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The Center For Comprehensive Care and Diagnosis of Inherited Blood DisordersNon-Profit

EIN: 270179192

UEI: Q29GNV6KWAS4

Audited by: Barnes, Dennig & Co, Ltd.

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

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Data as of September 2, 2026

The Center For Comprehensive Care and Diagnosis of Inherited Blood Disorders10 audit years2 findings
10
Audit Years
2
Total Findings
0
Repeat Findings
$1.9M
Federal Awards Expended (FY 2025)

FY 2025-09-30

LOW-RISK AUDITEE$1,862,792 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on April 7, 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 October 7, 2026 (34 days from today).

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FY 2024-09-30

LOW-RISK AUDITEE$2,041,982 federal awards expendedNo findings recorded this year

FAC accepted this audit on April 10, 2025 — management decision was due October 10, 2025.

FY 2023-09-30

$1,863,971 federal awards expended

FAC accepted this audit on June 21, 2024 — management decision was due December 21, 2024.

2023-002
Cost Allowability
SIGNIFICANT DEFICIENCY

Personnel expenses were not reconciled to T&E reports during the fiscal year, which resulted in personnel expenses being under-claimed. Cause: Internal controls surrounding time and effort reporting were designed to perform allocation reconciliations based on the award period instead of the fiscal year. Questioned costs: none. Recommendation: We recommend that management implement a process whereby reporting is reconciled based on fiscal year. We recommend that all personnel expenditures allocated to grants are tracked, reviewed, and approved prior to recording in the general ledger. Views of responsible officials and planned corrective actions: See attached corrective action plan.

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Full finding narrative

Criteria: 2 CFR 200.430(i) requires the auditee to establish and maintain effective internal control over the allocation of personnel expenses whereby charges to Federal awards for personnel-related expenditures are supported by official records of the distribution of the employee's salary or wages among specific activities or cost objectives if the employee works on more than one Federal award; a Federal award and non-Federal award; an indirect cost activity and a direct cost activity; two or more indirect activities which are allocated using different allocation bases; or an unallowable activity and a direct or indirect cost activity. Budget estimates alone do not qualify as support for charges to Federal awards, but may be used for interim accounting purposes, provided that: The non-federal entity's system of internal controls includes processes to review after-the-fact interim charges made to a Federal award based on budget estimates. All necessary adjustment must be made such that the final amount charged to the Federal award is accurate, allowable and properly allocated. Condition: Personnel expenses were not reconciled to T&E reports during the fiscal year, which resulted in personnel expenses being under-claimed. Cause: Internal controls surrounding time and effort reporting were designed to perform allocation reconciliations based on the award period instead of the fiscal year. Questioned costs: none. Recommendation: We recommend that management implement a process whereby reporting is reconciled based on fiscal year. We recommend that all personnel expenditures allocated to grants are tracked, reviewed, and approved prior to recording in the general ledger. Views of responsible officials and planned corrective actions: See attached corrective action plan.

Corrective Action Plan

Grants and Finance Teams have already implemented tracking time and effort by actual hours versus budgeted allocated and reconcile each quarter before recording into our general ledger application. To compile with the finding recommendation will require combining two separate award periods for the HRSA HTC Grant to coincide with CIBD's fiscal reporting period.

About Allowable Costs / Cost Principles →

FY 2022-09-30

$1,687,487 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 20, 2023 — management decision was due September 20, 2023.

FY 2021-09-30

LOW-RISK AUDITEE$1,553,429 federal awards expended

FAC accepted this audit on April 1, 2022 — management decision was due October 1, 2022.

2021-001
Activities Allowed or Unallowed
MATERIAL WEAKNESSMODIFIED OPINIONQUESTIONED COSTS

Personnel expenses were charged to the award based on budget estimates. There were two employees allocated to the award. One employee did not keep timesheets. Cause: Internal controls surrounding time and effort reporting were not effectively implemented or reviewed during the fiscal year ended 2021. Effect: Personnel costs charged to the award were not documented as allowable for the one employee who did not keep timesheets. Personnel costs in excess of the time documented were allocated to the award for the employee who did keep timesheets. Questioned costs: $54,107 Recommendation: We recommend that management implement a process whereby all time and effort is formally reported. We recommend that all personnel expenditures allocated to grants are tracked, reviewed, and approved prior to recording in the general ledger. We further recommend this process be implemented as a part of the semimonthly payroll process. Views of responsible officials and planned corrective actions: See attached corrective action plan.

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Full finding narrative

Identification of federal program: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 93.110 Maternal and Child Health Federal Consolidated Programs Criteria: 2 CFR 200.430(i) requires the auditee to establish and maintain effective internal control over the allocation of personnel expenses whereby charges to Federal awards for personnel-related expenditures are supported by official records of the distribution of the employee's salary or wages among specific activities or cost objectives if the employee works on more than one Federal award; a Federal award and non-Federal award; an indirect cost activity and a direct cost activity; two or more indirect activities which are allocated using different allocation bases; or an unallowable activity and a direct or indirect cost activity. Budget estimates alone do not qualify as support for charges to Federal awards, but may be used for interim accounting purposes, provided that: The non-federal entity's system of internal controls includes processes to review after-the-fact interim charges made to a Federal award based on budget estimates. All necessary adjustment must be made such that the final amount charged to the Federal award is accurate, allowable and properly allocated. Condition: Personnel expenses were charged to the award based on budget estimates. There were two employees allocated to the award. One employee did not keep timesheets. Cause: Internal controls surrounding time and effort reporting were not effectively implemented or reviewed during the fiscal year ended 2021. Effect: Personnel costs charged to the award were not documented as allowable for the one employee who did not keep timesheets. Personnel costs in excess of the time documented were allocated to the award for the employee who did keep timesheets. Questioned costs: $54,107 Recommendation: We recommend that management implement a process whereby all time and effort is formally reported. We recommend that all personnel expenditures allocated to grants are tracked, reviewed, and approved prior to recording in the general ledger. We further recommend this process be implemented as a part of the semimonthly payroll process. Views of responsible officials and planned corrective actions: See attached corrective action plan.

Corrective Action Plan

CORRECTIVE ACTION PLAN March 1, 2022 The Center for Comprehensive Care and Diagnosis of Inherited Blood Disorders respectfully submits the following corrective action plan for the year ended September 30, 2021. Auditing Firm: Greenwalt CPAs 5342 West Vermont Street, Indianapolis, IN 46224 Audit Period: October 1, 2020 to September 30, 2021 FINDINGS AND QUESTIONED C0ST ? MAJOR FEDERAL AWARD PROGRAMS Finding 2021-001 Recommendation: We recommend that management implement a process whereby all time and effort is formally reported. We recommend that all personnel expenditures allocated to grants are tracked, reviewed, and approved prior to recording in the general ledger. We further recommend this process be implemented as a part of the semi-monthly payroll process. Action Taken: All of the above recommendations were already in practice before the finding and are executed through our payroll management system by specific personnel required to log hours by project. In this finding our Public Health Director (PHD) was the lone exception to the rule by failing to track time & effort within our controlled environment. Once all reporting channels were cleared Finance provided directly to the PHD detailed instructions on how to utilize our payroll application to record hours worked by project type. The PHD began the process of recording hours by project beginning with pay period 8/16/21. Michael Warden Chief Financial Officer Phone 657-375-0502 Email: mwarden@c3dibd.org

About Activities Allowed or Unallowed →

FY 2020-09-30

LOW-RISK AUDITEE$1,246,222 federal awards expendedNo findings recorded this year

FAC accepted this audit on August 8, 2021 — management decision was due February 8, 2022.

FY 2019-09-30

LOW-RISK AUDITEE$1,176,467 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 1, 2020 — management decision was due January 1, 2021.

FY 2018-09-30

LOW-RISK AUDITEE$1,301,992 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 3, 2019 — management decision was due December 3, 2019.

FY 2017-09-30

LOW-RISK AUDITEE$1,877,299 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 29, 2018 — management decision was due September 29, 2018.

FY 2016-09-30

LOW-RISK AUDITEE$1,535,853 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 24, 2017 — management decision was due September 24, 2017.

Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.

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