FAC Explorer

Corrective Action Plans

Browse how organizations respond to audit findings

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Finding 574586 (2023-004)
Material Weakness 2023
Bristol Bay Borough, Alaska
AK
Subrecipient Monitoring Material Weakness Reporting
Finding 2023-004: Reporting – Material Weakness in Internal Control Over Compliance and Material Noncompliance Name of Contact Person: James Wilson, Borough Manager/Acting Finance Director Corrective Action Plan: New controls are being put into place to ensure that all subawards over $30,000 are pro...
Finding 2023-004: Reporting – Material Weakness in Internal Control Over Compliance and Material Noncompliance Name of Contact Person: James Wilson, Borough Manager/Acting Finance Director Corrective Action Plan: New controls are being put into place to ensure that all subawards over $30,000 are properly and timely reported. Completion Date: September 30, 2025
View Audit 364808
Finding 574510 (2023-004)
Material Weakness 2023
Northshore University Healthsystem
IL
Questioned Costs Subrecipient Monitoring
Finding 2023-004 – Subrecipient Monitoring Assistance Listing 93.391, Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crisis. Management will use the system level policy and procedures related to sub-recipient assessment an...
Finding 2023-004 – Subrecipient Monitoring Assistance Listing 93.391, Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crisis. Management will use the system level policy and procedures related to sub-recipient assessment and monitoring that are in place from the Research department. We will leverage key resources within the organization to address areas of noncompliance. Responsible Official: Ashlee Jean Roffe, Director of Nutrition and Community Health, Community CARE
View Audit 364802 Questioned Costs: $1
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. A Board-approved Budgeting Policy was implemented and most recently revised in June 2025.
1. A Board-approved Budgeting Policy was implemented and most recently revised in June 2025.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. Separate budgets are now developed and maintained for federal, non-federal, and total project funds. Each federal award is budgeted and monitored independently.
2. Separate budgets are now developed and maintained for federal, non-federal, and total project funds. Each federal award is budgeted and monitored independently.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. Budget-to-actual activity is reviewed monthly using standardized variance reporting tools.
3. Budget-to-actual activity is reviewed monthly using standardized variance reporting tools.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
4. The CEO is responsible for ensuring that all expenditures align with the HRSA-approved total project budget.
4. The CEO is responsible for ensuring that all expenditures align with the HRSA-approved total project budget.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
5. Budget revisions are evaluated under 45 CFR § 75.308, and HRSA prior approval is requested when required.
5. Budget revisions are evaluated under 45 CFR § 75.308, and HRSA prior approval is requested when required.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
6. All budgets and budget modifications are approved by the Board of Directors and reflected in monthly financial management reports.
6. All budgets and budget modifications are approved by the Board of Directors and reflected in monthly financial management reports.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Action Plan:
Corrective Action Plan:
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. The Controller, outside account and CEO conduct monthly budget-to-actual reviews for all federal awards, using variance analysis tools.
1. The Controller, outside account and CEO conduct monthly budget-to-actual reviews for all federal awards, using variance analysis tools.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. Variance reports are submitted to the CEO and reviewed with the Finance Committee on a monthly basis.
2. Variance reports are submitted to the CEO and reviewed with the Finance Committee on a monthly basis.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. HRSA budget categories were added to the general ledger in 2024 to enable accurate expenditure tracking by category.
3. HRSA budget categories were added to the general ledger in 2024 to enable accurate expenditure tracking by category.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
4. Training on budget monitoring and federal requirements was conducted in June 2024 and will be repeated annually.
4. Training on budget monitoring and federal requirements was conducted in June 2024 and will be repeated annually.
View Audit 364765
Finding 574309 (2023-015)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
5. Budget compliance is reviewed quarterly as part of SCMRC’s internal financial monitoring processes.
5. Budget compliance is reviewed quarterly as part of SCMRC’s internal financial monitoring processes.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. Responsibility for tracking the period of performance for all federal grants was assigned to the Controller in April 2025, with oversight provided by the CEO and Finance Committee.
1. Responsibility for tracking the period of performance for all federal grants was assigned to the Controller in April 2025, with oversight provided by the CEO and Finance Committee.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. A centralized compliance calendar is now maintained to track grant start and end dates, obligation deadlines, and reporting due dates.
2. A centralized compliance calendar is now maintained to track grant start and end dates, obligation deadlines, and reporting due dates.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. Internal controls have been implemented within the accounting and review process to help ensure obligations and expenditures occur within approved grant timelines.
3. Internal controls have been implemented within the accounting and review process to help ensure obligations and expenditures occur within approved grant timelines.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
4. Monthly reviews of federal grant expenditures now include verification of the period of performance.
4. Monthly reviews of federal grant expenditures now include verification of the period of performance.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
5. A retrospective review of FY21–FY23 grant expenditures was initiated in 2025.
5. A retrospective review of FY21–FY23 grant expenditures was initiated in 2025.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
Corrective Action Plan:
Corrective Action Plan:
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
1. Period-of-performance tracking will be formally added to Finance Committee updates starting Q4 2025.
1. Period-of-performance tracking will be formally added to Finance Committee updates starting Q4 2025.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
2. The Controller and CEO will complete a comprehensive retrospective review of grant obligations spanning prior period end dates by December 2025, with appropriate documentation and HRSA notification as needed.
2. The Controller and CEO will complete a comprehensive retrospective review of grant obligations spanning prior period end dates by December 2025, with appropriate documentation and HRSA notification as needed.
View Audit 364765
Finding 574308 (2023-014)
Material Weakness 2023
South Central Medical and Resource Center, Inc.
OK
Subrecipient Monitoring
3. Internal audit checklists will be updated in Q4 2025 to include period-of-performance compliance for all sampled federal expenditures.
3. Internal audit checklists will be updated in Q4 2025 to include period-of-performance compliance for all sampled federal expenditures.
View Audit 364765
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