Audit 411922

FY End
2025-12-31
Total Expended
$43.14M
Findings
4
Programs
36
Year: 2025 Accepted: 2026-09-24
Auditor: KPMG

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1236301 2025-001 Material Weakness Yes L
1236302 2025-002 Material Weakness Yes I
1236303 2025-001 Material Weakness Yes L
1236304 2025-002 Material Weakness Yes I

Programs

ALN Program Spent Major Findings
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $11.27M Yes 0
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $9.67M Yes 0
16.753 CONGRESSIONALLY RECOMMENDED AWARDS $1.53M Yes 2
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA €” RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $977,114 Yes 0
93.253 POISON CENTER SUPPORT AND ENHANCEMENT GRANT $865,783 Yes 0
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $727,052 Yes 0
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $604,604 Yes 2
93.778 GRANTS TO STATES FOR MEDICAID $582,582 Yes 0
16.045 COMMUNITY-BASED VIOLENCE INTERVENTION AND PREVENTION INITIATIVE $526,943 Yes 0
16.575 CRIME VICTIM ASSISTANCE $446,134 Yes 0
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $411,053 Yes 0
93.788 OPIOID STR $316,817 Yes 0
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $286,333 Yes 0
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $223,934 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $219,434 Yes 0
93.924 RYAN WHITE HIV/AIDS PROGRAM DENTAL REIMBURSEMENT AND COMMUNITY BASED DENTAL PARTNERSHIP GRANTS $217,455 Yes 0
93.051 ALZHEIMER'S DISEASE DEMONSTRATION GRANTS TO STATES $183,480 Yes 0
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $182,053 Yes 0
93.104 COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED) $173,350 Yes 0
93.078 STRENGTHENING EMERGENCY CARE DELIVERY IN THE UNITED STATES HEALTHCARE SYSTEM THROUGH HEALTH INFORMATION AND PROMOTION $165,453 Yes 0
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $155,511 Yes 0
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $155,452 Yes 0
93.150 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) $151,260 Yes 0
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $141,839 Yes 0
84.063 FEDERAL PELL GRANT PROGRAM $116,965 Yes 0
16.738 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM $103,485 Yes 0
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $77,576 Yes 0
16.588 VIOLENCE AGAINST WOMEN FORMULA GRANTS $77,554 Yes 0
93.121 ORAL DISEASES AND DISORDERS RESEARCH $61,026 Yes 0
93.217 FAMILY PLANNING SERVICES $54,994 Yes 0
16.017 SEXUAL ASSAULT SERVICES FORMULA PROGRAM $40,148 Yes 0
93.397 CANCER CENTERS SUPPORT GRANTS $34,667 Yes 0
93.497 FAMILY VIOLENCE PREVENTION AND SERVICES/ SEXUAL ASSAULT/RAPE CRISIS SERVICES AND SUPPORTS $19,153 Yes 0
93.310 TRANS-NIH RESEARCH SUPPORT $10,724 Yes 0
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $5,256 Yes 0
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $138 Yes 0

Contacts

Name Title Type
SK32M9ZYA2M6 Charles Murdaugh Auditee
4046167744 Jennifer Turk Delibero Auditor
No contacts on file

Notes to SEFA

Grady is the pass-through recipient of federal grant funds from the U.S. Department of Agriculture’s Special Supplemental Food for Women, Infants and Children (WIC) Program through the Georgia Department of Community Health (the ”State”). Grady identifies eligible program participants and the State issues non-cash food voucher.

Finding Details

Finding No: 2025-001 Reporting: U.S. Department of Treasury U.S. Department of Justice Assistance Listing Number: 21.027 16.753 Programs: COVID-19 Coronavirus State and Local Fiscal Recovery Funds/City of Atlanta Diversion Center OJP - Congressionally Recommended Awards/City of Atlanta Diversion Center Award Years: October 1, 2022 – December 31, 2027 (a) Criteria or Requirement Per 2 CFR 200.303, a non-Federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Additionally, the specific requirements for activities allowed or unallowed are unique to each federal program and are found in the federal statutes, regulations, and the terms and conditions of the federal award pertaining to the program. (b) Condition Found, Including Perspective Of the 12 reimbursement requests tested during the fiscal year 2025 reporting period for the City of Atlanta Diversion Center, there was one reimbursement request that included $300 in which the request was approved for reimbursement and reimbursed by the federal agency, however, the expenditure was not substantiated by documentation and therefore was not allowable. (c) Possible Cause While the System performs a review of documentation before payments are requested for reimbursement, controls were not designed or implemented effectively to ensure that unallowable charges were not submitted for reimbursement by the federal agency. (d) Questioned Cost No questioned costs as amounts did not exceed the threshold for reporting. (e) Effect Federal funds were expended for unallowable amounts and evidence of the effective operation of management review controls was not consistently maintained in accordance with Federal requirements. (f) Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. (g) Repeat Finding in the Prior Year This finding is not a repeat finding. (h) Recommendation We recommend that the System strengthen controls over the management review process to prevent unallowable costs from being charged to Federal programs. (i) View of Responsible Officials Management concurs with the finding. While appropriate controls exist relative to management review of expenditures, opportunities exist to retrain staff and further enhance controls related to procedures for submission, review, and approval of expenditures before submission for reimbursement.
U.S. Department of Treasury U.S. Department of Justice Assistance Listing Number: 21.027 16.753 Programs: COVID-19 Coronavirus State and Local Fiscal Recovery Funds/City of Atlanta Diversion Center OJP - Congressionally Recommended Awards/City of Atlanta Diversion Center Award Years: October 1, 2022 – December 31, 2027 (j) Criteria or Requirement Per 2 CFR 200.303, a non-Federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Additionally, there are specific requirements for suspension and debarment for each federal program and are found in the federal statutes, regulations, and the terms and conditions of the federal award pertaining to the program. (k) Condition Found, Including Perspective Formal documentation was not maintained to evidence management’s follow up regarding potential suspension and debarment matches and vendor/supplier registration exemption request forms. (l) Possible Cause While the System performs a suspension and debarment review prior to vendor contracts being entered into and payments being made, controls were not implemented effectively to ensure that documentation was maintained to evidence management’s procedures over ensuring the vendor was not suspended or debarred. (m) Questioned Cost No questioned costs as amounts were noted. (n) Effect Federal funds were expended with vendors whom management did not maintain formal documentation to substantiate that the vendors were not subject to suspension or debarment in accordance with Federal requirements. (o) Statistical Validity The sample was not intended to be, and was not, a statistically valid sample. (p) Repeat Finding in the Prior Year This finding is not a repeat finding. (q) Recommendation We recommend that the System strengthen controls over maintaining documentation regarding the suspension and debarment validation performed over vendors. (r) View of Responsible Officials Management concurs with the finding. Appropriate controls are in place relative to suspension and debarment policies and procedures. Opportunities exist to further enhance controls related to documenting and maintaining formal documentation related to potential matches and exemption request forms