Finding 1240539 (2025-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2025
Accepted
2026-10-15
Audit: 414983
Auditor: BDO USA PC

AI Summary

  • Core Issue: The Organization failed to provide adequate evidence that required performance reports were reviewed and approved before submission to the granting agency.
  • Impacted Requirements: Compliance with 2 CFR 200.329(c)(1) and 2 CFR 200.303(a) regarding performance reporting and internal controls over federal awards.
  • Recommended Follow-Up: Establish formal internal controls and documentation for report reviews and approvals, especially for submissions through the Women & Minorities portal.

Finding Text

Finding 2025-004: Reporting and Internal Controls Identification of the Federal Program - US Department of Health and Human Services, 93.778 Grants to States for Medicaid Criteria - In accordance with 2 CFR 200.329(c)(1) recipients and subrecipients must submit performance reports as required by the Federal award. In accordance with 2 CFR 200.303(a) recipients and subrecipients of Federal Awards must establish, document, and maintain effective internal controls over the Federal award that provides reasonable assurance that they are managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Recipients and subrecipients of federal awards must maintain evidence that such internal controls were performed. Condition - The Organization was unable to provide sufficient and appropriate evidence that reports required under the federal program were reviewed and approved by appropriate personnel prior to submission to the granting agency. Additionally, the Organization was unable to provide sufficient and appropriate evidence that one out of five selected reports was prepared and submitted as required under the federal program. Cause - Due to a lack of formal documentation of current policies and procedures, the Organization did not maintain sufficient or appropriate evidence that reviews and approvals were performed for five of the five sampled reports. Due to a lack of formal policies and procedures, the Organization did not maintain sufficient or appropriate evidence that reports submitted through the Women & Minorities portal were prepared or submitted. Effect - Reports submitted to the granting agency may be incomplete or inaccurate. Questioned Costs – None Context - Management was unable to produce sufficient and appropriate evidence that five of the five reports selected for testing were reviewed and approved prior to submission to the granting agency. For one report selected, we noted the underlying data did not reconcile to the final report submitted to the granting agency. Additionally, for one report selected, the Organization was unable to provide sufficient and appropriate evidence that the report was prepared and submitted. Repeat Finding – No Recommendation - We recommend the Organization establish formal internal controls, and documentation of their performance, relating to the review and approval of reports by appropriate personnel who is knowledgeable of such reporting requirements. Additionally, we recommend the Organization develop internal controls relating to the documentation of reports submitted through the Women & Minorities portal. View of Responsible Officials - Management will formalize the review and approval process for required federal financial reports. Reports will be reviewed by appropriate personnel knowledgeable of grant requirements, and evidence of the review will be maintained.

Corrective Action Plan

Identifying Number: Finding 2025-004 - Reporting and Internal Controls Corrective Actions Taken or Planned: All required federal financial reports must have documented management review and approval before submission to the granting agency. Evidence of approval, including the reviewer, date of review, and final report submitted, will be retained with the grant reporting documentation. Reports will not be considered complete until evidence of review and approval has been documented. Person(s) Responsible: Essence Montgomery, CFO and Abdul Hadi, Director of Financial Accounting Anticipated Completion Date: October 15, 2026 Management Oversight & Next Steps: Management will communicate these control requirements to accounting personnel and responsible departments and incorporate them into current accounting policies and procedures. Documentation supporting the performance of each control will be retained as part of applicable workpapers and made available for management review and future audit testing.

Categories

Reporting Subrecipient Monitoring

Other Findings in this Audit

  • 1240536 2025-001
    Material Weakness Repeat
  • 1240537 2025-002
    Material Weakness Repeat
  • 1240538 2025-003
    Material Weakness Repeat
  • 1240540 2025-001
    Material Weakness Repeat
  • 1240541 2025-001
    Material Weakness Repeat
  • 1240542 2025-001
    Material Weakness Repeat
  • 1240543 2025-001
    Material Weakness Repeat
  • 1240544 2025-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $10.79M
14.267 CONTINUUM OF CARE PROGRAM $1.08M
93.778 GRANTS TO STATES FOR MEDICAID $929,974
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $755,357
93.530 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PAYMENT $448,644
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $413,194
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $191,706
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $173,887
84.126 REHABILITATION SERVICES VOCATIONAL REHABILITATION GRANTS TO STATES $109,816
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $91,938
93.366 STATE ACTIONS TO IMPROVE ORAL HEALTH OUTCOMES AND PARTNER ACTIONS TO IMPROVE ORAL HEALTH OUTCOMES $54,628
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $13,919
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $11,950
84.187 SUPPORTED EMPLOYMENT SERVICES FOR INDIVIDUALS WITH THE MOST SIGNIFICANT DISABILITIES $4,150