Audit 412104

FY End
2025-12-31
Total Expended
$3.25M
Findings
4
Programs
2
Organization: Big Cities Health Coalition (MD)
Year: 2025 Accepted: 2026-09-25

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1236554 2025-002 Material Weakness Yes L
1236555 2025-003 Material Weakness Yes M
1236556 2025-002 Material Weakness Yes L
1236557 2025-003 Material Weakness Yes M

Contacts

Name Title Type
C6UEXSBZT9L1 Alice Kungu Auditee
2023080921 Lindsay Dean Auditor
No contacts on file

Notes to SEFA

The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the Federal award activity of BCHC under programs of the Federal Government for the year ended December 31, 2025. Information in the Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). The Schedule presents only a selected portion of the operations of BCHC; accordingly, it is not intended to and does not present the financial position, change in net assets or cash flows of BCHC.
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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. BCHC has elected to use the de minimis indirect cost rate as allowed under Uniform Guidance for all awards that do not explicitly state that indirect costs are not allowed.

Finding Details

Finding 2025-002 Federal Funding Accountability and Transparency Act Subaward Reporting Information on the Federal Programs: Federal Agency(ies): Department of Health and Human Services Federal Program(s): Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health Assistance Listing Number(s): 93.421 Pass-through Entity (if Applicable): None for the awards impacted by the finding. Award Identification Number and Year: 6 NU38PW0000-01-02, 5 NU38PW000033-02-01. Criteria or Specific Requirement (Including Statutory, Regulatory, or Other Citation): The Federal Funding Accountability and Transparency Act (FFATA), as implemented through 2 CFR Part 170, requires recipients of applicable Federal awards to report information on first-tier subawards to the FFATA Subaward Reporting System no later than the end of the month following the month in which the subaward was obligated. Timely reporting is required to ensure transparency and public accountability for the use of Federal funds.Condition: BCHC did register their subawards in the Federal Funding Accountability and Transparency Act Subaward Reporting System. However, the reports were submitted late. Cause: The Organization did not have adequate procedures in place to ensure that first-tier subawards were reported to the FFATA Subaward Reporting System within the required timeframe. Specifically, the reporting process was not adequately monitored to ensure compliance with the established reporting deadlines. Effect or Potential Effect: Late reporting reduces the timeliness of information available to the public and Federal agencies, which may impair transparency and accountability over Federal expenditures. Questioned Costs: None noted Context: Only one subrecipient was reported by BCHC on the Schedule of Federal Awards. Identification as a Repeat Finding, if Applicable: Not applicable Recommendation: We recommend that BCHC update its policies and procedures to ensure all first tier subawards in excess of $30,000 are accurately and timely registered with the Federal Funding Accountability and Transparency Act Subaward Reporting System. In addition, BCHC should ensure any subawards are reported within the required time-frame. The list of data elements that are required to be reporting for each subaward in excess of $30,000 includes the following:  Subaward Date;  Subawardee DUNS #;  Amount of Subaward;  Subaward Obligation/Action Date;  Date of Report Submission;  Subaward Number
Finding 2025-003 Subrecipients Information on the Federal Programs: Federal Agency(ies): Department of Health and Human Services Federal Program(s): Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health Assistance Listing Number(s): 93.421 Pass-through Entity (if Applicable): None for the awards impacted by the finding.Award Identification Number and Year: 6 NU38PW0000-01-02, 5 NU38PW000033-02-01. Criteria or Specific Requirement (Including Statutory, Regulatory, or Other Citation): Recipients that pass Federal funds through to subrecipients must:  Make subawards containing all information required by 2 CFR 200.332(a);  Evaluate each subrecipient's risk of noncompliance to determine the appropriate level of monitoring under 2 CFR 200.332(b);  Distinguish subrecipients from contractors in accordance with 2 CFR 200.331 and apply the appropriate requirements;  Maintain adequate policies, procedures, and accounting records to identify and track subaward expenditures separately from contractor expenditures; and  Not exceed fixed amount subawards in excess of the limitations established in 2 CFR 200.333. Condition: BCHC had established certain subrecipient oversight practices, including regular meetings with subrecipients and review of invoices prior to reimbursement. However, the Organization's subrecipient monitoring policies, procedures, and documentation did not fully meet the requirements of Uniform Guidance. Specifically:  BCHC issued fixed amount subawards that exceeded the maximum amount permitted under 2 CFR 200.333.  BCHC did not perform and document risk assessments of subrecipients prior to making awards.  Subaward agreements did not include all information required by 2 CFR 200.332(a).  BCHC did not consistently distinguish between subrecipients and contractors, as evidenced by the use of contractor procurement documentation (e.g., sole-source justifications) for subrecipient relationships and the commingling of subaward and consulting expenses within the general ledger.  While BCHC had established certain monitoring activities, it had not formalized written policies and procedures governing subrecipient determinations and monitoring responsibilities. Cause: BCHC had established certain practices for administering pass-through awards; however, formal written policies and procedures were not in place to comprehensively address subrecipient determinations, risk assessments, subaward issuance, monitoring, and accounting for subrecipient expenditures. In addition, available guidance and controls could be strengthened to better distinguish subrecipients from contractors, ensure all required information is included in subaward agreements, perform and document risk assessments, monitor compliance with fixed-amount subaward limitations, and separately track subaward expenditures. Effect or Potential Effect: These issues increase the risk that Federal funds may not be administered in accordance with Uniform Guidance requirements and that noncompliance by subrecipients may not be identified or addressed in a timely manner. Additionally, BCHC may be unable to demonstrate effective oversight of subawards or provide complete and accurate information regarding subrecipient expenditures.Questioned Costs: Undeterminable. BCHC maintained ongoing communication with and oversight of the subrecipient to monitor progress and completion of the funded activities. In addition, the subrecipient identified and reported the Federal award in its Uniform Guidance audit and no findings related to the award were reported. As a result, while the control deficiencies constitute noncompliance with Uniform Guidance requirements and increase the risk of undetected noncompliance, the auditor was not aware of any specific expenditures that were unallowable, unsupported, or improperly charged to the Federal program. Accordingly, questioned costs, if any, are undeterminable. Context: There was only one subrecipient during 2025 (with 3 separate awards). Identification as a Repeat Finding, if Applicable: This is not a repeat finding. Recommendation: We recommend that BCHC develop, document, and implement formal policies and procedures for the administration and monitoring of subawards in accordance with Uniform Guidance requirements. At a minimum, these procedures should require: (1) a documented assessment of subrecipient risk prior to issuing a subaward and periodic reassessment as appropriate; (2) inclusion of all required Federal award information in subaward agreements; (3) clear criteria and documentation supporting the determination of whether an entity is a subrecipient or contractor; (4) monitoring procedures commensurate with the assessed level of risk; (5) compliance with limitations applicable to fixed amount subawards; and (6) accounting procedures that separately identify and track subrecipient expenditures within the general ledger. In addition, BCHC should provide training to personnel responsible for Federal award administration to ensure Uniform Guidance requirements related to subrecipient monitoring are consistently applied and documented.