Audit 410741

FY End
2025-09-30
Total Expended
$7.83M
Findings
6
Programs
17
Year: 2025 Accepted: 2026-09-10
Auditor: COHNREZNICK LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1229250 2025-005 Material Weakness Yes H
1229251 2025-006 Material Weakness Yes L
1229252 2025-005 Material Weakness Yes H
1229253 2025-006 Material Weakness Yes L
1229254 2025-005 Material Weakness Yes H
1229255 2025-006 Material Weakness Yes L

Contacts

Name Title Type
SK8BQZM1Z5P5 Tomiko Fisher Auditee
4099784014 Winky Tsang Auditor
No contacts on file

Notes to SEFA

The Galveston County Health District (the “District”) receives federal and state grants to provide community health and related services to low-income families throughout the Galveston County, pursuant to the public health administration component of the District’s charter.
The accompanying schedule of expenditures of state and federal awards (the “Schedule”) includes the financial award activities of the District under programs of the federal government and of the State of Texas for the fiscal year ended September 30, 2025. The information in the Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (the “Uniform Guidance”) and the State of Texas Single Audit Circular. Because the Schedule presents only a selected portion of the District’s operations, it is not intended to and does not present the net position or changes in net position of the District.
In accordance with U.S. generally accepted accounting principles, the District accounts for all awards under federal and state programs on an accrual basis of accounting. Accordingly, 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 and the State of Texas Uniform Grant Management Standards, wherein certain types of expenditures are not allowable or are limited as to reimbursement by the federal and/or state funding agencies. Federal and state grant funds are considered to be earned to the extent of qualifying expenditures made under the provisions of the grants. When such funds are advanced to the District, they are recorded as deferred revenues until earned. Otherwise, federal and state grant funds are received on a reimbursement basis from the respective federal and state program agencies or pass-through entities.
The District did not elect to use the de minimis indirect cost rate permitted under the Uniform Guidance. Certain federal programs, including the WIC Special Supplemental Nutrition Program for Women, Infants, and Children, utilized an approved indirect cost allocation plan issued by the Texas Health and Human Services Commission. For fiscal year 2025, the approved indirect cost rate applicable to the WIC program was 21.51%. Indirect costs were charged to applicable grants in accordance with the approved indirect cost rate agreement.
The District did not generate program income. Accordingly, no program income was used to reduce the amount of federal or state funds expended in providing the programs. Similarly, any program expenditures funded in cash or kind to meet the District’s matching contributions, where applicable, to grant budgets have not been included in the amounts reported on the Schedule.
Expenditures included on the Schedule may differ from amounts reflected in the financial reports submitted to grant awarding agencies and pass-through entities because of the following reasons: 1. Expenses accrued at the end of the District’s fiscal year may not have been included in the financial reports submitted to grant awarding agencies until after fiscal year-end. 2. Program matching costs that are reported, where applicable, in the financial reports submitted to grant awarding agencies are not included in the amounts reported on the Schedule; and 3. Differences may exist between grant periods and the District’s accounting period.
Federal and state grants require the fulfillment of certain conditions set forth in grant agreements, and may be regularly monitored and reviewed by grantors, both during and after the programs. Failure to satisfy the requirements of contract agreements could result in disallowed costs and return of funds to grantors. Management believes that the District is in substantial compliance with grant provisions and requirements and that disallowed costs, if any, will not be significant to affect the amounts and disclosures in the Schedule or the District’s basic financial statements.
The District did not provide any federal awards to subrecipients during the year ended September 30, 2025.

Finding Details

Finding 2025-005: Period of Performance – Material Weakness Name of Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture Federal Program Names: Health Center Program Cluster Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) WIC Special Supplemental Nutrition Program for Women, Infants, and Children Federal Assistance Listing Number: 93.224 and 10.557 Federal Award Identification Number and Year: H800344 – 2024 through 2026, 256TX507Q1003 for all programs except for PEER program – 2025, 256TX527Q5003 and 246TX527W5003 for PEER program - 2025 Criteria: In accordance with §200.309, Period of Performance, and applicable program requirements, Federal award expenditures are required to be incurred within the approved period of performance specified in the award agreement. Costs incurred before the beginning date or after the ending date of the approved period of performance are generally unallowable unless specifically authorized by the Federal awarding agency. Condition and Context: See material weakness in internal control over financial reporting item 2025-001. Audit procedures identified that payroll periods overlapping the fiscal year-end were not properly allocated. Specifically, for the WIC (10.557) and Health Center (93.224) programs, the District incorrectly included three days of salary from the prior fiscal year (September 2024) while failing to accrue four days of salary earned within the current fiscal year (September 2025). The cumulative impact of these errors resulted in a net understatement of $20,957 in SEFA expenditures as follows: WIC (10.557): $1,477 Understatement Health Center (93.224): $19,480 Understatement Cause: See material weakness in internal control over financial reporting item 2025-001. Effect or Potential Effect: As discussed in the material weakness in internal control over financial reporting item 2025-001, the schedule of expenditures of federal awards was under accrued as of year end. Questioned Costs: None. The costs were determined to be allowable and substantiated; however, they were reported in the incorrect fiscal period. Identification of Repeat Finding: Yes. (A similar deficiency was identified in the prior year as Finding 2024-002) Recommendation: See material weakness in internal control over financial reporting item 2025-001. View of Responsible Officials: See material weakness in internal control over financial reporting item 2025-001.
Finding 2025-006: Reporting – Material Weakness Name of Federal Agency: U.S. Department of Health and Human Services U.S. Department of Agriculture Federal Program Names: Health Center Program Cluster Health Center Program Cluster (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) WIC Special Supplemental Nutrition Program for Women, Infants, and Children Federal Assistance Listing Number: 93.224 and 10.557 Federal Award Identification Number and Year: H800344 – 2024 through 2026, 256TX507Q1003 for all programs except for PEER program – 2025, 256TX527Q5003 and 246TX527W5003 for PEER program - 2025 Criteria: In accordance with §200.328, Financial Reporting, annual audit reports of recipients of federal funds are required to be submitted to the Federal Audit Clearing House within the earlier of 30 days after the receipt of the audit report or nine months after the end of the audit period. Also, recipients are required to submit accurate and timely financial and programmatic reports, including Federal Financial Reports, progress reports, and other performance reports. Condition and Context: During the audit, it was identified two out of seven tested reports were remitted one day later than the report deadline, and the annual single audit reporting package was remitted after the nine months of the District fiscal year end September 30, 2025. Cause: The District lacks timely review of the associated documentation in order to make sure the required reports are remitted on time. This deficiency was compounded by the significant turnover in key accounting and finance personnel identified in the prior year and during the audit process, which prevented the District to timely review. Effect or Potential Effect: Untimely reporting increases the risk of noncompliance with federal requirements, may subject the District to additional scrutiny by grantor agencies, and could adversely affect the District's eligibility for low-risk auditee status in future Single Audits. Questioned Costs: None. Recurring Finding: No. (New finding for the fiscal year ended September 30, 2025). Recommendation: We recommend the District strengthen its internal controls over compliance reporting by implementing procedures to monitor reporting deadlines, establish documented supervisory reviews before due dates, and maintain a reporting calendar with assigned responsibilities and backup personnel. View of Responsible Officials: Management acknowledges the finding and is committed to strengthening its review process.