EIN: 222529464
UEI: SE36S7J6DZL1
060646554, 060646616, 060646652, 060646659, 060646704, 061044331, 061207316, 061330992, 222553028, 222908698, 352380180, 455235566, 460543230 · unlinked EINs have no separate FAC filing
Audited by: KPMG LLP
Oversight agency: 10 [Department of Agriculture]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on June 29, 2026. 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 December 29, 2026 (117 days from today).
What is a management decision? →FAC accepted this audit on June 27, 2025 — management decision was due December 27, 2025.
FAC accepted this audit on June 26, 2024 — management decision was due December 26, 2024.
FAC accepted this audit on June 25, 2023 — management decision was due December 25, 2023.
FAC accepted this audit on June 29, 2022 — management decision was due December 29, 2022.
FAC accepted this audit on December 8, 2021 — management decision was due June 8, 2022.
FAC accepted this audit on June 24, 2020 — management decision was due December 24, 2020.
Finding and Questioned Costs Relating to Federal Awards Finding Number 2019-001: Completeness and Accuracy of Schedule of Expenditures of Federal Awards Grantor: Department of Health and Human Services State Program Name: Accountable Health Communities CFDA Number: 93.650 Specific Criteria In accordance with 2 CFR 200.510, the auditee must prepare a schedule of expenditures of Federal awards for the period covered by the auditee's financial statements which must include the total Federal awards expended as determined in accordance with 2 CFR 200.502. This section states that the determination of when a Federal award is expended must be based on when the activity related to the Federal award occurs. Further, the non-Federal entity must establish and maintain an effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and terms and conditions of the Federal award (2 CFR 200.303). Condition and Context Prior to September 30, 2019 reporting, the System did not include funding received from the Department of Health and Human Services, Accountable Health Communities on the schedule of expenditures of Federal awards. The grant, which was first received and associated funds expended in fiscal year 2018, was not properly identified as federal awards expended as outlined in the applicable requirements above. Possible Asserted Cause and Effect The System?s policies, procedures and internal controls were not sufficient to have proper identification of federal awards, as well as improper secondary review during the grant set-up process to ensure federal funds are properly identified, and subsequently reported. Further, the System did not perform a proper reevaluation over the completeness of the schedule of Federal awards on an annual basis. Questioned Costs None. Recommendation We recommend that the System enhance its policies, procedures and controls to strengthen the identification of grants which are federally-funded, and that proper review of the schedule of federal awards occurs to ensure complete and accurate reporting on an annual basis. Views of Management The System state and federal grant management was centralized into the Grants Resource Office (GRO) in October 2018. Since that time the GRO has worked with each subsidiary to identify and review all grants. The GRO has collaborated with the Finance and Accounting departments to ensure awareness of all Federal grant funds through access to our grant management database along with regular updates and communications between operational and financial divisions within the System. Completion Date 10/1/2018
Show full finding ▾Hide full finding ▴Finding and Questioned Costs Relating to Federal Awards Finding Number 2019-001: Completeness and Accuracy of Schedule of Expenditures of Federal Awards Grantor: Department of Health and Human Services State Program Name: Accountable Health Communities CFDA Number: 93.650 Specific Criteria In accordance with 2 CFR 200.510, the auditee must prepare a schedule of expenditures of Federal awards for the period covered by the auditee's financial statements which must include the total Federal awards expended as determined in accordance with 2 CFR 200.502. This section states that the determination of when a Federal award is expended must be based on when the activity related to the Federal award occurs. Further, the non-Federal entity must establish and maintain an effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and terms and conditions of the Federal award (2 CFR 200.303). Condition and Context Prior to September 30, 2019 reporting, the System did not include funding received from the Department of Health and Human Services, Accountable Health Communities on the schedule of expenditures of Federal awards. The grant, which was first received and associated funds expended in fiscal year 2018, was not properly identified as federal awards expended as outlined in the applicable requirements above. Possible Asserted Cause and Effect The System?s policies, procedures and internal controls were not sufficient to have proper identification of federal awards, as well as improper secondary review during the grant set-up process to ensure federal funds are properly identified, and subsequently reported. Further, the System did not perform a proper reevaluation over the completeness of the schedule of Federal awards on an annual basis. Questioned Costs None. Recommendation We recommend that the System enhance its policies, procedures and controls to strengthen the identification of grants which are federally-funded, and that proper review of the schedule of federal awards occurs to ensure complete and accurate reporting on an annual basis. Views of Management The System state and federal grant management was centralized into the Grants Resource Office (GRO) in October 2018. Since that time the GRO has worked with each subsidiary to identify and review all grants. The GRO has collaborated with the Finance and Accounting departments to ensure awareness of all Federal grant funds through access to our grant management database along with regular updates and communications between operational and financial divisions within the System. Completion Date 10/1/2018
CORRECTIVE ACTION PLAN REGARDING FISCAL 2019 FINDINGS 2019-001 Control Deficiency: Completeness and Accuracy of Schedule of Federal Expenditures Federal Program: Accountable Health Communities Federal Agency: U.S. Department of Health and Human Services Award Number: 1P1CMS331558 Criteria In accordance with 2 CFR 200.510, the auditee must prepare a schedule of expenditures of Federal awards for the period covered by the auditee's financial statements which must include the total Federal awards expended as determined in accordance with 2 CFR 200.502. This section states that the determination of when a Federal award is expended must be based on when the activity related to the Federal award occurs. Further, the non-Federal entity must establish and maintain an effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and terms and conditions of the Federal award (2 CFR 200.303). Condition, Cause, Effect, and Context Prior to September 30, 2019 reporting, the System did not include funding received from the Department of Health and Human Services, Accountable Health Communities on the schedule of expenditures of Federal awards. The grant, which was first received and associated funds expended in fiscal year 2018, was not properly identified as federal awards expended as outlined in the applicable requirements above. The System?s policies? procedures and internal controls were not sufficient to have proper identification of federal awards, as well as improper secondary review during the grant set-up process to ensure federal funds are properly identified, and subsequently reported. Further, the System did not perform a proper reevaluation over the completeness of the schedule of Federal awards on an annual basis Questioned Costs There are no questioned costs required to be reported. Recommendation We recommend that the System enhance its policies, procedures and controls to strengthen the identification of grants which are federally-funded, and that proper review of the schedule of federal awards occurs to ensure complete and accurate reporting on an annual basis. Views of Responsible Officials and Planned Corrective Action The System state and federal grant management was centralized into the Grants Resource Office (GRO) in October 2018. Since that time the GRO has worked with each subsidiary to identify and review all grants. The GRO has collaborated with the Finance and Accounting departments to ensure awareness of all Federal grant funds through access to our grant management database along with regular updates and communications between operational and financial divisions within the System. Responsible Officials: Associate Director and Grants Coordinator Post Award, Grant Resource Office. Date of Completion: Completion date of October 1, 2018.
FAC accepted this audit on June 27, 2019 — management decision was due December 27, 2019.
GSA_MIGRATION
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2017-004
FAC accepted this audit on June 28, 2018 — management decision was due December 28, 2018.
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2016-002
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2016-003
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Show full finding ▾Hide full finding ▴FAC accepted this audit on June 25, 2017 — management decision was due December 25, 2017.
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2015-004
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