Finding 1187056 (2025-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-03-26
Audit: 394744
Organization: Mosaic Health System (MO)
Auditor: RSM US LLP

AI Summary

  • Core Issue: Mosaic submitted the reporting package late, missing the March 31, 2025 deadline by submitting on April 16, 2025.
  • Impacted Requirements: This finding affects compliance with Title 2 U.S. CFR Part 200.512(a), which mandates timely submission of audit reports to the Federal Audit Clearinghouse.
  • Recommended Follow-up: Mosaic should implement measures to ensure timely submission of all reporting packages to avoid future funding impacts.

Finding Text

Federal award agency: U.S. Department of Treasury Pass-through granting agency: Multiple Program name and ALN: COVID-19: Coronavirus State and Local Fiscal Recovery Funds - 21.027 Federal award identification number: Multiple Federal award year: 2024 Federal award agency: U.S. Department of Health and Human Services Pass-through granting agency: Curators of the University of Missouri Program name and ALN: Medical Student Education – 93.680 Federal award identification number: Multiple Federal award year: 2024 Criteria: Title 2 U.S. Code of Federal Regulations (CFR) Part 200.512(a) requires auditees to submit the reporting package, including the Data Collection Form (Form SF SAC), to the Federal Audit Clearinghouse (FAC) within the earlier of 30 calendar days after receipt of the auditor’s reports or nine months after the end of the audit period. Condition: The audited compliance report for Mosaic’s period of availability ended June 30, 2024 should have been submitted by March 31, 2025. This finding applies to multiple federal awards and pass-through entities reported in the audit, including Coronavirus State and Local Fiscal Recovery Funds (ALN 21.027) and Medical Student Education (ALN 93.680). Cause: The audit and data collection form were completed and submitted by March 31, 2025, but the final click to officially submit the form wasn’t completed until April 16, 2025. Effect or potential effect: Mosaic’s late reporting could impact future funding provided by federal agencies. Questioned Costs: None Recommendation: We recommend Mosaic ensure the reporting package, including the Data Collection Form, is submitted to FAC within the required timeframe. Views of responsible officials: Management acknowledges this finding. See page 11 for corrective action plan.

Corrective Action Plan

Management has implemented enhanced monitoring procedures, including assigning responsibility for validating the final Single Audit submission within the required deadlines, to ensure all required steps are completed timely in future periods. Mark Tighe, Director of Accounting, was responsible for the implementation of this corrective action plan. This corrective action plan has been fully implemented as of March 16, 2026.

Categories

Reporting

Other Findings in this Audit

  • 1187049 2025-001
    Material Weakness Repeat
  • 1187050 2025-001
    Material Weakness Repeat
  • 1187051 2025-001
    Material Weakness Repeat
  • 1187052 2025-001
    Material Weakness Repeat
  • 1187053 2025-001
    Material Weakness Repeat
  • 1187054 2025-001
    Material Weakness Repeat
  • 1187055 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $484,796
93.493 CONGRESSIONAL DIRECTIVES $162,563
93.107 AREA HEALTH EDUCATION CENTERS $126,954
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $50,139
93.680 MEDICAL STUDENT EDUCATION $25,000
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $17,901
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $11,151