Finding 1239446 (2025-004)

Material Weakness Repeat Finding
Requirement
M
Questioned Costs
-
Year
2025
Accepted
2026-09-30

AI Summary

  • Core Issue: The Medical Center failed to timely obtain and review Single Audit reports for 20 subrecipients, risking noncompliance with federal requirements.
  • Impacted Requirements: Monitoring activities under 2 CFR § 200.332 were not adequately performed, leading to potential oversight of audit findings related to federal awards.
  • Recommended Follow-Up: Management should create formal procedures for timely review of Single Audit reports and ensure documentation of findings and corrective actions.

Finding Text

Agency: U.S. Department of Education and U.S. Department of the Treasury Federal Assistance Listing Number: 84.215N Innovative Approaches to Literacy; Promise Neighborhoods; Full-Service Community Schools; and Congressionally Directed Spending for Elementary and Secondary Education Community Projects; 21.027 COVID-19 Coronavirus State and Local Fiscal Recovery Funds Award Year: 2025 Pass-Through Entity: State of Connecticut Judicial Branch Office, City of Hartford, State of Connecticut Department of Public Health, State of Connecticut Department of Social Services, State of Connecticut Department of Mental Health and Addiction Services, State of Connecticut Department of Children and Families, State of Connecticut Department of Housing Criteria: In accordance with 2 CFR § 200.332, pass-through entities are required to monitor the activities of their subrecipients as necessary to ensure that subawards are used for authorized purposes, in compliance with Federal statutes, regulations, and the terms and conditions of the subaward, and that subaward performance goals are achieved. For subrecipients subject to the Single Audit requirements, the pass-through entity is also responsible for verifying that the subrecipient is audited as required by 2 CFR Part 200, reviewing applicable audit results, and taking appropriate follow-up action on audit findings related to the federal awards provided by the pass-through entity. Condition and Context: During our testing of the Medical Center's subrecipient monitoring activities, we tested 20 subrecipients and noted that the Medical Center did not timely obtain and review the applicable Single Audit reports of the 20 subrecipients. In addition, the Medical Center did not have a process in place to determine whether the subrecipients' Single Audit reports contained audit findings related to the Federal awards provided by the Medical Center and, if applicable, to document appropriate follow-up on such findings and related corrective actions. The sample was not statistically valid. Questioned Costs: None reported. Cause: The Medical Center not having formal policies and procedures in place for monitoring subrecipient compliance with applicable Single Audit requirements, including procedures for obtaining and reviewing Single Audit reports, identifying findings applicable to federal awards passed through by the Medical Center, and documenting the resolution and follow-up of applicable findings. Effect: The lack of timely review and follow-up of subrecipient Single Audit reports increases the risk that noncompliance or audit findings related to federal awards passed through by the Medical Center may not be identified and addressed timely. Recommendation: We recommend that management establish and implement procedures to timely obtain and review subrecipient Single Audit reports, identify findings related to Federal awards passed through by the Medical Center, and document appropriate follow-up and corrective actions, as applicable.

Corrective Action Plan

Corrective Action Planned: Management acknowledges the finding related to the lack of timely review and follow-up of subrecipient Single Audit reports. In FY2026, management has updated their policies and procedures as appropriate related to subrecipient monitoring and will perform such updated procedures as required. Name(s) of Contact Person(s) Responsible for Corrective Action: VP Accounting and Corporate Controller Anticipated Completion Date: Completion December 31, 2026

Categories

Subrecipient Monitoring

Other Findings in this Audit

  • 1239425 2025-003
    Material Weakness Repeat
  • 1239426 2025-003
    Material Weakness Repeat
  • 1239427 2025-003
    Material Weakness Repeat
  • 1239428 2025-003
    Material Weakness Repeat
  • 1239429 2025-003
    Material Weakness Repeat
  • 1239430 2025-003
    Material Weakness Repeat
  • 1239431 2025-003
    Material Weakness Repeat
  • 1239432 2025-003
    Material Weakness Repeat
  • 1239433 2025-003
    Material Weakness Repeat
  • 1239434 2025-003
    Material Weakness Repeat
  • 1239435 2025-003
    Material Weakness Repeat
  • 1239436 2025-004
    Material Weakness Repeat
  • 1239437 2025-004
    Material Weakness Repeat
  • 1239438 2025-004
    Material Weakness Repeat
  • 1239439 2025-004
    Material Weakness Repeat
  • 1239440 2025-004
    Material Weakness Repeat
  • 1239441 2025-004
    Material Weakness Repeat
  • 1239442 2025-004
    Material Weakness Repeat
  • 1239443 2025-004
    Material Weakness Repeat
  • 1239444 2025-004
    Material Weakness Repeat
  • 1239445 2025-004
    Material Weakness Repeat
  • 1239447 2025-005
    Material Weakness Repeat
  • 1239448 2025-005
    Material Weakness Repeat
  • 1239449 2025-005
    Material Weakness Repeat
  • 1239450 2025-005
    Material Weakness Repeat
  • 1239451 2025-005
    Material Weakness Repeat
  • 1239452 2025-005
    Material Weakness Repeat
  • 1239453 2025-005
    Material Weakness Repeat
  • 1239454 2025-005
    Material Weakness Repeat
  • 1239455 2025-005
    Material Weakness Repeat
  • 1239456 2025-005
    Material Weakness Repeat
  • 1239457 2025-005
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $7.55M
84.215 INNOVATIVE APPROACHES TO LITERACY; PROMISE NEIGHBORHOODS; FULL-SERVICE COMMUNITY SCHOOLS; AND CONGRESSIONALLY DIRECTED SPENDING FOR ELEMENTARY AND SECONDARY EDUCATION COMMUNITY PROJECTS $6.85M
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $2.18M
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $1.56M
14.913 HEALTHY HOMES PRODUCTION PROGRAM $863,641
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $519,577
14.905 LEAD HAZARD REDUCTION DEMONSTRATION GRANT PROGRAM $419,674
93.398 CANCER RESEARCH MANPOWER $263,702
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $215,529
93.421 STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION€™S HEALTH $195,647
93.838 LUNG DISEASES RESEARCH $162,759
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $128,518
93.213 RESEARCH AND TRAINING IN COMPLEMENTARY AND INTEGRATIVE HEALTH $125,976
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $102,159
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $65,183
16.575 CRIME VICTIM ASSISTANCE $52,101
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $35,333
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $27,957
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $22,710
93.242 MENTAL HEALTH RESEARCH GRANTS $19,963
93.080 BLOOD DISORDER PROGRAM: PREVENTION, SURVEILLANCE, AND RESEARCH $19,680
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $19,221
93.846 ARTHRITIS, MUSCULOSKELETAL AND SKIN DISEASES RESEARCH $17,068
93.310 TRANS-NIH RESEARCH SUPPORT $16,609
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $11,688
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $10,619
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $8,963
93.395 CANCER TREATMENT RESEARCH $6,429
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $5,046
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $4,406