Finding 1206213 (2025-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-04-09
Audit: 398186
Organization: The Metrohealth System (OH)

AI Summary

  • Core Issue: The System lacks adequate controls to ensure FFATA report submissions are complete and accurate.
  • Impacted Requirements: Compliance with FFATA reporting standards and 2 CFR 200.303 for internal controls over federal awards.
  • Recommended Follow-up: Implement a review process for FFATA submissions and maintain a log for internal reviews before submission.

Finding Text

Assistance Listing Number, Federal Agency, and Program Name - 66.616 - U.S. Environmental Protection Agency - Environmental and Climate Justice Community Change Grants Program Federal Award Identification Number and Year - 2024-00E04015 Pass-through Entity - N/A Finding Type - Material weakness Repeat Finding - No Criteria - The Federal Funding Accountability and Transparency Act (FFATA) as mended by Section 6202 of Public Las 110-252 requires recipients of federal awards to report data using the FFATA Subaward Reporting System (FSRS) Tool (pre-March 8, 2025) or SAM.gov (post-March 8, 2025). 2 CFR 200.303 requires that recipients and subrecipients receiving federal awards establish, document, and maintain effective internal control over the federal awards that provide reasonable assurance that the recipient or subrecipient is managing the federal awards in compliance with federal statutes, regulations, and the terms and conditions of the federal awards. Condition - While the System had controls over accumulating the data for inputs into the portal, it did not have an adequate control in place to ensure transactions subject to FFATA reporting were reviewed for completeness and accuracy upon submission. If Questioned Costs Are Not Determinable, Description of Why Known Questioned Costs Were Undetermined or Otherwise Could Not Be Reported - There were no questioned costs identified. Identification of How Questioned Costs Were Computed - There were no questioned costs identified. Context - The System's internal controls over FFATA reporting were not designed to review submissions of FFATA reports. The System did not have a formal review process to verify the completeness and accuracy of data submitted to SAM.gov, nor did it maintain a reconciliation between the accounting system's subaward records and the information entered into SAM.gov. There were no instances of noncompliance or questioned cost identified related to this lack of control. Cause and Effect - The System has not developed or implemented a review structure over the FFATA reporting process at the time of submission. As a result, the System was at increased risk of submitting inaccurate, incomplete, or untimely FFATA reports. Recommendation - The System should implement controls regarding review of prepared FFATA submissions to ensure that all required subaward data is accurately and timely reported to SAM.gov. Views of Responsible Officials and Planned Corrective Actions - Management concurs with this recommendation. MetroHealth will establish and maintain a log documenting FFATA report submission, with internal reviews of disclosures prior to submission.

Corrective Action Plan

Finding Number: 2025-001 Condition: While the System had controls over accumulating the data for inputs into the portal, it did not have an adequate control in place to ensure transactions subject to FFATA reporting were reviewed for completeness and accuracy upon submission. Planned Corrective Action: Management concurs with this recommendation. MetroHealth will establish and maintain a log documenting FFATA report submission, with internal reviews of disclosures prior to submission Contact person responsible for corrective action: Michele Benos, Manager, Grants Accounting and Brynna Baird, Manager, Sponsored Programs Anticipated Completion Date: 05/31/2026

Categories

Subrecipient Monitoring Reporting

Programs in Audit

ALN Program Name Expenditures
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $3.61M
66.616 ENVIRONMENTAL AND CLIMATE JUSTICE COMMUNITY CHANGE GRANTS PROGRAM $2.11M
97.036 COVID-19 - DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $1.71M
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $1.29M
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $1.03M
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $850,407
93.516 PUBLIC HEALTH TRAINING CENTERS PROGRAM $698,716
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA €” RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $496,564
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $466,768
16.575 CRIME VICTIM ASSISTANCE $404,966
93.788 OPIOID STR $391,563
93.917 HIV CARE FORMULA GRANTS $287,985
16.838 COMPREHENSIVE OPIOID, STIMULANT, AND OTHER SUBSTANCES USE PROGRAM $277,088
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $273,501
93.393 CANCER CAUSE AND PREVENTION RESEARCH $270,680
93.530 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PAYMENT $236,827
12.RD IDIQ Contract $226,267
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $204,146
93.137 COMMUNITY PROGRAMS TO IMPROVE MINORITY HEALTH $166,335
93.048 SPECIAL PROGRAMS FOR THE AGING, TITLE IV, AND TITLE II, DISCRETIONARY PROJECTS $161,244
93.926 HEALTHY START INITIATIVE $130,950
93.059 TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTRY $126,281
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $75,298
93.283 CENTERS FOR DISEASE CONTROL AND PREVENTION INVESTIGATIONS AND TECHNICAL ASSISTANCE $69,600
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $52,575
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $49,368
93.310 TRANS-NIH RESEARCH SUPPORT $44,804
93.837 CARDIOVASCULAR DISEASES RESEARCH $43,021
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $40,000
21.027 COVID 19: CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $37,734
93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS $21,652
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $20,478
93.810 PAUL COVERDELL NATIONAL ACUTE STROKE PROGRAM NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION $3,733
12.420 Military Medical Research and Development $2,150
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $140