Finding 1239536 (2025-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-09-30
Audit: 414268
Organization: Upmc (PA)
Auditor: ERNST & YOUNG

AI Summary

  • Core Issue: UPMC failed to submit two FFATA reports on time, violating federal reporting requirements.
  • Impacted Requirements: Compliance with 2 CFR 170, which mandates timely reporting of subawards over $30,000.
  • Recommended Follow-Up: UPMC should enhance internal controls and maintain a tracking log for subawards and FFATA reports to ensure timely submissions.

Finding Text

FFATA Reporting Information of the federal program: Federal Grantor: U.S. Department of Health and Human Services Federal Cluster: None Assistance Listing No.: 93.243, Substance Abuse and Mental Health Services Projects of Regional and National Significance Federal Award Number: H79SP083245 Federal Award Period: September 30, 2024, through September 29, 2029 Criteria or specific requirement (including statutory, regulatory or other citation): Section 200.303 of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) states the following regarding internal control: “Establish, document, and maintain effective internal control over the Federal award that provides reasonable assurance that the recipient or subrecipient is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should align with the guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control-Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” Under the Federal Funding Accountability and Transparency Act (FFATA), Public Law 109-282, as implemented in Title 2 CFR Part 170, Reporting Subaward and Executive Compensation Information, recipients of grants or cooperative agreements who make first-tier subawards of $30,000 or more are required to register in the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). Subaward data, such as the subaward date, subawardee Unique Entity Identifier number, amount of subaward, subaward obligation/action date, date of report submission, and subaward number, are submitted through the FSRS and accessible to the general public through the USASpending.gov website. Reports are required to be submitted by the end of the month following the subaward date. Condition: During our testing of UPMC’s reporting, it was identified that two of the FFATA reports were not submitted within the timeframe designated by 2 CFR 170 Appendix A. (See the Notes to the SEFA for chart/table.) Furthermore, evidence of review and approval of the FFATA reports and Federal Financial Reports required to be reported under were not maintained. Cause: Policies and procedures and internal controls were in place but not consistently operating across the UPMC health system to ensure compliance with the reporting requirements under the Substance Abuse and Mental Health Services Projects of Regional and National Significance (Assistance Listing No. 93.243). Effect or potential effect: The timing deficiency noted in the FFATA reporting process resulted in noncompliance with federal regulations. Questioned costs: None. Context: Total subrecipient expenditures subject to FFATA reporting were $263,959 and total federal expenditures for Substance Abuse and Mental Health Services Projects of Regional and National Significance (Assistance Listing No. 93.243) were $1,342,955 for the year ended December 31, 2025. Total federal expenditures for the year ended December 31, 2025, were $45,791,146. Identification as a repeat finding, if applicable: No. Recommendation: UPMC should ensure all control policies related to the reporting compliance processes are operating consistently across the UPMC health system and that evidence of each control is maintained. We recommend UPMC maintain a tracking log of subawards and FFATA reports to ensure they are submitted within the required timeframe. Views of responsible officials: Management concurs with this finding.

Corrective Action Plan

Federal Agency: U.S. Department of Health and Human Services Assistance Listing No.: 93.243, Substance Abuse and Mental Health Services Projects of Regional and National Significance Condition: UPMC did not report three Federal Funding Accountability and Transparency Act (FFATA) to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS). Corrective Action Plan: UPMC will track FFATA reporting at the System level to ensure overall compliance. Expected Timeline to Completion: December 31, 2026 Responsible Party: UPMC Financial Integrity

Categories

Reporting Subrecipient Monitoring

Other Findings in this Audit

  • 1239535 2025-001
    Material Weakness Repeat
  • 1239537 2025-003
    Material Weakness Repeat
  • 1239538 2025-003
    Material Weakness Repeat
  • 1239539 2025-003
    Material Weakness Repeat
  • 1239540 2025-003
    Material Weakness Repeat
  • 1239541 2025-003
    Material Weakness Repeat
  • 1239542 2025-003
    Material Weakness Repeat
  • 1239543 2025-003
    Material Weakness Repeat
  • 1239544 2025-003
    Material Weakness Repeat
  • 1239545 2025-003
    Material Weakness Repeat
  • 1239546 2025-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $5.92M
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $1.70M
14.267 CONTINUUM OF CARE PROGRAM $1.03M
93.600 HEAD START $375,223
93.965 COAL MINERS RESPIRATORY IMPAIRMENT TREATMENT CLINICS AND SERVICES $351,354
93.253 POISON CENTER SUPPORT AND ENHANCEMENT GRANT $341,978
84.215J FULL SERVICE COMMUNITY SCHOOLS PROGRAM $341,441
93.211 TELEHEALTH PROGRAMS $341,080
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $331,960
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $310,838
93.788 OPIOID STR $291,489
93.493 CONGRESSIONAL DIRECTIVES $250,000
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $237,977
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $231,029
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $200,000
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $189,084
17.258 WIOA ADULT PROGRAM $175,500
93.556 MARYLEE ALLEN PROMOTING SAFE AND STABLE FAMILIES PROGRAM $170,612
93.658 FOSTER CARE TITLE IV-E $166,144
16.710 PUBLIC SAFETY PARTNERSHIP AND COMMUNITY POLICING GRANTS $139,143
84.268 FEDERAL DIRECT STUDENT LOANS $126,958
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $124,471
93.928 SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE $104,459
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $95,964
84.063 FEDERAL PELL GRANT PROGRAM $85,748
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $77,218
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $65,230
16.575 CRIME VICTIM ASSISTANCE $57,420
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $51,126
93.837 CARDIOVASCULAR DISEASES RESEARCH $47,959
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $45,000
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $39,863
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $35,042
16.738 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM $34,479
93.217 FAMILY PLANNING SERVICES $33,244
93.150 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) $24,417
64.028 POST-9/11 VETERANS EDUCATIONAL ASSISTANCE $23,728
93.304 RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH $21,655
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $18,568
93.297 TEENAGE PREGNANCY PREVENTION PROGRAM $13,840
93.667 SOCIAL SERVICES BLOCK GRANT $12,608
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $11,507
64.125 VOCATIONAL AND EDUCATIONAL COUNSELING FOR SERVICEMEMBERS AND VETERANS $11,255
17.278 WIOA DISLOCATED WORKER FORMULA GRANTS $6,500
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $6,500
93.599 CHAFEE EDUCATION AND TRAINING VOUCHERS PROGRAM (ETV) $5,000
84.126 REHABILITATION SERVICES VOCATIONAL REHABILITATION GRANTS TO STATES $2,750
94.006 AMERICORPS STATE AND NATIONAL 94.006 $1,452
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $1,000
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $-330
93.104 COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED) $-4,236