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March of Dimes IncNon-Profit

EIN: 131846366

UEI: C1MWG72JUMM1

Audited by: Grant Thornton LLP

Oversight agency: 93 [Department of Health and Human Services]

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Data as of September 7, 2026

March of Dimes Inc9 audit years5 findings1 repeat
9
Audit Years
5
Total Findings
1
Repeat Findings
$826.9K
Federal Awards Expended (FY 2024)

FY 2024-12-31

LOW-RISK AUDITEE$826,889 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on August 25, 2025. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by February 25, 2026 (199 days ago).

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FY 2023-12-31

LOW-RISK AUDITEE$1,236,825 federal awards expended

FAC accepted this audit on September 26, 2024 — management decision was due March 26, 2025.

2023-001
Procurement & Suspension/Debarment
SIGNIFICANT DEFICIENCYREPEAT OF 2022-002

For two (2) procurements made during fiscal year 2023, approval of the competitive bid analysis was not documented, and the analysis was not maintained with the related purchase order/vendor agreement. For a separate procurement during fiscal year 2023, the suspension and debarment check performed prior to execution of the agreement was not maintained or documented with the related purchase order/vendor agreement. Cause: Documentation supporting the procurement of contractors was not maintained in a logical manner to document the history of procurement. This finding was originally identified as part of the 2022 audit (2022-002) and reoccurred during 2023. Effect: Without appropriate documentation, the Organization may be unable to support whether the procurement of the vendors was performed in accordance with the procurement standards noted in Title 2 CFR Part 200.318. Questioned Costs: N/A Recommendation: Management should develop formal approval and record retention policies as it relates to the documentation pertaining to activities funded by federal awards. Views of Responsible Officials: Refer to Corrective Action Plan.

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Criteria: In accordance with Title 2 CFR Part 200.318, the Organization must maintain records to document the history of procurement of a vendor. Records include, but are not limited to, rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Condition: For two (2) procurements made during fiscal year 2023, approval of the competitive bid analysis was not documented, and the analysis was not maintained with the related purchase order/vendor agreement. For a separate procurement during fiscal year 2023, the suspension and debarment check performed prior to execution of the agreement was not maintained or documented with the related purchase order/vendor agreement. Cause: Documentation supporting the procurement of contractors was not maintained in a logical manner to document the history of procurement. This finding was originally identified as part of the 2022 audit (2022-002) and reoccurred during 2023. Effect: Without appropriate documentation, the Organization may be unable to support whether the procurement of the vendors was performed in accordance with the procurement standards noted in Title 2 CFR Part 200.318. Questioned Costs: N/A Recommendation: Management should develop formal approval and record retention policies as it relates to the documentation pertaining to activities funded by federal awards. Views of Responsible Officials: Refer to Corrective Action Plan.

Corrective Action Plan

Management agrees with the auditors’ comments, and the March of Dimes (MOD) has taken the following steps to strengthen the related internal controls. Due to transitions in personnel and decentralized filing systems the supporting documentation for the competitive bid process/sole source justification related to two procurement transactions and the suspension and debarment check related to one procurement item were not maintained. To address the document retention concerns MOD stood up Asana, a grant tracking system, during 2023 for project management and implemented a 7-step checklist for grant funded procurement that includes a centralized housing location for documentation. Asana and the complementary process were fully implemented in October 2023 with compliance overseen by the Office of Sponsored Projects (OSP) with regular support, guidance, and periodic validation from the Finance Office through weekly meetings with the Director of Grants Accounting. To further expand MOD staff knowledge and expertise regarding federal grant management, by the end of October 2023, all key finance and program personnel using grant funds for salary or other expenses and/or fulfilling grant goals and deliverables received a certificate for completing the Center for Disease Control Foundation’s Federal Grants Management training. By December 2024, MOD will host a virtual Federal Grant Management staff training for all key finance and program personnel that use federal grant funds. This training will include the recent revisions to 2 CFR 200. Beginning in January 2024, MOD also implemented grant on-boarding for staff using grant funds as new grant awards are received.

Prior Finding References

2022-002

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FY 2022-12-31

LOW-RISK AUDITEE$830,638 federal awards expended

FAC accepted this audit on October 1, 2023 — management decision was due April 1, 2024.

2022-001
Cash Management
SIGNIFICANT DEFICIENCY

For one reimbursement request made with the CDC, approval of the request was not documented. Cause: There was not adequate tracking of approval documentation with the cash management records. Effect: The Organization is unable to support whether the Organization?s policy for reimbursement requests was followed and whether approval occurred prior to the request was processed within the CDC payment management system. Questioned Costs: N/A Recommendation: We recommend that the Organization strengthen internal controls surrounding the cash management process to ensure appropriate documentation of the cash management review and approval workflow is maintained. Views of Responsible Officials: Due to transitions in personnel and systems, written support for the approval of a request for reimbursement was not available. A new Director of Grants Accounting was hired in August 2023 and has reviewed and been trained on the cash management policy. Effective October 2023, written supporting documentation of the review and approval of requests for reimbursement will be obtained and maintained by Grant Accounting staff, in accordance with March of Dimes policy and federal cash management requirements.

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Finding 2022-001 U.S. Department of Health and Human Services 93.421 ? Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation?s Health Cash Management (Significant Deficiency) Criteria: Per the Organization?s policy for submitting requests to the Centers for Disease Control (CDC) for reimbursement, and in accordance with Title 2 CFR Part 200.303, the Organization requires review and approval of such requests before they are processed through the CDC?s payment management system. Condition: For one reimbursement request made with the CDC, approval of the request was not documented. Cause: There was not adequate tracking of approval documentation with the cash management records. Effect: The Organization is unable to support whether the Organization?s policy for reimbursement requests was followed and whether approval occurred prior to the request was processed within the CDC payment management system. Questioned Costs: N/A Recommendation: We recommend that the Organization strengthen internal controls surrounding the cash management process to ensure appropriate documentation of the cash management review and approval workflow is maintained. Views of Responsible Officials: Due to transitions in personnel and systems, written support for the approval of a request for reimbursement was not available. A new Director of Grants Accounting was hired in August 2023 and has reviewed and been trained on the cash management policy. Effective October 2023, written supporting documentation of the review and approval of requests for reimbursement will be obtained and maintained by Grant Accounting staff, in accordance with March of Dimes policy and federal cash management requirements.

Corrective Action Plan

Due to transitions in personnel and systems, written support for the approval of a request for reimbursement was not available. A new Director of Grants Accounting was hired in August 2023 and has reviewed and been trained on the cash management policy. Effective October 2023, written supporting documentation of the review and approval of requests for reimbursement will be obtained and maintained by Grant Accounting staff, in accordance with March of Dimes policy and federal cash management requirements.

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2022-002
Procurement & Suspension/Debarment
SIGNIFICANT DEFICIENCY

For 2 procurements made during fiscal year 2022, the competitive bid documentation did not include evidence of review or approval by a department/market supervisor or the procurement team. Further, such documentation was not maintained with the signed contractor agreement. Cause: Documentation supporting the procurement of contractors was not maintained in a logical manner to document the history of procurement. Effect: Without appropriate documentation, the Organization may be unable to support whether the procurement of the contractors was performed in accordance with the procurement standards noted in Title 2 CFR Part 200.318. Recommendation: Management should develop an approval policy for competitive bids documentation as well as a records retention policy for procurement decisions made that includes the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Vendor files should be stored in a centralized location within the Organization. Management should also perform a periodic review of contractor files to ensure such documentation is maintained. Views of Responsible Officials: Although sole source and competitive bid information were obtained, they were not located in a centralized location and the written supporting approvals were not maintained. By the end of October 2023, Management will update, enforce, and retrain team members on procurement policies to include competitive bid documentation and record retention requirements. The required supporting documentation will also be housed in a centralized location and Management will perform periodic reviews to ensure it is properly maintained. To further expand training, by the end of October 2023, all key finance and program personnel will also complete Federal Grants Management training offered by the CDC Foundation.

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Finding 2022-002 U.S. Department of Health and Human Services 93.421 ? Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation?s Health Procurement (Significant Deficiency) Criteria: In accordance with Title 2 CFR Part 200.318, the Organization must maintain records to document the history of procurement of a contractor. Records include, but are not limited to, rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Condition: For 2 procurements made during fiscal year 2022, the competitive bid documentation did not include evidence of review or approval by a department/market supervisor or the procurement team. Further, such documentation was not maintained with the signed contractor agreement. Cause: Documentation supporting the procurement of contractors was not maintained in a logical manner to document the history of procurement. Effect: Without appropriate documentation, the Organization may be unable to support whether the procurement of the contractors was performed in accordance with the procurement standards noted in Title 2 CFR Part 200.318. Recommendation: Management should develop an approval policy for competitive bids documentation as well as a records retention policy for procurement decisions made that includes the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Vendor files should be stored in a centralized location within the Organization. Management should also perform a periodic review of contractor files to ensure such documentation is maintained. Views of Responsible Officials: Although sole source and competitive bid information were obtained, they were not located in a centralized location and the written supporting approvals were not maintained. By the end of October 2023, Management will update, enforce, and retrain team members on procurement policies to include competitive bid documentation and record retention requirements. The required supporting documentation will also be housed in a centralized location and Management will perform periodic reviews to ensure it is properly maintained. To further expand training, by the end of October 2023, all key finance and program personnel will also complete Federal Grants Management training offered by the CDC Foundation.

Corrective Action Plan

Although sole source and competitive bid information were obtained, they were not located in a centralized location and the written supporting approvals were not maintained. By the end of October 2023, Management will update, enforce, and retrain team members on procurement policies to include competitive bid documentation and record retention requirements. The required supporting documentation will also be housed in a centralized location and Management will perform periodic reviews to ensure it is properly maintained. To further expand training, by the end of October 2023, all key finance and program personnel will also complete Federal Grants Management training offered by the CDC Foundation.

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FY 2021-12-31

$1,179,433 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 12, 2022 — management decision was due January 12, 2023.

FY 2020-12-31

$1,185,625 federal awards expendedNo findings recorded this year

FAC accepted this audit on August 2, 2021 — management decision was due February 2, 2022.

FY 2019-12-31

$1,632,063 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 23, 2020 — management decision was due March 23, 2021.

FY 2018-12-31

LOW-RISK AUDITEE$1,226,127 federal awards expended

FAC accepted this audit on September 29, 2019 — management decision was due March 29, 2020.

2018-001
Other
MATERIAL WEAKNESS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2017-12-31

LOW-RISK AUDITEE$2,591,156 federal awards expended

FAC accepted this audit on September 24, 2018 — management decision was due March 24, 2019.

2017-001
Activities Allowed or Unallowed / Cost Allowability
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2016-12-31

LOW-RISK AUDITEE$1,871,340 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 28, 2017 — management decision was due March 28, 2018.

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