Finding 1151198 (2024-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-08-27
Audit: 365058
Organization: Corewell Health & Affiliates (MI)

AI Summary

  • Core Issue: Three required FFATA reports were not submitted for subawards over $30,000, indicating a lack of compliance with the Transparency Act.
  • Impacted Requirements: Internal controls were insufficient, leading to unreviewed submissions of FFATA reports, risking incorrect information being reported.
  • Recommended Follow-Up: Strengthen internal controls and establish procedures for reviewing and submitting FFATA reports to ensure compliance moving forward.

Finding Text

Identification of the federal program: Federal Agency and Program Name: U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) Healthy Start Initiative Award Year(s): 2024 Assistance Listing #: 93.926 Criteria or specific requirement (including statutory, regulatory or other citation): 2 CFR 200.303 requires that the non-Federal entity must “(a) 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. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Under the requirements of the Federal Funding Accountability and Transparency Act (Pub. L. No. 109-282) (Transparency Act) that are codified in 2 CFR Part 170, “unless the auditee is exempt as provided in paragraph d. of this award term, the auditee must report each action that equals or exceeds $30,000 in Federal funds for a subaward to a non-Federal entity or Federal agency no later than the end of the month following the month in which the obligation was made.” Recipients of grants or cooperative agreements are required to report first-tier subawards of $30,000 or more to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) per submission instructions posted at http://www.fsrs.gov.Condition: During our audit, we noted three instances where the required Federal Funding Accountability and Transparency Act (FFATA) reports were not submitted in the FSRS in FY 2024. In addition, we noted for all four FFATA reports that were submitted in FSRS in FY 2024, there was no evidence of review and approval of the reports prior to submission. Cause: Corewell did not have sufficient internal controls to ensure that the required FFATA reports were submitted and that all reports are reviewed prior to submission. Effect or potential effect: Corewell did not submit the necessary FFATA report under the Healthy Start Initiative (HSI) project for each first-tier subaward modifications over $30,000 in FSRS and consequently was not in compliance with the requirements under the Transparency Act. Additionally, lack of review could potentially result in incorrect information included in the reports. Questioned costs: $0 Context: Under the HSI program, there were four subrecipients that had a total of seven subawards (four new agreements and three amendments) in FY 2024. The three subaward modifications for which FFATA reports were not submitted totaled $278,805. Total subrecipient’s costs are $736,165 in FY 2024. The total federal expenditures for the HSI program for FY 2024 were $1,108,849. Identification as a repeat finding, if applicable: Not a repeat finding.Recommendation: We recommend management strengthen its internal controls and procedures over the review of subrecipient awards and amendments to ensure the required FFATA reports are submitted to be in compliance with the Federal Transparency Act. In addition, we also recommend management to implement documenting the review of FFATA reports prior to their submission. Views of responsible officials: Management will develop a written procedure for FFATA reporting that includes specific instructions for reporting amended subawards throughout the award period. Additionally, the procedure will include review and approval of the report prior to submission. This process will be disseminated to the Office of Sponsored Programs team and reviewed on a regular basis for ongoing education and compliance purposes.

Categories

Subrecipient Monitoring Internal Control / Segregation of Duties Reporting

Other Findings in this Audit

  • 574755 2024-002
    Significant Deficiency
  • 574756 2024-001
    Material Weakness
  • 574757 2024-003
    Material Weakness
  • 1151197 2024-002
    Significant Deficiency
  • 1151199 2024-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $7.80M
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.29M
93.926 Healthy Start Initiative $1.11M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $1.04M
93.493 Congressional Directives $505,000
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $349,873
12.420 Military Medical Research and Development $336,625
93.914 Hiv Emergency Relief Project Grants $322,578
93.855 Allergy and Infectious Diseases Research $249,754
93.217 Family Planning Services $177,765
93.307 Minority Health and Health Disparities Research $165,150
93.136 Injury Prevention and Control Research and State and Community Based Programs $161,673
93.940 Hiv Prevention Activities Health Department Based $158,111
93.865 Child Health and Human Development Extramural Research $151,953
93.110 Maternal and Child Health Federal Consolidated Programs $149,992
93.304 Racial and Ethnic Approaches to Community Health $147,899
93.516 Public Health Training Centers Program $129,807
21.027 Coronavirus State and Local Fiscal Recovery Funds $112,167
93.276 Drug-Free Communities Support Program Grants $108,357
93.889 National Bioterrorism Hospital Preparedness Program $87,801
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $70,739
93.778 Medical Assistance Program $66,965
93.788 Opioid Str $65,897
93.835 Planning Grant for Healthcare and Public Health Sector Cybersecurity Information Sharing $62,282
93.994 Maternal and Child Health Services Block Grant to the States $59,488
93.866 Aging Research $51,385
93.395 Cancer Treatment Research $47,025
93.226 Research on Healthcare Costs, Quality and Outcomes $44,407
93.178 Nursing Workforce Diversity $42,165
93.185 Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects $35,736
93.959 Block Grants for Prevention and Treatment of Substance Abuse $27,611
93.859 Biomedical Research and Research Training $27,338
93.310 Trans-Nih Research Support $25,540
93.838 Lung Diseases Research $24,000
12.300 Basic and Applied Scientific Research $19,903
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $19,258
93.988 Cooperative Agreements for Diabetes Control Programs $19,121
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $17,371
93.397 Cancer Centers Support Grants $16,978
93.837 Cardiovascular Diseases Research $16,500
93.867 Vision Research $11,231
93.213 Research and Training in Complementary and Integrative Health $10,478
93.301 Small Rural Hospital Improvement Grant Program $5,205
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $5,095
93.113 Environmental Health $4,062
93.839 Blood Diseases and Resources Research $3,734
93.393 Cancer Cause and Prevention Research $3,520
93.399 Cancer Control $3,000
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $2,340
93.279 Drug Use and Addiction Research Programs $2,000
93.825 National Ebola Training and Education Center (netec) $1,464
93.361 Nursing Research $848