Finding 1182413 (2025-001)

Material Weakness Repeat Finding
Requirement
ABL
Questioned Costs
-
Year
2025
Accepted
2026-03-24
Audit: 393822
Organization: Loma Linda University (CA)

AI Summary

  • Core Issue: There is a significant internal control deficiency regarding compliance with federal guidelines for broadband service expenditures, leading to improper reimbursement practices.
  • Impacted Requirements: Non-compliance with Title 2, Part 200 regulations, specifically around allowable costs and internal controls, resulted in incorrect reporting of expenditures.
  • Recommended Follow-Up: Implement stronger internal controls to ensure full payments are made before reimbursement requests and correct the federal financial report to exclude unallowable expenditures.

Finding Text

Finding 2025-001: Internal control deficiency and noncompliance over Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting related to broadband services expenditures. Identification of the federal program: Assistance Listing Number 11.028 • Connecting Minority Communities Pilot Program • U.S. Department of Commerce • Federal award identification number: 06-09-C13050 • Federal award year: January 15, 2023 through January 14, 2026 Criteria or specific requirement (including statutory, regulatory or other citation): Title 2, Subtitle A, Chapter II, Part 200, Subpart D, 200.303 – Internal controls. 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 or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Title 2, Subtitle A, Chapter II, Part 200, Subpart E, 200.400 – Policy guide. The application of these cost principles is based on the fundamental premises that: (b) The non-Federal entity assumes responsibility for administering Federal funds in a manner consistent with underlying agreements, program objectives, and the terms and conditions of the Federal award. Title 2, Subtitle A, Chapter II, Part 200, Subpart E, 200.403 – Factors affecting allowability of costs. Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles. (b) Conform to any limitations or exclusions set forth in these principles or in the Federal award as to types or amount of cost items. (c) Be consistent with policies and procedures that apply uniformly to both federally-financed and other activities of the non-Federal entity. (e) Be determined in accordance with generally accepted accounting principles (GAAP), except, for state and local governments and Indian tribes only, as otherwise provided for in this part. (g) Be adequately documented. According to the Connecting Minority Communities Pilot Program Post-Award Frequently Asked Questions: Q. Can a CMC grantee use grant funds to prepay for multiple years of qualifying broadband service? A. Yes, so long as the cost and terms are reasonable, eligible under the NOFO, and the grantee makes full payment for that service during the grant’s two-year period of performance. Q. What is the process for disbursement of funds? What is the typical timeframe? A. Unless otherwise stated in a Specific Award Condition, the advance method of payment will be authorized. Non-Federal entities must time advance payment requests so that Federal funds are on hand for no more than 30 calendar days before being disbursed by Non-Federal entity for allowable award costs. According to the Federal Financial Report Instructions: • Federal Cash 10b – Cash Disbursements – Enter the cumulative amount of Federal fund disbursements (such as cash or checks) as of the reporting period end date. Disbursements are the sum of actual cash disbursements for direct charges for goods and services, the amount of indirect expenses charged to the award, and the amount of cash advances and payments made to subrecipients and contractors. • Federal Expenditures and Unobligated Balance 10e – Federal Share of Expenditures – Enter the amount of Federal fund expenditures. For reports prepared on a cash basis, expenditures are the sum of cash disbursements for direct charges for property and services; the amount of indirect expenses charged; and the amount of cash advance payments and payments made to subrecipients. For reports prepared on an accrual basis, expenditures are the sum of cash disbursements for direct charges for property and services; the amount of indirect expense incurred; and the net increase or decrease in the amounts owned by the recipient for (1) goods and other property received; (2) services performed by employees, contractors, subrecipients, and other payees; and (3) programs for which no current services or performance are required. Condition: During our testing over activities allowed or unallowed and allowable costs/cost principles, we observed management did not make full payment to prepay for multiple years of qualifying broadband services expenditures during the period under audit and submitted and received reimbursement for the broadband services expenditures greater than 30 calendar days before disbursement. In addition, during our testing over reporting, we observed management included the broadband services expenditures in the federal financial report for federal cash 10b – cash disbursements and federal expenditures and unobligated balance 10e – federal share of expenditures line items; however, as full payment was not made, these line items should exclude the broadband services expenditures. Cause: Management did not have effective internal controls in place over the compliance requirement as stated in the criteria or specific requirement section above. Effect or potential effect: Management submitted and received reimbursement from the grantor for broadband services expenditures without making full payment during the period under audit. In addition, the federal financial report incorrectly included the broadband services expenditures. Without effective internal controls, unallowed expenditures and incorrectly reporting expenditures could occur in the future. Questioned costs: $176,003 – Assistance Listing Number 11.028 – Federal award identification number – 06-09-C13050 Questioned costs were computed as the one individually significant expenditure selected for testing procedures. Questioned costs means an amount, expended or received from a Federal award, that (1) is noncompliance or suspected noncompliance with Federal statutes, regulations, or the terms and conditions of the Federal award or (2) at the time of the audit, lacked adequate documentation to support compliance. Context: During our testing over activities allowed or unallowed and allowable costs/cost principles, we observed an individually significant expenditure in the amount of $176,003 that was selected for testing procedures. The sampling was a statistically valid sample. The expenditure represented multiple years of qualifying broadband services to be incurred after the audit period. Management did not make full payment to prepay for multiple years of qualifying broadband services expenditures during the period under audit and submitted and received reimbursement for the broadband services expenditures greater than 30 calendar days before disbursement. In addition, management included the broadband services expenditures in the federal financial report for federal cash 10b – cash disbursements and federal expenditures and unobligated balance 10e – federal share of expenditures line items; however, as full payment was not made, these line items should exclude the broadband services expenditures. Identification as a repeat finding, if applicable: No. Recommendation: Management should make full payment of the broadband services expenditures prior to the end of the period of performance and develop and implement effective internal controls to ensure prepaid expenditures are in compliance with the activities allowed or unallowed and allowable costs/cost principles compliance requirements and reported correctly in the federal financial report. Views of responsible officials: Management has made full pre-payment for broadband services before the project period end date of January 14, 2026 to be in compliance and will implement a review of future prepaid expenditures, if applicable to any grants. Management has reviewed the reporting requirements of the Federal Financial Report and will implement a review to ensure that cash disbursements are accurately reported in future reports. Any discrepancies between sponsor communications and award agreements will be reviewed by management for correct interpretation and financial presentation.

Corrective Action Plan

Finding 2025-001 – Internal control deficiency and noncompliance over Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting related to broadband services expenditures Connecting Minority Communities Pilot Program During testing over the Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting compliance requirement, management did not have effective internal controls in place over the compliance requirements related to the award. Management submitted and received reimbursement from the grantor for broadband services expenditures without making full payment during the period under audit. In addition, management included the broadband services expenditures in the federal financial report for federal cash 10b – cash disbursements and federal expenditures and unobligated balance 10e – federal share of expenditures line items; however, as full payment was not made, these line items should exclude the broadband services expenditures. Management Response and Action Plan: Management has made full pre-payment for broadband services before the project period end date of January 14, 2026 to be in compliance and will implement a review of future prepaid expenditures, if applicable to any grants. Management has reviewed the reporting requirements of the Federal Financial Report and will implement a review to ensure that cash disbursements are accurately reported in future reports. Any discrepancies between sponsor communications and award agreements will be reviewed by management for correct interpretation and financial presentation. Responsible Person: Cindy Dickson, Executive Director/AOR- Research Innovation & Industry Relations Target Date: January 2026

Categories

Allowable Costs / Cost Principles Cash Management Reporting Internal Control / Segregation of Duties

Programs in Audit

ALN Program Name Expenditures
84.268 FEDERAL DIRECT STUDENT LOANS $125.31M
93.342 HEALTH PROFESSIONS STUDENT LOANS, INCLUDING PRIMARY CARE LOANS AND LOANS FOR DISADVANTAGED STUDENTS $24.32M
93.364 NURSING STUDENT LOANS $7.94M
84.063 FEDERAL PELL GRANT PROGRAM $2.76M
93.837 CARDIOVASCULAR DISEASES RESEARCH $2.09M
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $1.89M
11.028 CONNECTING MINORITY COMMUNITIES PILOT PROGRAM $1.74M
84.033 FEDERAL WORK-STUDY PROGRAM $1.47M
93.516 PUBLIC HEALTH TRAINING CENTERS PROGRAM $1.45M
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $1.29M
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $1.14M
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA - RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $964,795
93.838 LUNG DISEASES RESEARCH $866,229
93.157 CENTERS OF EXCELLENCE $775,973
93.394 CANCER DETECTION AND DIAGNOSIS RESEARCH $640,752
93.925 SCHOLARSHIPS FOR HEALTH PROFESSIONS STUDENTS FROM DISADVANTAGED BACKGROUNDS $629,649
93.213 RESEARCH AND TRAINING IN COMPLEMENTARY AND INTEGRATIVE HEALTH $574,216
84.038 FEDERAL PERKINS LOAN PROGRAM $455,874
93.191 GRADUATE PSYCHOLOGY EDUCATION $430,338
93.117 PREVENTIVE MEDICINE RESIDENCY $360,689
43.003 EXPLORATION $327,498
84.031 HIGHER EDUCATION INSTITUTIONAL AID $316,771
93.924 RYAN WHITE HIV/AIDS DENTAL REIMBURSEMENT AND COMMUNITY BASED DENTAL PARTNERSHIP GRANTS $312,376
93.393 CANCER CAUSE AND PREVENTION RESEARCH $258,314
93.398 CANCER RESEARCH MANPOWER $229,349
93.530 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PAYMENT $187,206
93.155 RURAL HEALTH RESEARCH CENTERS $179,237
93.866 AGING RESEARCH $179,215
93.121 ORAL DISEASES AND DISORDERS RESEARCH $176,713
10.001 AGRICULTURAL RESEARCH BASIC AND APPLIED RESEARCH $170,529
93.867 VISION RESEARCH $145,708
93.368 21ST CENTURY CURES ACT - PRECISION MEDICINE INITIATIVE $135,674
93.264 NURSE FACULTY LOAN PROGRAM (NFLP) $113,676
84.007 FEDERAL SUPPLEMENTAL EDUCATIONAL OPPORTUNITY GRANTS $87,748
93.989 INTERNATIONAL RESEARCH AND RESEARCH TRAINING $86,608
12.400 MILITARY CONSTRUCTION, NATIONAL GUARD $80,688
93.242 MENTAL HEALTH RESEARCH GRANTS $63,069
43.007 SPACE OPERATIONS $50,199
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $50,000
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $48,334
81.RD FLASH X-RAY RADIOGRAPHY (FXR) ACCELERATOR EXPERIMENTS AND DOSIMETRY $45,399
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $40,421
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $37,500
15.645 MARINE TURTLE CONSERVATION FUND $37,284
93.397 CANCER CENTERS SUPPORT GRANTS $31,408
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $21,291
93.859 BIOMEDICAL RESEARCH AND RESEARCH TRAINING $19,714
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $16,179
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $14,097
93.286 DISCOVERY AND APPLIED RESEARCH FOR TECHNOLOGICAL INNOVATIONS TO IMPROVE HUMAN HEALTH $12,757
93.395 CANCER TREATMENT RESEARCH $12,600
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $10,801
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $8,100
93.399 CANCER CONTROL $1,000