Edgerton Retirement Apartments Inc.Non-Profit

EIN: 410746749

UEI: TEU3WUKBT987

Audited by: CliftonLarsonAllen, LLP

Oversight agency: 10 [Department of Agriculture]

Data as of August 27, 2026

Edgerton Retirement Apartments Inc.26 audit years11 findings5 repeat
26
Audit Years
11
Total Findings
5
Repeat Findings

FY 2025-12-31

$1,387,984 federal awards expended

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on April 9, 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 9, 2026 (42 days from today).

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2025-002
Procurement & Suspension/Debarment
SIGNIFICANT DEFICIENCYREPEAT

During procurement and suspension and debarment testing, it was noted that the Organization does not have federal procurement policy that included a conflict of interest policy and other federal requirements. Questioned costs: None Context: Procurement transactions tested followed Rural Development’s policies Cause: The Organization does not have an approved federal procurement policy. Effect: It could cause the Organization to be out of compliance with federal requirements over procurement. Repeat finding: Yes Recommendation: We recommend that Organization approve a federal procurement policy and implement controls to ensure it is being followed. Views of responsible officials and planned corrective actions: There is no disagreement with the finding.

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Federal Agency: U.S. Department of Agriculture Federal Program Title: Rural Development Multi-Family Housing Revitalization Demonstration Program Assistance Listing Number: 10.447 Award Period: 2025 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: Procurement standards require a policy in place to be followed to endure entities are properly procuring goods and services and to ensure vendors and contractors are not suspended or debarred. Condition: During procurement and suspension and debarment testing, it was noted that the Organization does not have federal procurement policy that included a conflict of interest policy and other federal requirements. Questioned costs: None Context: Procurement transactions tested followed Rural Development’s policies Cause: The Organization does not have an approved federal procurement policy. Effect: It could cause the Organization to be out of compliance with federal requirements over procurement. Repeat finding: Yes Recommendation: We recommend that Organization approve a federal procurement policy and implement controls to ensure it is being followed. Views of responsible officials and planned corrective actions: There is no disagreement with the finding.

Corrective Action Plan

Federal Agency: U.S. Department of Agriculture Federal Program Title: Rural Development Multi-Family Housing Revitalization Demonstration Program Assistance Listing Number: 10.447 Award Period: 2021 Type of Finding • Significant Deficiency in Internal Control over Compliance 2025-002 Rural Development Multi-Family Housing Revitalization Demonstration Program – Assistance Listing No. 10.447 Recommendation: We recommend that Authority approve a federal procurement policy and implement controls to ensure it is being followed. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The board will develop and approve written procurement policies in accordance with federal requirements. Name(s) of the contact person(s) responsible for corrective action: Sue Broihahn Planned completion date for corrective action plan: The plan will be implemented during the year ending December 31, 2026. If the U.S. Department of Agriculture has questions regarding this plan, please call Sue Broihahn, Management Agent at 608-222-1981

Prior Finding References

2024-002

About Procurement and Suspension and Debarment →

FY 2025-06-30

LOW-RISK AUDITEE$7,752,856 federal awards expended

FAC accepted this audit on March 30, 2026 — management decision was due September 30, 2026.

2025-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCYOTHER MATTERS

The District processes failed to report the correct campus and program enrollment status for a student to NSLDS in accordance with the stated criteria. Questioned costs: None Context: We noted one (1) out of forty (40) students selected for testing, where the District failed to report the campus and program level enrollment data accurately to NSLDS. Cause: The District’s internal controls failed to detect the inaccurate enrollment status being reported to NSLDS in accordance with the stated criteria. Effect: The District has not complied with the stated criteria for one (1) student. Repeat Finding: No Recommendation: We recommend that the District review its processes and internal controls designed to mitigate the risk of noncompliance with the stated criteria. Views of responsible officials: There is no disagreement with the audit finding.

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Federal Agency: U.S. Department of Education Federal Program Name: Student Financial Assistance Cluster Assistance Listing Number: 84.063 and 84.268 Federal Award Identification Number and Year: P063P232982-2025 | P268K242982-2025 Award Period: July 1, 2024 through June 30, 2025 Type of Finding:  Significant Deficiency in Internal Control over Compliance  Other Matters Criteria or specific requirement: Institutions are required to report enrollment information under the Pell Grant and the Direct Loan via NSLDS as required by 34 CRF 690.83(b)(2) and 34 CFR 685.309, respectively. Institutions must review, update, and certify student enrollment statuses, program information, and effective dates that appear on the Enrollment Reporting Roster file or on the Enrollment Maintenance page of the NSLDS Professional Access (NSLDSFAP) website. Condition: The District processes failed to report the correct campus and program enrollment status for a student to NSLDS in accordance with the stated criteria. Questioned costs: None Context: We noted one (1) out of forty (40) students selected for testing, where the District failed to report the campus and program level enrollment data accurately to NSLDS. Cause: The District’s internal controls failed to detect the inaccurate enrollment status being reported to NSLDS in accordance with the stated criteria. Effect: The District has not complied with the stated criteria for one (1) student. Repeat Finding: No Recommendation: We recommend that the District review its processes and internal controls designed to mitigate the risk of noncompliance with the stated criteria. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

U.S. Department of Education Southwest Wisconsin Technical College (the District) respectfully submits the following corrective action plan for the year ended June 30, 2025. Audit period: July 1, 2024 to June 30, 2025 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT The audit did not disclose any matters required to be reported in accordance with Government Auditing Standards. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Education 2025-001 Student Financial Assistance Cluster – Assistance Listing No. 84.063 and 84.268 Recommendation: We recommend that the District review its processes and internal controls designed to mitigate the risk of noncompliance with the stated criteria. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Southwest Wisconsin sends enrollment files of all students to the National Student Clearinghouse monthly, who then reports enrollment data to NSLDS. Southwest Tech will continue to work with the Student Information System (SIS) vendor to correct issues in the report used to submit Clearinghouse reports. Southwest Tech will work with the Clearinghouse on discrepancies between the Clearinghouse and NSLDS. Name of the contact person responsible for corrective action: Kelly Kelly, Controller Planned completion date for corrective action plan: June 30, 2026 *** If the U.S Department of Education has questions regarding this plan, please call Kelly Kelly, Controller, at (608) 822-2305.

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FY 2025-05-31

$7,931,212 federal awards expended

FAC accepted this audit on December 12, 2025 — management decision was due June 12, 2026.

2025-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCYREPEATOTHER MATTERS

During our testing, we noted 40 out of the 40 students tested where the student was not reported in a timely manner after the school determined the students change in status. In addition, we noted for 1 out of the 40 students tested, the enrollment effective date per NSLDS did not match the enrollment effective date per the University’s records. Questioned costs: None Context: During our testing, it was noted the University does not have a process in place to ensure timeliness and accuracy of NSLDS reporting. Cause: The University did not have a process in place to ensure the effective dates reported matched the University’s records as well as that these changes were reported timely. Effect: The enrollment effective date reported to NSLDS is used to determine when the student’s grace period should begin. By not reporting an incorrect effective date, the grace period begin date for the student will be incorrect. In addition, the University did not comply with Department of Education (ED) regulations by reporting student enrollment status changes timely. Repeat finding: Yes, see finding 2024-002 Recommendation: We recommend the University reevaluate its procedures and review policies surrounding reporting status changes to NSLDS to put a process in place to ensure the enrollment effective date reported to NSLDS on the campus and program level is aligning with the University. Views of responsible officials: There is no disagreement with the audit finding.

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Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Aid FALN Number: Student Financial Aid Cluster Award Period: June 01, 2024 through May 31, 2025 Type of Finding: • Significant Deficiency in Internal Control Over Compliance • Other Matters Criteria or specific requirement: The Code of Federal Regulations, 34 CFR 685.309(b), states schools must have some arrangement to report student enrollment data to the National Student Loan Data System (NSLDS) through an enrollment roster file. The school is required to report changes in the student’s enrollment status, the effective date of the status, and an anticipated completion date as well as program enrollment effective date. In addition, at a minimum, schools are required to certify enrollment every 60 days, and respond within 15 days of the date that NSLDS sends a Roster file to the school or its third-party servicer. Condition: During our testing, we noted 40 out of the 40 students tested where the student was not reported in a timely manner after the school determined the students change in status. In addition, we noted for 1 out of the 40 students tested, the enrollment effective date per NSLDS did not match the enrollment effective date per the University’s records. Questioned costs: None Context: During our testing, it was noted the University does not have a process in place to ensure timeliness and accuracy of NSLDS reporting. Cause: The University did not have a process in place to ensure the effective dates reported matched the University’s records as well as that these changes were reported timely. Effect: The enrollment effective date reported to NSLDS is used to determine when the student’s grace period should begin. By not reporting an incorrect effective date, the grace period begin date for the student will be incorrect. In addition, the University did not comply with Department of Education (ED) regulations by reporting student enrollment status changes timely. Repeat finding: Yes, see finding 2024-002 Recommendation: We recommend the University reevaluate its procedures and review policies surrounding reporting status changes to NSLDS to put a process in place to ensure the enrollment effective date reported to NSLDS on the campus and program level is aligning with the University. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the University reevaluate its procedures and review policies surrounding reporting status changes to NSLDS to put a process in place to ensure the enrollment effective date reported to NSLDS on the campus and program level is aligning with the University. View of responsible officials: There is no disagreement with the audit finding. Action taken in response to finding: The Records Office at Union Adventist University submits an enrollment report to the National Student Clearinghouse every 30 days to ensure that the National Student Loan Data System (NSLDS) receives the most accurate and up-to-date information. If any errors are identified, the Clearinghouse returns them to the university for correction. The Records Office reviews all error reports and resolves any issues. To ensure that accurate enrollment data is reported to NSLDS within the required effective dates, Union Adventist University will review and resolve the errors within 3-5 business days. Name(s) of the contact person(s) responsible for corrective action: Nicole Houdek, Director of Records/Registrar Planned completion date for corrective action plan: May 2026

Prior Finding References

2024-002

About Special Tests and Provisions →
2025-002
Special Tests & Provisions
SIGNIFICANT DEFICIENCYOTHER MATTERS

During our testing of the Student Financial Aid Cluster, we noted that 1 student out of 30 tested in the Perkins loan program could not be supported as having completed a promissory note or entrance counseling. Questioned costs: None Context: During our testing, it was noted the University does not have a process in place to ensure MPN’s are retained. Cause: The University did not have a process in place to ensure they retained a copy of the MPN for at least three years after the loans were satisfied. Effect: The University was not in compliance with the Perkins recordkeeping regulations. Repeat finding: No Recommendation: We recommend the University implements procedures moving forward to ensure that all necessary MPN’s are retained in accordance with the Perkins recordkeeping regulations. Views of responsible officials: There is no disagreement with the audit finding.

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Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Aid FALN Number: Student Financial Aid Cluster Award Period: June 01, 2024 through May 31, 2025 Type of Finding: • Significant Deficiency in Internal Control Over Compliance • Other Matters Criteria or specific requirement: The Code of Federal Regulations, 34 CFR 674.16 states that before an institution makes its first disbursement to a student, the student shall sign the promissory note and the institution shall provide the student with certain repayment information. Condition: During our testing of the Student Financial Aid Cluster, we noted that 1 student out of 30 tested in the Perkins loan program could not be supported as having completed a promissory note or entrance counseling. Questioned costs: None Context: During our testing, it was noted the University does not have a process in place to ensure MPN’s are retained. Cause: The University did not have a process in place to ensure they retained a copy of the MPN for at least three years after the loans were satisfied. Effect: The University was not in compliance with the Perkins recordkeeping regulations. Repeat finding: No Recommendation: We recommend the University implements procedures moving forward to ensure that all necessary MPN’s are retained in accordance with the Perkins recordkeeping regulations. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

Recommendation: We recommend the University implements procedures moving forward to ensure that all necessary MPN's are retained in accordance with the Perkins recordkeeping regulations. View of responsible officials: There is no disagreement with the audit finding. Action taken in response to finding: The process Union Adventist University follows to ensure promissory notes are signed is coordinated through Financial Aid. Financial Aid determines eligibility of awards and adds them to the student financial package. Once a loan has been accepted, Financial Aid has the student sign the promissory note. The loan is disbursed once the paperwork has been completed and reviewed. Perkins loans followed this procedure in the time they were available. The Perkins program is no longer active so there are no new promissory notes going forward. Student accounts is currently reviewing student files to ensure promissory notes, or documentation deemed appropriate by the Department of Education, are available for the Perkins loans that will be assigned to the Department of Education. Unfortunately, previous employees did not keep accurate records; this was brought to light when a new employee took over student accounts in August 2021. While the new employee has worked hard to track down all MPNs, we know that there are some that will never be found. As a result, this will likely be a repeat finding until all Perkins Loans are assigned or liquidated. It is our hope that this process will be completed by May 31, 2027. Promissory notes or documentation will be retained until the loans are either assigned or liquidated. Name(s) of the contact person(s) responsible for corrective action: Brandie Kolff van Oosterwyk, Controller Planned completion date for corrective action plan: We hope to assign or liquidate all Perkins loans by May 31, 2027. Until then, it is likely that this will be a recurring item on our corrective action report.

About Special Tests and Provisions →
2025-003
Special Tests & Provisions
MATERIAL WEAKNESSQUESTIONED COSTSOTHER MATTERS

A review of student financial aid records revealed that although students were accurately awarded federal financial aid—including Pell Grants, FSEOG, Subsidized Stafford Loans, and Unsubsidized Stafford Loans—based on documented eligibility and financial need, the actual disbursements were less than the awarded amounts. In several cases, students did not receive the full aid they were eligible for during the designated payment period, resulting in underdisbursement of funds. Questioned costs: $49,565 Context: During our testing, it was noted that 4 of 40 students were underdisbursed Pell, 12 of 40 students were underdisbursed SEOG, 7 of 40 students were underdisbursed Subsidized Stafford Loans, and 5 of 40 students were underdisbursed Unsubsidized Stafford Loans. Cause: The University did not have a process in place to ensure the student were disbursed in accordance with their federal awards. Effect: The University was not in compliance with Title IV aid regulations. Repeat finding: No Recommendation: We recommend the University enhance system controls to ensure disbursements match awards. Views of responsible officials: There is no disagreement with the audit finding.

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Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Aid FALN Number: Student Financial Aid Cluster Award Period: June 01, 2024 through May 31, 2025 Type of Finding: • Material Weakness in Internal Control Over Compliance • Other Matters Criteria or specific requirement: Federal regulations require institutions to award and disburse Title IV aid accurately and in accordance with student eligibility: Pell Grant: 34 CFR § 690.75 – Payment determination based on enrollment status and cost of attendance. FSEOG: 34 CFR § 676.10 – Must be awarded to students with exceptional financial need. Subsidized and Unsubsidized Stafford Loans: 34 CFR § 685.301 – Loan amounts must be based on grade level, dependency status, and cost of attendance. General Disbursement Requirements: 34 CFR § 668.164 – Institutions must disburse funds for the correct amount and payment period. Condition: A review of student financial aid records revealed that although students were accurately awarded federal financial aid—including Pell Grants, FSEOG, Subsidized Stafford Loans, and Unsubsidized Stafford Loans—based on documented eligibility and financial need, the actual disbursements were less than the awarded amounts. In several cases, students did not receive the full aid they were eligible for during the designated payment period, resulting in underdisbursement of funds. Questioned costs: $49,565 Context: During our testing, it was noted that 4 of 40 students were underdisbursed Pell, 12 of 40 students were underdisbursed SEOG, 7 of 40 students were underdisbursed Subsidized Stafford Loans, and 5 of 40 students were underdisbursed Unsubsidized Stafford Loans. Cause: The University did not have a process in place to ensure the student were disbursed in accordance with their federal awards. Effect: The University was not in compliance with Title IV aid regulations. Repeat finding: No Recommendation: We recommend the University enhance system controls to ensure disbursements match awards. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the University enhance system controls to ensure disbursements match awards. View of responsible officials: There is no disagreement with the audit finding. Action taken in response to finding: The Financial Aid Office normally attempts to disburse aid within the term for which it is designated. However, unusual workloads brought about by FAFSA disruptions, staffing reductions, and duty changes led to delays in the disbursement of some aid for the 2024-2025 school year. A significant amount of Fall 2024 and Spring 2025 aid was not disbursed until August and September 2025. While this does not fall outside of rules set by the Department of Education, later disbursements caused extra challenges for the Accounting Team and meant a delay in receiving federal funds into the organization. As of September 30, 2025, All Pell Grant and Federal Supplemental Education Opportunity Grant Funds for 2024-2025 were been dispersed — and the matching amounts have been certified by the Department of Education. All federal loans for 2024-2025 have been dispersed, with the exception of 11 students. Nine of the students still have not accepted or declined their loans. They have been given until October 15, or the loans will be rescinded. Two more students had errors that stopped disbursement. This issue is being resolved by the team within the next week. Actions taken to resolve the issue: The Financial Aid team is taking the following actions to ensure that financial aid is disbursed in the term it is awarded. (Note: there are always a few exceptions due to highly unusual circumstances.) • Restructuring the awarding process to disperse funds soon after Census Date, before manually checking each record for anomalies. In 2024-2025, the manual checking process was completed first, which dramatically delayed disbursement. • Restructuring duties to spread out the awarding processing among more than one team member to allow for it to be completed more quickly. • Reviewing and enhancing financial aid policies governing the awarding and disbursing process to ensure that the amounts match at the end of the fiscal year (May 31) for spring and fall terms, and at the end of the award year (August 1) for the summer term. Name(s) of the contact person(s) responsible for corrective action: Tricia Harris, Financial Aid Director Planned completion date for corrective action plan: The Financial Aid Office has already begun implementation of this action plan and will complete implementation before the end of the current school term.

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FY 2024-12-31

$1,677,768 federal awards expended

FAC accepted this audit on April 29, 2026 — management decision was due October 29, 2026.

2024-003
Procurement & Suspension/Debarment
MATERIAL WEAKNESS

The Borough did not maintain documentation to support the suspension and debarment procedures performed for covered transactions in order to demonstrate compliance with 2 CFR Part 180 and 2 CFR Part 200. Questioned Costs: None. Context: One (1) of two (2) selections subject to suspension and debarment compliance requirements did not include adequate documentation to demonstrate that the Borough properly verified the vendor was not suspended or debarred prior to entering into the services agreement. Cause: Procedures were not implemented to maintain documentation to support compliance with the standards of suspension and debarment contained in 2 CFR Part 180 and 2 CFR Part 200. Effect: Compliance with the requirements of the federal award could not be demonstrated. Repeat Finding: No Recommendation: We recommend management enhance procedures and controls to ensure documentation is maintained to support all suspension and debarment verifications related to expenditures from federal award programs. Such documentation should be consolidated and maintained in a secure, accessible location. Views of Responsible Officials: Management agrees with the finding.

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2024-003 Federal Agency: U.S. Department of the Treasury Federal Program Name: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Federal Award Identification Number and Year: 2024; FAIN not available. Award Period: January 1, 2024 through December 31, 2024 Compliance Requirement: Procurement, Suspension and Debarment Type of Finding: Material weakness in internal control over compliance Criteria or Specific Requirement: The United States Code of Federal Regulations (CFR) Title 2, Part 200.319 indicates procurement transactions under the Federal award must be conducted in a manner that provides full and open competition. Additionally, 2 CFR Part 200.320 indicates that for any allowable method chosen, the recipient or subrecipient must maintain and use documented procurement procedures, consistent with the requirements of 2 CFR Part 200, Subpart D. When a non-federal entity enters into a covered transaction with an entity at a lower tier, the nonfederal entity must verify that the entity, as defined in 2 CFR Part 180.995 and agency adopting regulations, is not suspended or debarred or otherwise excluded from participating in the transaction. This verification may be accomplished by (1) checking the System for Award Management (SAM) Exclusions maintained by the General Services Administration (GSA), (2) collecting a certification from the entity, or (3) adding a clause or condition to the covered transaction with that entity (2 CFR Part 180.300). 2 CFR Part 200.303 indicates that non-Federal entities receiving Federal awards must establish and maintain 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 the terms and conditions of the Federal award. Condition: The Borough did not maintain documentation to support the suspension and debarment procedures performed for covered transactions in order to demonstrate compliance with 2 CFR Part 180 and 2 CFR Part 200. Questioned Costs: None. Context: One (1) of two (2) selections subject to suspension and debarment compliance requirements did not include adequate documentation to demonstrate that the Borough properly verified the vendor was not suspended or debarred prior to entering into the services agreement. Cause: Procedures were not implemented to maintain documentation to support compliance with the standards of suspension and debarment contained in 2 CFR Part 180 and 2 CFR Part 200. Effect: Compliance with the requirements of the federal award could not be demonstrated. Repeat Finding: No Recommendation: We recommend management enhance procedures and controls to ensure documentation is maintained to support all suspension and debarment verifications related to expenditures from federal award programs. Such documentation should be consolidated and maintained in a secure, accessible location. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

2024-003 Material weakness in internal control over compliance Federal Agency: U.S. Department of the Treasury Federal Program Name: Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Number: 21.027 Compliance requirement: Procurement, suspension and debarment Recommendation: We recommend management enhance procedures and controls to ensure documentation is maintained to support all suspension and debarment verifications related to expenditures from federal award programs. Such documentation should be consolidated and maintained in a secure, accessible location. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: In 2026 the Borough responded with an SOP to outline the procedures implemented in response to the material weakness finding for internal controls. The SOP outlines, the process for verifying suspension and debarment verification through SAM.gov or another third party resource before federal award payments are made. All vendors are required to be verified prior to payment and annually, with record keeping maintained in a secure location by the finance team. Name(s) of the contact person(s) responsible for corrective action: Layla Richard-Rau, Director of Finance Planned completion date for corrective action plan: Implementation to take place on or before April 27, 2026.

About Procurement and Suspension and Debarment →

FY 2024-06-30

LOW-RISK AUDITEE$6,540,537 federal awards expended

FAC accepted this audit on March 17, 2025 — management decision was due September 17, 2025.

2024-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCYOTHER MATTERS

The District processes failed to timely report the appropriate status for a student to NSLDS in accordance with the stated criteria. Questioned costs: Known: None Context: We noted four (4) out of (40) forty students selected for testing, where the District failed to comply with the stated criteria. Cause: The District's internal control failed to detect the noncompliance with respect to compliance with the stated criteria. Effect: The District has not complied with the stated criteria for the four (4) students. Repeat Finding: No Recommendation: We recommend that the District review its processes and internal controls designed to mitigate the risk of noncompliance with the stated criteria. Views of responsible officials: There is no disagreement with the audit finding.

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2024 – 001 Federal Agency: U.S. Department of Education Federal Program Name: Student Financial Assistance Cluster Assistance Listing Number: 84.063 and 84.268 Federal Award Identification Number and Year: P063P232982-2024 | P268K242982-2024 Award Period: July 1, 2023 through June 30, 2024 Type of Finding: • Significant Deficiency in Internal Control over Compliance • Other Matters Criteria or specific requirement: 34 CFR 685.309(b)(2) requires schools must report status changes within 30 days of determination. If a student did not make the roster report cut off and another roster is being updated within the next 60 days, the school may report the student change on that next roster. At a minimum, schools are required to certify enrollment every 60 days. Verify by reviewing Certification Date column in NSLDS and ensure student was reported at least every 60 days during the fiscal year. Condition: The District processes failed to timely report the appropriate status for a student to NSLDS in accordance with the stated criteria. Questioned costs: Known: None Context: We noted four (4) out of (40) forty students selected for testing, where the District failed to comply with the stated criteria. Cause: The District's internal control failed to detect the noncompliance with respect to compliance with the stated criteria. Effect: The District has not complied with the stated criteria for the four (4) students. Repeat Finding: No Recommendation: We recommend that the District review its processes and internal controls designed to mitigate the risk of noncompliance with the stated criteria. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

U.S. Department of Education The Southwest Wisconsin Technical College (the College) respectfully submits the following corrective action plan for the year ended June 30, 2024. Audit period: July 1, 2023 to June 30, 2024 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FINANCIAL STATEMENT AUDIT Our audit did not disclose any matters required to be reported in accordance with Government Auditing Standards. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Education 2024-001 Student Financial Assistance Cluster – Assistance Listing No. 84.063 and 84.268 Recommendation: We recommend that the District review its processes and internal controls designed to mitigate the risk of noncompliance with the stated criteria. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: 1. Work with Student Information System (SIS) vendor to correct issues in the report used to submit Clearinghouse reports. This is a priority issue and has been escalated to the highest level and is under progress. 2. Created a report in SIS to identify student status errors to be corrected. 3. Submit enrollment reports more frequently. Name(s) of the contact person(s) responsible for corrective action: Kelly Kelly, Controller Planned completion date for corrective action plan: June 30, 2025 *** If the U.S. Department of Education has questions regarding this plan, please call Kelly Kelly, Controller, at (608) 822-2305.

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2024-001
Reporting
SIGNIFICANT DEFICIENCYREPEATOTHER MATTERS

During our testing of the Direct Loan and Pell Grant programs, we selected a sample of students to test for timeliness of reporting student status changes to the National Student Loan Data System (NSLDS). During our testing, we noted that 4 out of 40 students did not have their enrollment status timely reported. Questioned Costs: None reported Context: The students did not notify the University of their intent not to return, so they were not identified until the start of the next semester. Cause: The University does not have a process in place to identify non-returning students timely. Effect: The NSLDS system is not updated with the student information which can cause over awarding should the student transfer to another institution and the students may not properly enter the repayment period. Repeat Finding: Yes Recommendation: We recommend the Institute review its reporting procedures to ensure that students’ statuses are accurately and timely reported to NSLDS as required by regulations. Views of Responsible Officials: There is no disagreement with the audit finding.

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Federal Agency: Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038, 84.268, 84.033, 84.007, 84.063, 84.268, 93.264 Award Period: July 1, 2023 through June 30, 2024 Type of Finding: • Significant Deficiency in Internal Control Over Compliance • Other Matter Criteria or Specific Requirement: The Code of Federal Regulations, 34 CFR 685.309 requires that enrollment status changes for students be reported to NSLDS within 30 days or within 60 days if the student with the status change will be reported on a scheduled transmission within 60 days of the change in status. Condition: During our testing of the Direct Loan and Pell Grant programs, we selected a sample of students to test for timeliness of reporting student status changes to the National Student Loan Data System (NSLDS). During our testing, we noted that 4 out of 40 students did not have their enrollment status timely reported. Questioned Costs: None reported Context: The students did not notify the University of their intent not to return, so they were not identified until the start of the next semester. Cause: The University does not have a process in place to identify non-returning students timely. Effect: The NSLDS system is not updated with the student information which can cause over awarding should the student transfer to another institution and the students may not properly enter the repayment period. Repeat Finding: Yes Recommendation: We recommend the Institute review its reporting procedures to ensure that students’ statuses are accurately and timely reported to NSLDS as required by regulations. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the Institute review its reporting procedures to ensure that students’ statuses are accurately and timely reported to NSLDS as required by regulations. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: This process is being reviewed with the Registrar’s Office, as they complete enrollment reporting through the Clearinghouse. The University has found that some delays are happening due to the lack of federal aid at the initial time. For example, one student started in Fall 2023 and the University has documentation to reflect the student was reported to Clearinghouse within the required timeframe. However, the student had not completed Entrance Counseling or a Master Promissory Note, thus they had not received Title IV aid and were not included in the request file from NSLDS to the Clearinghouse. The University will continue to review and make appropriate changes to the current process. Name(s) of the contact person(s) responsible for corrective action: Mark Freed Planned completion date for corrective action plan: 06/30/2025

Prior Finding References

2023-004

About Reporting →
2024-002
Special Tests & Provisions
SIGNIFICANT DEFICIENCYREPEATOTHER MATTERS

During our testing, we noted for 3 out of 49 Perkins files tested, the MPN was not retained on file. These files were paid in full and the original MPN was sent to the borrower with the paid in full communication. Questioned Costs: None reported Context: The MPNs for the three students were not kept for at least three years as required by the regulation. Cause: The loans were paid in full, and the University was not aware of the requirement to retain a copy of the MPN for at least three years after the loan was satisfied. Effect: The University was not in compliance with the Perkins recordkeeping regulations. Repeat Finding: Yes Recommendation: We recommend the University implement a procedure moving forward to ensure that all necessary MPN’s are retained for at least three years after payment in accordance with the federal regulation. Views of Responsible Officials: There is no disagreement with the audit finding.

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Federal Agency: Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038, 84.268, 84.033, 84.007, 84.063, 84.268, 93.264 Award Period: July 1, 2023 through June 30, 2024 Type of Finding: • Significant Deficiency in Internal Control Over Compliance • Other Matter Criteria or Specific Requirement: The Code of Federal Regulations, 34 CFR 674.19(e) states that Institutions must retain original, true and exact copies of promissory and master promissory notes (MPN), repayment records, and cancellation and deferment requests for each Perkins loan made. An original electronically signed MPN must be retained by the institution for three years after all the loans made on the MPN are satisfied. Condition: During our testing, we noted for 3 out of 49 Perkins files tested, the MPN was not retained on file. These files were paid in full and the original MPN was sent to the borrower with the paid in full communication. Questioned Costs: None reported Context: The MPNs for the three students were not kept for at least three years as required by the regulation. Cause: The loans were paid in full, and the University was not aware of the requirement to retain a copy of the MPN for at least three years after the loan was satisfied. Effect: The University was not in compliance with the Perkins recordkeeping regulations. Repeat Finding: Yes Recommendation: We recommend the University implement a procedure moving forward to ensure that all necessary MPN’s are retained for at least three years after payment in accordance with the federal regulation. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend the University implement a procedure moving forward to ensure that all necessary MPN’s are retained for at least three years after payment in accordance with the federal regulation. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Item was in reference to Perkins Loans that were assigned to ED. While the University does not disagree with the fact that three MPN’s were unavailable, each were old Perkins Loans, and each were successfully assigned to ED utilizing alternative documentation, as suggested by ED. The University has a current process in place to retain all information in student files for a minimum of three years. Name(s) of the contact person(s) responsible for corrective action: Mark Freed Planned completion date for corrective action plan: 06/30/2025

Prior Finding References

2023-001

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2024-003
Special Tests & Provisions
SIGNIFICANT DEFICIENCYREPEATOTHER MATTERS

Under a University’s Program Participation Agreement with the Department of Education and the Gramm-Leach-Bliley Act, schools must protect student financial aid information, with particular attention to information provided to institutions by the Department or otherwise obtained in support of the administration of the federal student financial aid programs. Questioned Costs: None reported Context: During our audit procedures, it was noted that the University’s Written Information Security Program was not evaluated and adjusted based on monitoring results, risk assessments and penetration tests within the audit period. Cause: The University has not created appropriate policies that address all GLBA Safeguard Rules. Effect: The students’ personal information could be vulnerable. Repeat Finding: Yes Recommendation: We recommend that the University review each element of GLBA to ensure compliance with all necessary requirements. Views of Responsible Officials: There is no disagreement with the audit finding.

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Federal Agency: Department of Education Federal Program Title: Student Financial Assistance Cluster Assistance Listing Number: 84.038, 84.268, 84.033, 84.007, 84.063, 84.268, 93.264 Award Period: July 1, 2023 through June 30, 2024 Type of Finding: • Significant Deficiency in Internal Control Over Compliance • Other Matter Criteria or Specific Requirement: The Gramm-Leach-Bliley Act (GLBA) requires financial institutions to explain their information-sharing practices to their customers and to safeguard sensitive data (16 CFR 314). Institutions are required to develop, implement, and maintain a comprehensive information security program that is written in one or more readily accessible parts. The regulations require the written information security program to include nine elements for institutions with 5,000 or more customers, (16 CFR 314.3(a)). The written information security program (WISP) for institutions with fewer than 5,000 customers must address seven elements (16 CFR 314.3(a) and 16 CFR 314.6). The elements that an institution must address in its written information security program are at 16 CFR 314.4. At a minimum, the institution’s written information security program must address the implementation of the minimum safeguards identified in 16 CFR 314.4(c)(1) through (8) including: Assess apps developed by the institution. In addition, the written security program provides for the institution to regularly test or otherwise monitor the effectiveness of the safeguards it has implemented (16 CFR 314.4(d)). Condition: Under a University’s Program Participation Agreement with the Department of Education and the Gramm-Leach-Bliley Act, schools must protect student financial aid information, with particular attention to information provided to institutions by the Department or otherwise obtained in support of the administration of the federal student financial aid programs. Questioned Costs: None reported Context: During our audit procedures, it was noted that the University’s Written Information Security Program was not evaluated and adjusted based on monitoring results, risk assessments and penetration tests within the audit period. Cause: The University has not created appropriate policies that address all GLBA Safeguard Rules. Effect: The students’ personal information could be vulnerable. Repeat Finding: Yes Recommendation: We recommend that the University review each element of GLBA to ensure compliance with all necessary requirements. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

Student Financial Assistance Cluster – Assistance Listing No. Various Recommendation: We recommend that the University review each element of GLBA to ensure compliance with all necessary requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Mount Mercy University’s information technology department has implemented an annual process to review access controls and ensure access is only provided to authorized individuals. Authorized users will only have access to sensitive information which is required to perform their roles and responsibilities. Name(s) of the contact person(s) responsible for corrective action: Curtis Sanders Planned completion date for corrective action plan: 06/30/2025

Prior Finding References

2023-003

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FY 2021-06-30

LOW-RISK AUDITEE$2,659,881 federal awards expended

FAC accepted this audit on September 7, 2022 — management decision was due March 7, 2023.

2021-001
Activities Allowed or Unallowed
SIGNIFICANT DEFICIENCYQUESTIONED COSTS

During our testing, we noted that there was insufficient third-party documentation to support a transaction that was charged to this grant. Questioned costs: $229. Context: For one (1) of sixty (60) transactions selected for testing there was insufficient documentation to support the existence of the expense. Documentation provided was limited to internal email correspondence. Cause: Due to turnover in the culinary and finance departments, documentation to support the actual cost of this transaction was misplaced and could not be located by other personnel. Effect: The amount which was reimbursed by the Provider Relief Fund may be different from the actual cost incurred. Repeat Finding: No. Recommendation: We recommend that management design controls to ensure that all reimbursable transactions have a sufficient level of supporting documentation and that it can be easily located and accessed by the appropriate current and future individuals at the Corporations. Views of responsible officials: There is no disagreement with the audit finding.

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Federal Agency: U.S. Department of Health and Human Services Federal Program Title: COVID-19: Provider Relief Fund Assistance Listing Number: 93.498 Award Period: Payments received between April 10, 2020 to June 30, 2020 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: 2 CFR Section 200.303 requires nonfederal entities receiving federal awards to establish and maintain internal controls designed to reasonably ensure compliance with federal statutes, regulations, and terms and conditions of the federal award. These controls should be designed and implemented to ensure that only allowable costs are reimbursed. Condition: During our testing, we noted that there was insufficient third-party documentation to support a transaction that was charged to this grant. Questioned costs: $229. Context: For one (1) of sixty (60) transactions selected for testing there was insufficient documentation to support the existence of the expense. Documentation provided was limited to internal email correspondence. Cause: Due to turnover in the culinary and finance departments, documentation to support the actual cost of this transaction was misplaced and could not be located by other personnel. Effect: The amount which was reimbursed by the Provider Relief Fund may be different from the actual cost incurred. Repeat Finding: No. Recommendation: We recommend that management design controls to ensure that all reimbursable transactions have a sufficient level of supporting documentation and that it can be easily located and accessed by the appropriate current and future individuals at the Corporations. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

Part of the process for storing supporting documents was disconnected due to the turnover. The management has reinforced and will continue reinforcing the process to make sure the supporting documentation is saved correctly.

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