Finding 1239611 (2025-002)

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

AI Summary

  • Core Issue: The preliminary Schedule of Expenditures inaccurately reported $2,662,417 as federal awards, which were not federal grants.
  • Impacted Requirements: This violates 2 CFR 200.510, which mandates accurate reporting of federal expenditures in the Schedule.
  • Recommended Follow-Up: Management should enhance internal controls to ensure proper identification and reporting of federal awards in future schedules.

Finding Text

Finding 2025-002 Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Assistance Listing No: 93.069, Public Health Emergency Preparedness Criteria or specific requirement (including statutory, regulatory or other citation): 2 CFR 200.510 requires that the “auditee must also prepare a Schedule of Expenditures of Federal Awards for the period covered by the auditee’s financial statements. The schedule must include the total Federal awards expended as determined in accordance with Section 200.502.” Condition: The preliminary Schedule included $2,662,417 in expenditures that were not federal grant awards. The final Schedule was corrected. Cause: The Corporation’s internal controls over the preparation of the Schedule were not sufficient to properly accumulate and accurately report all expenditures of federal awards. Effect or potential effect: Inaccurate or improper reporting of expenditures results in a misstated Schedule and can also potentially result in insufficient testing of the major programs or improper identification of major programs for audit purposes. Questioned costs: None. Part III – Federal Award Findings and Questioned Costs (continued) Context: Total expenditures included on the preliminary Schedule were $5,119,949 for the year ended December 31, 2025. Total federal expenditures on the final Schedule were $2,639,518. The preliminary schedule included $1,393,244 in expenditures related to state-based grant awards to support the Corporation’s poison control program. In addition, $1,269,173 in expenditures related to various state-based grant awards for other programs determined not to be federal awards and no longer reported on the Schedule. Identification as a repeat finding, if applicable: Not applicable. Recommendation: Management should design and implement internal controls to review new and existing awards and agreements to ensure federal awards are identified and expenditures of federal awards are accumulated for reporting on the Schedule. Views of responsible officials: Management agrees with the finding and will enhance internal controls over the grant management process to review and monitor grants awards and other agreements. Management will design and implement internal controls over the completeness and accuracy of the Schedule.

Corrective Action Plan

Finding 2025-002 – L. Reporting Identification of the federal program: Federal Agency: U.S. Department of Health and Human Services Assistance Listing No: 93.069, Public Health Emergency Preparedness Award Period: January 1, 2025 through December 31, 2025 Summary of finding: A material weakness in internal control over compliance was issues related to preparation of the Schedule of Expenditures of Federal Awards (the Schedule) for Norton Healthcare, Inc and Affiliates (the Corporation). The Corporation’s internal controls over the preparation of the Schedule were not sufficient to properly accumulate and accurately report expenditures of federal awards. Planned corrective action: To ensure accurate reporting of expenditures of federal awards on the Schedule, management will implement procedures for grants awarded by non-federal entities to determine if the Corporation is a subrecipient of federal funds including obtaining and retaining documentation of this conclusion directly from the awarding entity. Further, additional levels of review of this process as well as the compilation of the amounts reported on the Schedule will be implemented. Anticipated completion date: May 31, 2027 Responsible contact person: Jane Brooks

Categories

Reporting

Other Findings in this Audit

  • 1239610 2025-001
    Material Weakness Repeat
  • 1239612 2025-001
    Material Weakness Repeat
  • 1239613 2025-001
    Material Weakness Repeat
  • 1239614 2025-001
    Material Weakness Repeat
  • 1239615 2025-001
    Material Weakness Repeat
  • 1239616 2025-001
    Material Weakness Repeat
  • 1239617 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $638,946
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $439,979
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $323,731
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $183,516
93.273 ALCOHOL RESEARCH PROGRAMS $149,589
93.083 PREVENTION OF DISEASE, DISABILITY, AND DEATH THROUGH IMMUNIZATION AND CONTROL OF RESPIRATORY AND RELATED DISEASES $67,544
93.399 CANCER CONTROL $26,393
93.846 ARTHRITIS, MUSCULOSKELETAL AND SKIN DISEASES RESEARCH $1,623
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $178