Finding 1181238 (2025-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-03-18
Audit: 392528
Organization: Mercy Health (MO)

AI Summary

  • Core Issue: Internal controls for enrollment reporting to NSC are inadequate, risking inaccurate data submission.
  • Impacted Requirements: Compliance with Section 200.303 of the Uniform Guidance regarding effective internal controls over federal awards.
  • Recommended Follow-Up: Implement a reconciliation process, retain documentation for accuracy checks, and establish procedures for error report management.

Finding Text

Finding 2025-001 – N. Special Tests and Provisions – N6. NSLDS Reporting Identification of the federal program: Federal Agency: U.S. Department of Education Federal Cluster: Student Financial Assistance (SFA) Cluster Assistance Listing Nos.: 84.063, Federal Pell Grant Program, and 84.268, Federal Direct Student Loans Award Year: July 1, 2024–June 30, 2025 Criteria or specific requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: “The recipient and subrecipient must establish, document, and maintain effective internal control over the Federal award that provides reasonable assurance that the recipient or subrecipient is managing the federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. The internal controls should align with the guidance in ”Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the ”Internal Control — Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Condition: Internal controls over the review and approval of the enrollment report sent to the third-party servicer, National Student Clearinghouse (NSC), were not adequately designed or operating effectively as follows: • A record count reconciliation between the enrollment report submitted to the NSC and the number of files received by the NSC, and documentation over how any rejected records were addressed, is not performed as part of the internal control. • Details of the validation of student information included in the enrollment report for accuracy prior to being sent to the NSC were not retained by Mercy Health. • Details of the NSC error report and corrections made were not retained by Mercy Health. Cause: Mercy Health did not have adequately designed internal controls in place surrounding the enrollment reporting process to the National Student Loan Data System (NSLDS). Effect or Potential Effect: Mercy Health may not report accurate and complete enrollment data timely to the NSLDS. Questioned Costs: $0 Context: Total SFA Cluster expenditures reported in the schedule of expenditures of federal awards were $1,715,151, of which $674,824 represents Federal Pell Grant Program expenditures and $1,019,508 represents Federal Direct Student Loans. Identification as a Repeat Finding: This finding is not a repeat finding from the prior year. Recommendation: The internal control should be designed to include a reconciliation of records transmitted and received by NSC as well as maintain documentation over the review and approval of the enrollment report for accuracy and completeness prior to sending to NSC. Further, we recommend that documentation over rejections and details of NSC error report and corrections made should be retained to evidence the operating effectiveness of internal controls. Views of Responsible Officials: Mercy Health will implement a mandatory, documented reconciliation process for every submission, formalize the validation process and retain evidence of accuracy checks, and establish a procedure for downloading and retaining error reports. By implementing these actions, Southeast Missouri Hospital College of Nursing & Health Sciences will ensure compliance with federal regulations regarding the accuracy and timeliness of student enrollment reporting to the NSC and NSLDS.

Corrective Action Plan

Finding 2025-001 N. Special Tests and Provisions – N6. NSLDS Reporting Identification of the federal program: Federal Grantor: United States Department of Education Federal Cluster: Student Financial Assistance (SFA) Cluster Assistance Listing Nos.: 84.063, Federal Pell Grant Program, and 84.268, Federal Direct Student Loans Award Period of Performance: July 1, 2024–June 30, 2025 Condition: Internal controls over the review and approval of the enrollment report sent to the third-party servicer, National Student Clearinghouse (NSC), were not adequately designed or operating effectively as follows: • A record count reconciliation between the enrollment report submitted to the NSC and the number of files received by the NSC, and documentation over how any rejected records were addressed, is not performed as part of the internal control. • Details of the validation of student information included in the enrollment report for accuracy prior to being sent to the NSC were not retained by Mercy Health. • Details of the NSC error report and corrections made were not retained by Mercy Health. Views of Responsible Officials and Planned Corrective Actions: 1. Corrective Action: Record Count Reconciliation & Rejected Records • Implement a mandatory, documented reconciliation process for every submission. 2. Corrective Action: Pre-Submission Validation Documentation • Formalize the validation process and retain evidence of accuracy checks. 3. Corrective Action: Retention of NSC Error Reports & Corrections • Establish a procedure for downloading and retaining error reports. By implementing these actions, Southeast Missouri Hospital College of Nursing & Health Sciences will ensure compliance with federal regulations regarding the accuracy and timeliness of student enrollment reporting to the NSC and NSLDS. Responsible Party: Steve Ritter, Registrar and/or Deanna Sells, Business Officer Date of Completion: Phased implementation began in January 2026 and our action plan will be fully implemented as of the March 2026 enrollment reporting process.

Categories

Student Financial Aid Reporting Special Tests & Provisions Subrecipient Monitoring

Other Findings in this Audit

  • 1181237 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
84.268 FEDERAL DIRECT STUDENT LOANS $1.02M
84.063 FEDERAL PELL GRANT PROGRAM $674,824
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $548,136
17.280 WIOA DISLOCATED WORKER NATIONAL RESERVE DEMONSTRATION GRANTS $412,044
93.889 COVID-19: NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $396,911
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $389,470
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $289,629
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $264,355
93.493 CONGRESSIONAL DIRECTIVES $236,838
21.027 COVID-19: CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $225,436
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $71,226
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $64,696
93.969 PPHF GERIATRIC EDUCATION CENTERS $52,500
16.590 GRANTS TO ENCOURAGE ARREST POLICIES AND ENFORCEMENT OF PROTECTION ORDERS PROGRAM $47,043
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $34,759
16.575 CRIME VICTIM ASSISTANCE $22,865
93.870 COVID-19: MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $22,393
16.575 COVID-19: CRIME VICTIM ASSISTANCE $20,988
93.667 SOCIAL SERVICES BLOCK GRANT $15,925
93.671 FAMILY VIOLENCE PREVENTION AND SERVICES/DOMESTIC VIOLENCE SHELTER AND SUPPORTIVE SERVICES $15,681
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $14,787
10.558 CHILD AND ADULT CARE FOOD PROGRAM $14,028
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $14,017
93.945 ASSISTANCE PROGRAMS FOR CHRONIC DISEASE PREVENTION AND CONTROL $13,560
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $12,560
84.033 FEDERAL WORK-STUDY PROGRAM $10,759
84.007 FEDERAL SUPPLEMENTAL EDUCATIONAL OPPORTUNITY GRANTS $10,060
93.946 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS $10,000
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $6,000
14.231 EMERGENCY SOLUTIONS GRANT PROGRAM $5,773
16.839 STOP SCHOOL VIOLENCE $3,982