Finding 572347 (2024-002)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-07-30

AI Summary

  • Core Issue: The Corporation failed to submit financial statements to HUD within the required 180 days after the fiscal year, indicating a material weakness in compliance.
  • Impacted Requirements: The regulatory agreement mandates timely submission of financial statements, which was not met, leading to potential noncompliance with HUD regulations.
  • Recommended Follow-Up: Implement controls to ensure deadlines are met, including a policy for HUD requirements, regular communication between Finance and Compliance, and a checklist for tracking submissions.

Finding Text

Assistance Listing, Federal Agency, and Program Name 14.128, Mortgage Insurance Hospitals Federal Award Identification Number and Year N/A Pass through Entity N/A Finding Type Material weakness and material noncompliance with laws and regulations Repeat Finding No Criteria The regulatory agreement for the mortgage requires the corporation to submit financial statements prepared in accordance with the requirements of the Secretary within 180 days after the end of the fiscal year. Condition The Corporation did not submit the financial statements to HUD within 180 days of their fiscal year. Questioned Costs N/A If questioned costs are not determinable, description of why known questioned costs were undetermined or otherwise could not be reported N/A Identification of How Questioned Costs Were Computed N/A Context During our testing the financial statements were not submitted to HUD until March 31, 2025, which was past the 180 day deadline. Cause and Effect The lack of effective controls over financial reporting lead to the untimely submission of the financial statements. Recommendation We recommend that the Corporation implement controls to ensure that the reporting deadlines are met. Views of Responsible Officials and Planned Corrective Actions Sinai Health System has developed an action plan to ensure that financial statements and other materials are submitted in a timely fashion to lenders and are compliant with the HUD Regulatory Agreements. The action plan consists of the following components: o Development of a policy that outlines HUD requirements and identifies individuals responsible for meeting the requirements ; the Senior Finance Team and Compliance team should be educated on this annually. o Regular communication (no less than quarterly) between Finance and the Compliance Officer regarding HUD deadlines and deviation from these deadlines. o Development of a checklist that will be utilized by the Compliance and Finance departments regarding HUD requirements and deadlines. o Reporting to the Audit and Compliance Committee of the Board that the checklist has been completed/deadlines have been met. This will be a regular agenda item .

Corrective Action Plan

Finding Number: 2024-002 Condition The Corporation did not submit the financial statements to HUD within 180 days of their fiscal year. Planned Corrective Action: Sinai Health System has developed an action plan to ensure that financial statements and other materials are submitted in a timely fashion to lenders and are compliant with the HUD Regulatory Agreements. The action plan consists of the following components: o Development of a policy that outlines HUD requirements and identifies individuals responsible for meeting the requirements; the Senior Finance Team and Compliance team should be educated on this annually. o Regular communication (no less than quarterly) between Finance and the Compliance Officer regarding HUD deadlines and deviation from these deadlines. o Development of a checklist that will be utilized by the Compliance and Finance departments regarding HUD requirements and deadlines. o Reporting to the Audit and Compliance Committee of the Board that the checklist has been completed/deadlines have been met. This will be a regular agenda item. Contact person responsible for corrective action: Dimas Ortega - Vice President of Finance, Deputy Chief Financial Officer Anticipated Completion Date: 06/30/2025

Categories

HUD Housing Programs Reporting Material Weakness

Other Findings in this Audit

  • 572348 2024-003
    Material Weakness
  • 1148789 2024-002
    Material Weakness
  • 1148790 2024-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
14.128 Mortgage Insurance Hospitals $51.56M
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $1.64M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $952,616
93.516 Public Health Training Centers Program $673,983
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $673,309
93.788 Opioid Str $447,493
93.958 Block Grants for Community Mental Health Services $394,997
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $392,309
93.226 Research on Healthcare Costs, Quality and Outcomes $374,654
93.838 Lung Diseases Research $326,111
93.006 State and Territorial and Technical Assistance Capacity Development Minority Hiv/aids Demonstration Program $320,674
21.019 Covid-19 - Coronavirus Relief Fund $299,264
93.959 Block Grants for Prevention and Treatment of Substance Abuse $239,392
93.994 Maternal and Child Health Services Block Grant to the States $191,012
21.027 Covid-19 - Coronavirus State and Local Fiscal Recovery Funds $173,553
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $127,428
93.914 Hiv Emergency Relief Project Grants $115,661
17.289 Community Project Funding/congressionally Directed Spending $108,045
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $107,444
93.242 Mental Health Research Grants $81,017
93.667 Social Services Block Grant $80,084
93.070 Environmental Public Health and Emergency Response $40,000
16.575 Crime Victim Assistance $26,309
97.008 Non-Profit Security Program $15,847
93.917 Hiv Care Formula Grants $13,007
93.940 Hiv Prevention Activities Health Department Based $10,319
93.686 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B $6,286
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $2,153
93.307 Minority Health and Health Disparities Research $329