EIN: 362170901
UEI: NHHABLM2SCC8
Audit also covers 4 related EINs: 371021751, 872416554, 872443563, 900040382 · unlinked EINs have no separate FAC filing
Audited by: RSM US LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on May 1, 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 November 1, 2026 (62 days from today).
What is a management decision? →For the budget period ended June 30, 2025, quarterly FFR reports were required to be submitted 15 days after the end of each quarter; however, the Agency did not timely submit three of the four reports. Cause: The Agency did not finalize the FFR reports until after the report due dates. Effect or Potential Effect: Failure to timely submit required financial reports may result in delayed reimbursement, increased federal oversight, or other enforcement actions by the federal awarding agency. Questioned Costs: None Recommendation: The Agency should enhance controls over federal reporting deadlines to ensure required reports are prepared, reviewed and submitted timely in accordance with grant requirements. Views of Responsible Officials and Planned Corrective Action: Management acknowledged the late submissions of the FFR reports and indicated that corrective actions will be implemented to ensure reports are prepared in advance of due dates and to address system access issues timely to ensure future reports are submitted in accordance with federal requirements. Repeat Finding: No
Show full finding ▾Hide full finding ▴Finding 2025-002: Reporting Federal Program: Family Planning Services ALN: 93.217 Federal Awarding Agency: U.S. Department of Health and Human Services Federal Award Identification Number: N/A Criteria: Uniform Guidance and the applicable grant agreement require non-Federal entities to submit required financial reports, including the Federal Financial Report (FFR), in accordance with the frequency and due dates specified in the award terms. Per the grant agreement, financial reports are required to be submitted no later than 15 days after the end of each quarter. Condition: For the budget period ended June 30, 2025, quarterly FFR reports were required to be submitted 15 days after the end of each quarter; however, the Agency did not timely submit three of the four reports. Cause: The Agency did not finalize the FFR reports until after the report due dates. Effect or Potential Effect: Failure to timely submit required financial reports may result in delayed reimbursement, increased federal oversight, or other enforcement actions by the federal awarding agency. Questioned Costs: None Recommendation: The Agency should enhance controls over federal reporting deadlines to ensure required reports are prepared, reviewed and submitted timely in accordance with grant requirements. Views of Responsible Officials and Planned Corrective Action: Management acknowledged the late submissions of the FFR reports and indicated that corrective actions will be implemented to ensure reports are prepared in advance of due dates and to address system access issues timely to ensure future reports are submitted in accordance with federal requirements. Repeat Finding: No
Finding 2025-002: Reporting – ALN 93.217 Finding: During the fiscal year ended June 30, 2025, the Agency did not timely submit three of four required quarterly Federal Financial Reports (FFRs) for the Family Planning Services program. Correction Actions Taken: Management acknowledges that three of four quarterly Federal Financial Reports were submitted after their respective deadlines during the fiscal year ended June 30, 2025. These delays occurred during a period of significant administrative transition, including the departure of key personnel directly responsible for federal reporting and the reassignment of duties mid cycle. Despite these challenges, the impacted reports were submitted within two and seven days of the required deadlines. At no time was there an absence of monitoring or an intent to delay compliance. Management has since implemented enhanced internal tracking of federal reporting deadlines, clarified role assignments during staff transitions, and initiated earlier internal review of quarterly reports to ensure timely submission going forward. Contact Person: Tonya Tucker, Chief Financial Officer Anticipated Completion Date: Implemented as of the fiscal year ended June 30, 2026
The Agency did not submit the Single Audit reporting package, including the Data Collection Form, to the Federal Audit Clearinghouse by the required deadline of March 31, 2026. Cause: The Agency did not complete and submit the Single Audit reporting package within the required timeframe. Effect or Potential Effect: Failure to timely submit the Single Audit reporting package may result in increased federal oversight, delayed future funding, or other enforcement actions by federal awarding agencies or pass‑through entities. Questioned Costs: None Recommendation: The Agency should enhance controls over Single Audit reporting deadlines to ensure the reporting package, including the Data Collection Form, is completed, reviewed, and submitted timely in accordance with Uniform Guidance requirements. Views of Responsible Officials and Planned Corrective Action: Management acknowledged the late submission of the Single Audit reporting package and indicated that corrective actions will be implemented to improve coordination of audit completion and reporting processes to ensure future Single Audit submissions are made within required deadlines. Repeat Finding: No
Show full finding ▾Hide full finding ▴Finding 2025-003: Timely Submission of Single Audit Reporting and Data Collection Form to the Federal Audit Clearinghouse Applicable to all assistance listing numbers and federal agencies (and pass-through entities) included on the accompanying Schedule of Expenditures of Federal Awards for the year ended June 30, 2025 Criteria: Uniform Guidance §200.512(a) requires non‑Federal entities that expend $750,000 or more in federal awards during the fiscal year to submit the reporting package, including the Single Audit report and the Data Collection Form (DCF), to the Federal Audit Clearinghouse no later than the earlier of 30 calendar days after receipt of the auditor’s report or nine months after the end of the audit period. For the fiscal year ended June 30, 2025, the reporting package was required to be submitted by March 31, 2026. Condition: The Agency did not submit the Single Audit reporting package, including the Data Collection Form, to the Federal Audit Clearinghouse by the required deadline of March 31, 2026. Cause: The Agency did not complete and submit the Single Audit reporting package within the required timeframe. Effect or Potential Effect: Failure to timely submit the Single Audit reporting package may result in increased federal oversight, delayed future funding, or other enforcement actions by federal awarding agencies or pass‑through entities. Questioned Costs: None Recommendation: The Agency should enhance controls over Single Audit reporting deadlines to ensure the reporting package, including the Data Collection Form, is completed, reviewed, and submitted timely in accordance with Uniform Guidance requirements. Views of Responsible Officials and Planned Corrective Action: Management acknowledged the late submission of the Single Audit reporting package and indicated that corrective actions will be implemented to improve coordination of audit completion and reporting processes to ensure future Single Audit submissions are made within required deadlines. Repeat Finding: No
Finding 2025-003: Timely Submission of Single Audit Reporting and Data Collection Form to the Federal Audit Clearinghouse Finding: The Agency did not submit the Single Audit reporting package, including the Data Collection Form (DCF), to the Federal Audit Clearinghouse (FAC) by the required deadline of March 31, 2026. Correction Actions Taken: Management submitted the Agency’s fiscal year 2025 Single Audit package, including the DCF, to the FAC on April 30, 2026. Management acknowledges that the Single Audit reporting package, including the Data Collection Form (DCF), was submitted after the required deadline. The delay resulted from a combination of internal and external factors, including delayed receipt of finalized data necessary to complete the audit and significant personnel turnover of internal and external professionals working on the single audit during the reporting period. In addition, a federal government shutdown impacted access to federal portals and the ability to confirm current submission requirements in a timely manner. Once the necessary information became available and federal systems were accessible, management worked with the auditors to complete and submit the reporting package promptly. Management has since strengthened internal coordination around audit data readiness. Contact Person: Tonya Tucker, Chief Financial Officer Anticipated Completion Date: Implemented as of the fiscal year ended June 30, 2026
FAC accepted this audit on March 14, 2025 — management decision was due September 14, 2025.
FAC accepted this audit on March 29, 2024 — management decision was due September 29, 2024.
FAC accepted this audit on November 19, 2019 — management decision was due May 19, 2020.
In conjunction with the audit, we found that the Agency has not submitted one (1) FFR within the allowed time period per schedule assigned by HHS. Questioned costs: None Context: The submission was 35 days past the assigned deadline. Effect: The Agency was not in compliance with the HHS grant agreement requirement. Cause: The employee that was responsible for submitting the FFR terminated their employment with the Agency before submission of the FFR. A lack of monitoring of the employee?s responsibilities post-termination resulted in the late submission. Recommendation: We recommend that policies and procedures be implemented and adhered to so that future FFR reports are submitted timely. Views of Responsible Official: The Corporation?s management agrees with the aforementioned finding. See management?s corrective action plan.
Show full finding ▾Hide full finding ▴Criteria: As a condition of the grant award, the Agency has agreed to comply with the Department of Health and Human Services (HHS) Federal Financial Report (FFR) schedule of reporting submissions. Condition: In conjunction with the audit, we found that the Agency has not submitted one (1) FFR within the allowed time period per schedule assigned by HHS. Questioned costs: None Context: The submission was 35 days past the assigned deadline. Effect: The Agency was not in compliance with the HHS grant agreement requirement. Cause: The employee that was responsible for submitting the FFR terminated their employment with the Agency before submission of the FFR. A lack of monitoring of the employee?s responsibilities post-termination resulted in the late submission. Recommendation: We recommend that policies and procedures be implemented and adhered to so that future FFR reports are submitted timely. Views of Responsible Official: The Corporation?s management agrees with the aforementioned finding. See management?s corrective action plan.
Management has implemented an enhanced review process for Grant Report submission that incorporates timely review and monitoring. The responsible people are Lori Pontious, Financial Planning and Reporting Specialist, Bill Dean, Controller and Ann Farley, Director of Finance. Upon completion of the specified reporting period, and 5 days prior to submission deadline, the FFR will be reviewed for completeness and accuracy with report submission to appropriate reporting agencies no later than 1 day before the reporting deadline. Upon submission, notifications of successful submission and acceptance will be logged and centrally stored. The anticipated completion dates will be scheduled throughout the year dependent upon successful Grant award.
FAC accepted this audit on January 3, 2019 — management decision was due July 3, 2019.
FAC accepted this audit on January 9, 2018 — management decision was due July 9, 2018.
FAC accepted this audit on January 19, 2017 — management decision was due July 19, 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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