Finding 1215849 (2025-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-05-28

AI Summary

  • Core Issue: Sunset Park failed to report $1,267,956 in expenditures for the Ryan White HIV/AIDS Program Parts A and B on the SEFA from 2021-2024 due to not identifying it as a federal award initially.
  • Impacted Requirements: This oversight violated OMB Uniform Guidance 2 CFR 200.510(b)(3), which mandates accurate reporting of federal awards on the SEFA.
  • Recommended Follow-Up: Enhance controls for identifying federal grants during setup and improve completeness checks in SEFA preparation and review processes.

Finding Text

2025-001: SEFA Reporting Significant Deficiency - Ryan White HIV/AIDS Program Parts A and B Federal Agency: Department of Health and Human Services Pass-through Entity: New York City Department of Health and Mental Hygiene Program: Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program Parts A and B Assistance Listing #: 93.686 Grant Period: 3/1/21-2/28/26 Criteria OMB Uniform Guidance 2 CFR 200.510(b)(3) requires that the auditee provide the Federal awards expended for each individual Federal program on the Schedule of Expenditures of Federal Awards (“SEFA”). In accordance with 2 CFR 200.502, the determination of when a Federal award is expended, and thereby reported on the SEFA, is generally based on when the activity related to the Federal award occurs. Condition The Ryan White HIV/AIDS Program Parts A and B grant is a cost reimbursement based grant that reimburses award recipients for expenditures incurred on this program, which seeks to address health inequities faced by members of New York City’s (NYC) priority populations with HIV and was first granted in March 2021. Sunset Park has not included the expenditures incurred under this grant on the SEFA until FY2025 when it was first identified. As a result, the expenditures reported by Sunset Park on its SEFA from 2021-2024 were understated by the entire amount of the grant’s expenditures incurred in each respective year. This has been corrected by management in the 2025 SEFA included in this report. There was no impact to our prior year audit scoping given the expenditures in each respective year would not have changed the prior determination of major programs. The cumulative amount of expenditures under this award was included on the 2025 SEFA and included as a major program. Cause When this grant was initially awarded in early 2021, the Assistance Listing Number (ALN) was not identified at the time of grant setup, therefore, the award wasn’t identified as a federal award. During the annual preparation of the SEFA in the subsequent years, the award was omitted from the SEFA due to the fact that it was not identified as a federal grant within the grant listings. Effect Failure to properly identify this grant as a federal award resulted in the underreporting of federal expenditures incurred from 2021 through 2024 by $1,267,956. This was corrected in the 2025 SEFA included in this report, as such the entire cumulative expenditure amount previously underreported was reported in the current year SEFA. The major program determination and audit scoping for the 2025 audit resulted in this award being selected for testing as a major program. If the expenditures had been properly reported in each respective year’s SEFA, the major program determination and audit scoping would not have been impacted. This is not a repeat finding. Questioned Costs None Recommendation We recommend Sunset Park enhance their controls around identification of federal grants at the time of grant setup as well as enhanced completeness controls as part of the preparation and review of the SEFA. Management’s Views and Corrective Action Plan Refer to Management’s View’s and Corrective Action Plan at the end of the report.

Corrective Action Plan

SEFA Reporting Significant Deficiency - Ryan White HIV/AIDS Program Parts A and B Management’s Views and Opinion Sunset Park Health Council, Inc. acknowledges the finding and agrees that the Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program Parts A and B grant should have been identified and reported as a federal award on the Schedule of Expenditures of Federal Awards (“SEFA”) beginning with the applicable award period. Management notes that the omission resulted from the Assistance Listing Number (“ALN”) not being identified at the time of the initial grant setup, which impacted the subsequent classification of the award for SEFA reporting purposes. Once identified during the FY2025 audit process, management corrected the matter by including the cumulative federal expenditures under the award on the FY2025 SEFA. Management also notes that there were no questioned costs and that the omission did not impact the prior-year major program determinations. Sunset Park is committed to strengthening its grant setup, award identification, and SEFA review controls to ensure that all federal awards, including federal pass-through awards, are accurately identified, classified, and reported in accordance with Uniform Guidance. The corrective actions described below are intended to improve the completeness and accuracy of federal award reporting and to prevent similar omissions in future reporting periods. Corrective Action Plan: To mitigate this risk, the following controls and procedures will be implemented: 1. Quarterly Grant Review All active and new grants will be reviewed on a quarterly basis by the Director of Grants and Grant Accountants to ensure completeness and accuracy of key award data, including CFDA/ALN identification. Any discrepancies will be identified and corrected timely. 2. AAW (Award Authorization Workflow) Control All Award Authorization Work (AAW) forms submitted to NYU Research Data Management (RDM) will require review and initial approval by the Director of Grants prior to submission, confirming that all required fields, including CFDA/ALN, are complete. 3. RDM Submission Verification Each submission to RDM will require confirmation and acknowledgment that all award data has been properly entered and recorded for both new and existing grants. 4. Chartstring Verification Control As part of the chartstring distribution process, Grant Accountants will confirm that all relevant grant attributes, including CFDA/ALN numbers, have been accurately established and communicated to program teams. 5. SEFA and Interim Review Procedures During interim reviews and annual SEFA preparation, each Grant Accountant will verify that all assigned grants are properly classified as federal or non-federal and that all applicable CFDA/ALN numbers are included and accurately reported. Responsible Parties: • Director of Grants • Grant Accountants • NYU Research Data Management (RDM) Implementation Timeline: Full implementation of corrective actions by August 31, 2026 Training: Grants Fiscal staff will undergo CFDA/ALN identification and SEFA reporting training by August 31, 2026. Training will be recorded and incorporated into onboarding for new staff. Conclusion: These corrective actions strengthen internal controls over grant setup and reporting, ensuring accurate identification of federal funding sources and completeness of SEFA reporting in compliance with Uniform Guidance. Responsible Individual Leonardo Arias Email: Leonardo.Arias@nyulangone.org

Categories

Reporting

Other Findings in this Audit

  • 1215850 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Community Health Centers, Section 330, Federally Qualified Health Center $14.94M
10.557 Special Supplemental Food Program for Women, Infants and Children $14.90M
93.224 Community Health Centers, Section 330H, Federally Qualified Health Center $3.81M
93.686 Ending the HIV Epidemic: A Plan for America — Ryan White HIV/AIDS Program Parts A and B $1.80M
93.527 QUALITY IMPROVEMENT FUND-MATERNAL HEALTH $1.08M
93.516 Community Health Worker Training Program $650,412
93.918 Ryan White, Part C, Outpatient Early Intervention Services HIV/AIDS Disease $621,219
93.914 HIV Emergency Relief Project Grants (Ryan White HIV/AIDS Program Part A) $614,986
93.243 MAT-PDOA 2.0 (Medication Assisted Treatment-Prescription Drug and Opioid Addiction) $531,559
93.243 Family Health Centers at NYU Langone Center for Child Trauma Treatment $508,615
93.732 Integrated Substance Use Disorder (SUD) Training Program $451,423
93.939 Healthy Futures: High-Impact HIV Prevention Program Serving Brooklyn NY $407,929
93.092 Personal Responsibility Education Program (PREP2) $371,757
93.060 Sexual Risk Avoidance Education Program $294,700
93.958 OnTrackNY program $292,167
10.558 CHILD AND ADULT CARE FOOD PROGRAM $274,403
93.235 Central Brooklyn Sexual Risk Avoidance Education (SRAE) Program $265,034
93.243 FHC Project LAUNCH $261,756
93.243 Prevention Navigation Project $258,188
93.924 Community Based Dental Partnership Program, Ryan White, Part F $254,238
93.958 Enhanced Treatment and Recovery (EnTRy) program $249,915
93.924 Community Based Dental Partnership Program, Ryan White, Part F (Arizona) $249,633
84.002A Workforce Innovation and Opportunity Act Title II and Welfare Education Program $239,188
93.778 Comprehensive Adolescent Pregnancy Prevention $238,052
93.224 FY 2023 Early Childhood Development $222,459
93.224 Accelerating Cancer Screening $179,819
84.425R COVID-19 NYC Early Learn Program $164,741
93.307 Reducing Disparities in Child Health $160,617
93.994 School Health Program, Maternal and Child Health Services, Block Grant to States $154,667
93.059 Postdoctoral Training in General, Pediatric and Public Health Dentistry and Dental Hygiene $151,419
94.006 Americorps Competitive Grant $131,645
93.918 Ryan White Title III HIV Capacity Development and Planning Grants $129,829
93.307 Partners IN CONTROL: Using Remote Monitoring Technology with Community Health Workers $114,239
20.513 Section 5310 Program; Enhanced Mobility of Seniors and Individuals with Disabilities $107,256
93.837 Maternal Health Implementation Project - Phase 2 $104,880
94.006 Americorps - Food Security Grant $85,776
93.732 Mental & Behavioral Health Education & Training Grants $73,470
93.307 Do no digital harm. A multilevel evaluation of technology-facilitated team care on the patient-provider relationship in health disparity populations $64,589
93.068 NYC CANCER OUTREAACH NETWORK IN NEIGHBORHOODS FOR EQUITY AND COMMUNITY TRANSLATION $63,551
93.994 Comprehensive Adolescent Pregnancy Prevention $59,513
93.959 Multidisciplinary Addiction Training Scholarship $56,924
93.994 School-Based Dental Sealant Program $49,491
93.226 Reducing Disparities in Colorectal Cancer Screening $34,062
93.527 FY 2023 Bridge Access Program $33,284
14.191 Shore Hill Housing Rose Community Management $30,445
93.870 MIECHV DOH Healthy Families $28,413
93.226 Matter 2: An AI-Driven Approach $21,930
93.866 The Role of Visit Audio Recordings in Triadic Dementia Care $19,264
93.186 Ruth K. Kirchstein National Research Service Award (NRSA)- Institutional Research $14,020
93.527 COVID-19 FY 2023 Expanded COVID-19 Vaccination (ECV) $13,214
10.182 Farmers Market Promotion Program (FMPP) $11,950
94.006 Americorps $11,013
93.870 MIECHV DOH Healthy Families -American Recovery $7,422
93.044 Special Programs for the Aging Title III-C2 (NYC DFTA C80) $5,756
93.667 Social Services Block Grant (NYC DFTA C80) $1,583
93.243 (HIV CBI)- HIV Capacity Building Initiative Youth $-207
93.242 Expanding minority youth access to evidence-based care $-879