Finding 1230052 (2025-002)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2025
Accepted
2026-09-17
Audit: 411332
Organization: HENRY HEYWOOD MEMORIAL HOSPITAL (MA)

AI Summary

  • Core Issue: The Organization did not conduct required compliance audits for federal funds exceeding the threshold from 2021 to 2024.
  • Impacted Requirements: This oversight violates the Uniform Guidance, increasing risks of questioned costs and potential sanctions from federal agencies.
  • Recommended Follow-Up: Management should implement annual monitoring of federal expenditures and consult with funding agencies to address past noncompliance.

Finding Text

Criteria: Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires organizations that exceed the annual federal expenditure threshold to undergo a compliance audit of federal programs. Condition and Context: During our audit, we noted that the Organization expended federal funds in excess of the applicable Uniform Guidance audit threshold for the fiscal years 2021 through 2024; however, a Uniform Guidance audit was not completed for any of these years. Questioned Costs: N/A Cause and Effect: The Organization did not have adequate processes or oversight in place to monitor federal expenditures and ensure compliance with Uniform Guidance audit requirements, resulting in the oversight that a Single Audit was required for fiscal years 2021 through 2024. As a result, the Organization is not in compliance with Uniform Guidance requirements, which may increase the risk of questioned costs, potential funding implications, and heightened scrutiny from federal agencies or pass-through entities. Failure to comply with Uniform Guidance audit requirements may result in federal agencies' imposing sanctions, requiring repayment of funds, or restricting the Organization’s ability to receive future federal funding. In addition, there is an increased risk that noncompliance with grant requirements may not be identified and addressed on a timely basis. Repeat Finding: No Recommendation: We recommend that management establish procedures to monitor federal expenditures on an annual basis and ensure compliance with Uniform Guidance audit requirements. Management should also consult with funding agencies and regulatory bodies, as appropriate, to determine whether any corrective actions or retroactive reporting may be necessary to the address prior-year noncompliance. Views of Responsible Officials and Planned Corrective Actions: Management agrees with the finding. See attached Corrective Action Plan.

Corrective Action Plan

Condition Found: The Organization expended federal funds in excess of the applicable Uniform Guidance audit threshold for the fiscal years 2021 through 2024; however, a Uniform Guidance audit was not completed for these years. Individual Responsible for Corrective Action: John Bujak, Chief Financial Officer Planned Corrective Action: Management acknowledges the finding. Beginning with fiscal year 2026, the Organization will implement procedures to monitor federal expenditures throughout the year and as part of the annual financial reporting process. Responsibility for tracking federal awards and cumulative federal expenditures will be assigned to designated finance personnel, with oversight provided by the Chief Financial Officer. As part of the year end close process, management will perform a formal assessment of total federal expenditures to determine whether the Organization meets the requirements for a Uniform Guidance audit. The results of this assessment will be reviewed and documented annually. In addition, management will communicate with applicable funding agencies and advisors, as necessary, regarding prior-year federal expenditures and any actions that may be appropriate to address historical noncompliance with Uniform Guidance audit requirements. Anticipated Completion Date: September 30, 2026

Categories

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

Other Findings in this Audit

  • 1230049 2025-002
    Material Weakness Repeat
  • 1230050 2025-002
    Material Weakness Repeat
  • 1230051 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $1.98M
93.778 GRANTS TO STATES FOR MEDICAID $522,168
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $476,461
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $130,808