE PROGRAM: IHS COMPACTS/FUNDING AGREEMENTS $3.43M Yes 1
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $2.53M Yes 1
93.527 AFFORDABLE CARE ACT (ACA) GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $919,292 Yes 1
16.841 VOCA TRIBAL VICTIM SERVICES SET-ASIDE PROGRAM $866,876 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $585,545 Yes 0
93.788 OPIOID STR $476,693 Yes 0
93.237 SPECIAL DIABETES PROGRAM FOR INDIANS_DIABETES PREVENTION AND TREATMENT PROJECTS $465,985 Yes 0
93.671 FAMILY VIOLENCE PREVENTION AND SERVICES/DOMESTIC VIOLENCE SHELTER AND SUPPORTIVE SERVICES $412,000 Yes 1
93.526 AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $386,991 Yes 0
93.496 FAMILY VIOLENCE PREVENTION AND SERVICES/CULTURALLY SPECIFIC DOMESTIC VIOLENCE AND SEXUAL VIOLENCE SERVICES $219,482 Yes 0
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $135,003 Yes 0
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $83,228 Yes 0
16.575 CRIME VICTIM ASSISTANCE $58,388 Yes 0
93.497 FAMILY VIOLENCE PREVENTION AND SERVICES/ SEXUAL ASSAULT/RAPE CRISIS SERVICES AND SUPPORTS $54,447 Yes 0
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $40,611 Yes 0
93.261 NATIONAL DIABETES PREVENTION PROGRAM: PREVENTING TYPE 2 DIABETES AMONG PEOPLE AT HIGH RISK $14,590 Yes 0
93.669 CHILD ABUSE AND NEGLECT STATE GRANTS $14,533 Yes 0
93.592 FAMILY VIOLENCE PREVENTION AND SERVICES/DISCRETIONARY $13,868 Yes 0
93.257 GRANTS FOR EDUCATION, PREVENTION, AND EARLY DETECTION OF RADIOGENIC CANCERS AND DISEASES $2,838 Yes 0
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $1,795 Yes 0
93.283 CENTERS FOR DISEASE CONTROL AND PREVENTION_INVESTIGATIONS AND TECHNICAL ASSISTANCE $500 Yes 0

Contacts

Name Title Type
R1A7ANXLJGK3 Andrew Evans Auditee
4356780301 Tim Ritter Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal grant activity of the Utah Navajo Health System, Inc. (the “Organization”) under programs of the federal governments for the year ended September 30, 2024. The information in the schedule is presented in accordance with requirements of the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (the “Uniform Guidance”). Because the Schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Organization.
The Organization provided federal awards from the U.S. Department of Justice to Victim Witness Services of Coconino County in the amount of $810,731.

Finding Details

Finding 2024-001 Repeat Finding: Yes Program Name: Tribal Self Governance Program: IHS Compacts/Funding Agreement; Community Health Centers Cluster; Family Violence Prevention and Services/Domestic Violence Shelter and Supportive Services Assistance Listing Number: 93.210; 93.224/93.527; 93.671 Federal Agency: U.S. Department of Health and Human Services Questioned Costs: N/A Type of Finding: Noncompliance, Significant Deficiency Compliance Requirement: Reporting Condition: The Organization did not meet its financial reporting obligations under the grant during the year. The Organization did not file the Data Collection Form (SF-SAC) by the due date of June 30, 2025. Criteria: The Organization is required to file the Data Collection Form (SF-SAC) within 30 days of the receipt of the audit or 9 months after year end, whichever is first. Cause: The Data Collection Form was not filed within the required period due to a delay in preparations for the audit. Effect: The Organization was not in compliance with federal regulations. Recommendation: We recommend audit preparations are completed on a timely basis to ensure that the reporting deadline is met. View of Responsible Officials: Management acknowledges the delay in preparation of the audit due to staffing challenges and has since hired additional resources.