Audit 414226

FY End
2025-09-30
Total Expended
$27.07M
Findings
33
Programs
30
Year: 2025 Accepted: 2026-09-30

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1239425 2025-003 Material Weakness Yes AB
1239426 2025-003 Material Weakness Yes AB
1239427 2025-003 Material Weakness Yes AB
1239428 2025-003 Material Weakness Yes AB
1239429 2025-003 Material Weakness Yes AB
1239430 2025-003 Material Weakness Yes AB
1239431 2025-003 Material Weakness Yes AB
1239432 2025-003 Material Weakness Yes AB
1239433 2025-003 Material Weakness Yes AB
1239434 2025-003 Material Weakness Yes AB
1239435 2025-003 Material Weakness Yes AB
1239436 2025-004 Material Weakness Yes M
1239437 2025-004 Material Weakness Yes M
1239438 2025-004 Material Weakness Yes M
1239439 2025-004 Material Weakness Yes M
1239440 2025-004 Material Weakness Yes M
1239441 2025-004 Material Weakness Yes M
1239442 2025-004 Material Weakness Yes M
1239443 2025-004 Material Weakness Yes M
1239444 2025-004 Material Weakness Yes M
1239445 2025-004 Material Weakness Yes M
1239446 2025-004 Material Weakness Yes M
1239447 2025-005 Material Weakness Yes L
1239448 2025-005 Material Weakness Yes L
1239449 2025-005 Material Weakness Yes L
1239450 2025-005 Material Weakness Yes L
1239451 2025-005 Material Weakness Yes L
1239452 2025-005 Material Weakness Yes L
1239453 2025-005 Material Weakness Yes L
1239454 2025-005 Material Weakness Yes L
1239455 2025-005 Material Weakness Yes L
1239456 2025-005 Material Weakness Yes L
1239457 2025-005 Material Weakness Yes L

Programs

ALN Program Spent Major Findings
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $7.55M Yes 3
84.215 INNOVATIVE APPROACHES TO LITERACY; PROMISE NEIGHBORHOODS; FULL-SERVICE COMMUNITY SCHOOLS; AND CONGRESSIONALLY DIRECTED SPENDING FOR ELEMENTARY AND SECONDARY EDUCATION COMMUNITY PROJECTS $6.85M Yes 3
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $2.18M Yes 0
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $1.56M Yes 0
14.913 HEALTHY HOMES PRODUCTION PROGRAM $863,641 Yes 0
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $519,577 Yes 0
14.905 LEAD HAZARD REDUCTION DEMONSTRATION GRANT PROGRAM $419,674 Yes 0
93.398 CANCER RESEARCH MANPOWER $263,702 Yes 0
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $215,529 Yes 0
93.421 STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION€™S HEALTH $195,647 Yes 0
93.838 LUNG DISEASES RESEARCH $162,759 Yes 0
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $128,518 Yes 0
93.213 RESEARCH AND TRAINING IN COMPLEMENTARY AND INTEGRATIVE HEALTH $125,976 Yes 0
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $102,159 Yes 0
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $65,183 Yes 0
16.575 CRIME VICTIM ASSISTANCE $52,101 Yes 0
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $35,333 Yes 0
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $27,957 Yes 0
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $22,710 Yes 0
93.242 MENTAL HEALTH RESEARCH GRANTS $19,963 Yes 0
93.080 BLOOD DISORDER PROGRAM: PREVENTION, SURVEILLANCE, AND RESEARCH $19,680 Yes 0
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $19,221 Yes 0
93.846 ARTHRITIS, MUSCULOSKELETAL AND SKIN DISEASES RESEARCH $17,068 Yes 0
93.310 TRANS-NIH RESEARCH SUPPORT $16,609 Yes 0
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $11,688 Yes 0
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $10,619 Yes 0
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $8,963 Yes 0
93.395 CANCER TREATMENT RESEARCH $6,429 Yes 0
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $5,046 Yes 0
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $4,406 Yes 0

Contacts

Name Title Type
U1L2PRKYF9T3 Thomas Ricci Auditee
8605458550 Alicia Caldwell Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of the Medical Center under programs of the federal government for the year ended September 30, 2025. The information in this 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 (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the operations of the Medical Center, it is not intended to and does not present the consolidated financial position, changes in net assets or cash flows of the Medical Center.

Finding Details

Agency: U.S. Department of Education and U.S. Department of the Treasury Federal Assistance Listing Number: 84.215N Innovative Approaches to Literacy; Promise Neighborhoods; Full-Service Community Schools; and Congressionally Directed Spending for Elementary and Secondary Education Community Projects; 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Award Year: 2025 Pass-Through Entity: State of Connecticut Judicial Branch Office, City of Hartford, State of Connecticut Department of Public Health, State of Connecticut Department of Social Services, State of Connecticut Department of Mental Health and Addiction Services, State of Connecticut Department of Children and Families, State of Connecticut Department of Housing Repeat finding and prior year finding number: 2024-002 Criteria: In accordance with 2 CFR §200.430(i) of the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), compensation for personal services charged to federal awards must be based on records that accurately reflect the work performed. When budget estimates are used for interim accounting purposes, they must: produce reasonable approximations of the activity actually performed, be reconciled to actual effort on a regular basis, and be adjusted in a timely manner to reflect significant changes in work activity. Documentation may include timesheets, effort certifications, payroll distribution reports, and other personnel activity records, and must be reviewed and approved by authorized personnel. Condition and Context: During our testing of payroll costs charged to the major federal programs, we selected 51 payroll transactions and noted that a documented hindsight review comparing actual employee effort to budgeted payroll allocations was not completed for any of the 51 selections tested. While the required hindsight review was not completed for the selections tested, there was evidence that the employees performed work on the applicable federal awards, and the amounts allocated were generally consistent with budgeted allocations. The sample was statistically valid. Questioned Costs: We were unable to quantify an amount of questioned costs. While a time and effort reporting was lacking for the items included in our sample, there was evidence of work performed on the grants and the amounts allocated aligned closely to the budget. Therefore, we were unable to quantify the amount of questioned costs. Cause: The Medical Center changed its procedures for documenting employee time allocations; however, formal processes were not established to document and regularly reconcile actual hours worked to budgeted allocations. As a result, hindsight reviews were not formally maintained to verify that payroll allocations were supported by employees' actual work performed. Effect: The lack of documentation of hindsight review increases the risk of inaccurate payroll cost allocations and potential noncompliance with federal grant requirements. Recommendation: The Medical Center should update its policies and procedures to require and document a formal hindsight review of employee working hours. This review should verify that actual hours worked align with budgeted hours, particularly in cases where payroll costs are allocated across multiple grants. The updated procedures should include clear guidelines for conducting and retaining evidence of such reviews to support accurate cost allocations and ensure compliance with federal grant requirements.
Agency: U.S. Department of Education and U.S. Department of the Treasury Federal Assistance Listing Number: 84.215N Innovative Approaches to Literacy; Promise Neighborhoods; Full-Service Community Schools; and Congressionally Directed Spending for Elementary and Secondary Education Community Projects; 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Award Year: 2025 Pass-Through Entity: State of Connecticut Judicial Branch Office, City of Hartford, State of Connecticut Department of Public Health, State of Connecticut Department of Social Services, State of Connecticut Department of Mental Health and Addiction Services, State of Connecticut Department of Children and Families, State of Connecticut Department of Housing Criteria: In accordance with 2 CFR § 200.332, pass-through entities are required to monitor the activities of their subrecipients as necessary to ensure that subawards are used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward, and that subaward performance goals are achieved. For subrecipients subject to the Single Audit requirements, the pass-through entity is also responsible for verifying that the subrecipient is audited as required by 2 CFR Part 200, reviewing applicable audit results, and taking appropriate follow-up action on audit findings related to the federal awards provided by the pass-through entity. Condition and Context: During our testing of the Medical Center's subrecipient monitoring activities, we tested 20 subrecipients and noted that the Medical Center did not timely obtain and review the applicable Single Audit reports of the 20 subrecipients. In addition, the Medical Center did not have a process in place to determine whether the subrecipients' Single Audit reports contained audit findings related to the Federal awards provided by the Medical Center and, if applicable, to document appropriate follow-up on such findings and related corrective actions. The sample was not statistically valid. Questioned Costs: None reported. Cause: The Medical Center not having formal policies and procedures in place for monitoring subrecipient compliance with applicable Single Audit requirements, including procedures for obtaining and reviewing Single Audit reports, identifying findings applicable to federal awards passed through by the Medical Center, and documenting the resolution and follow-up of applicable findings. Effect: The lack of timely review and follow-up of subrecipient Single Audit reports increases the risk that noncompliance or audit findings related to federal awards passed through by the Medical Center may not be identified and addressed timely. Recommendation: We recommend that management establish and implement procedures to timely obtain and review subrecipient Single Audit reports, identify findings related to Federal awards passed through by the Medical Center, and document appropriate follow-up and corrective actions, as applicable.
Agency: U.S. Department of Education and U.S. Department of the Treasury Federal Assistance Listing Number: 84.215N Innovative Approaches to Literacy; Promise Neighborhoods; Full-Service Community Schools; and Congressionally Directed Spending for Elementary and Secondary Education Community Projects; 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Award Year: 2025 Pass-Through Entity: State of Connecticut Judicial Branch Office, City of Hartford, State of Connecticut Department of Public Health, State of Connecticut Department of Social Services, State of Connecticut Department of Mental Health and Addiction Services, State of Connecticut Department of Children and Families, State of Connecticut Department of Housing Criteria: Pursuant to 2 CFR § 200.512(a), an auditee is required to submit the Single Audit reporting package and Data Collection Form within the earlier of 30 calendar days after receipt of the auditor's reports or nine months after the end of the audit period, unless a longer period is agreed to in advance by the cognizant or oversight agency for audit. Accordingly, the Medical Center's federal Single Audit reporting packages for the years ended September 30, 2025 and 2024 were required to be submitted no later than June 30, 2026 and 2025, respectively. Condition and Context: The Medical Center did not complete and submit its federal Single Audit reporting packages within the required filing periods. The reporting package for the year ended September 30, 2024, which was due June 30, 2025, was submitted in May 2026. Additionally, the reporting package for the year ended September 30, 2025 was not completed by its June 30, 2026 filing deadline. Questioned Costs: None reported. Cause: The Medical Center needed to complete certain internal compliance and administrative procedures before the federal Single Audits could be finalized. As a result, the audits were not completed and the related reporting packages were not submitted within the required filing period. Effect: The Medical Center did not comply with the federal Single Audit reporting requirements of 2 CFR § 200.512(a) for the year ended September 30, 2025 or 2024. The delayed submissions also resulted in the federal Single Audit reporting packages not being available to federal awarding agencies, pass-through entities, and other users within the timeframe prescribed by the Uniform Guidance. Recommendation: We recommend that the Medical Center establish and maintain a formal process to monitor federal Single Audit reporting deadlines and coordinate the timely completion of internal compliance and administrative procedures necessary to complete the Single Audit. The process should establish responsibilities and interim completion dates sufficiently in advance of the required filing deadline and include management monitoring of progress toward timely completion and submission of the reporting package.