EIN: 411517351
UEI: NLW5AHFLMCS3
Audited by: EIDE BAILLY LLP
Oversight agency: 93 [Department of Health and Human Services]
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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 December 19, 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 June 19, 2026 (76 days ago).
What is a management decision? →The Organization did not have a documented review completed prior to invoice payments being made or reimbursement requests being submitted to ensure all costs incurred were allowed and in the correct period of performance under the program. Cause: The Organization did not have controls in place to ensure there was proper review and approval of payments made on the grant and reimbursement requests sent to granting agency. Effect: Costs could be paid or reimbursements requested for expenses that are not allowed under the program or in the proper period. Questioned Costs: None Context: A nonstatistical sample of 30 transactions out of 137 total transactions were selected for testing, which accounted for $148,378 of $699,532 of federal program expenditures. A nonstatistical sample of 8 reimbursement requests out of 23 total reimbursement requests were selected for testing. Repeat Finding from Prior Years: No Recommendation: We recommend a documented approval process be implemented prior to all payments being made, and reimbursement requests being submitted to ensure that costs were allowed, in the correct period of performance, and properly reimbursed under the program. Views of Responsible Officials: Management agrees with the finding.
Show full finding ▾Hide full finding ▴2024-001 Department of Health and Human Services Passed through the State of Minnesota and Canvas Health Federal Assistance Listing #93.959 Substance Abuse Prevention & Treatment Block Grant Award # 873423771 Award Year - 2024 Award # 208341986 Award Year - 2024 Activities Allowed or Unallowed and Allowable Costs/Cost Principles, Cash Management and Period of Performance Material Weakness in Internal Control over Compliance Criteria: 2 CFR 200.33(a) establishes that the auditee must establish and maintain effective internal controls over federal awards that provides assurance that the organization is managing the federal award in compliance with federal statues, regulations, and conditions of the federal award. Condition: The Organization did not have a documented review completed prior to invoice payments being made or reimbursement requests being submitted to ensure all costs incurred were allowed and in the correct period of performance under the program. Cause: The Organization did not have controls in place to ensure there was proper review and approval of payments made on the grant and reimbursement requests sent to granting agency. Effect: Costs could be paid or reimbursements requested for expenses that are not allowed under the program or in the proper period. Questioned Costs: None Context: A nonstatistical sample of 30 transactions out of 137 total transactions were selected for testing, which accounted for $148,378 of $699,532 of federal program expenditures. A nonstatistical sample of 8 reimbursement requests out of 23 total reimbursement requests were selected for testing. Repeat Finding from Prior Years: No Recommendation: We recommend a documented approval process be implemented prior to all payments being made, and reimbursement requests being submitted to ensure that costs were allowed, in the correct period of performance, and properly reimbursed under the program. Views of Responsible Officials: Management agrees with the finding.
Finding 2024-001 Federal Agency Name: Department of Health and Human Services Program Name: Block Grants for Prevention and Treatment of Substance Abuse Federal Financial Assistance Listing Number: 93.959 Finding Summary: The Organization must establish and maintain effective internal controls over federal awards that provides assurance that the organization is managing the federal award in compliance with federal statutes, regulation, and conditions of the federal award. The Organization did not have documented review completed prior to invoice payments being made or reimbursement requests being submitted to ensure all costs incurred were allowed and in the correct period of performance under the program. Responsible Individuals: Carlie Stevens, Wellcome Manor Finance Manager; Karen Klabunde, Wellcome Manor Center Director Corrective Action Plan: On a monthly basis, the Finance Manager will provide the month’s expenditures, receipts, reimbursement requests, and recap spreadsheet to the Center Director. The Center Director will agree all items to the grant and sign the recap spreadsheet to document her review and approval. Anticipated Completion Date: December 31, 2025
FAC accepted this audit on August 6, 2023 — management decision was due February 6, 2024.
The Organization claimed a portion of expenses that benefited the period outside of the period of availability for period 4 which was January 1, 2020, to December 31, 2022. Cause: The Organization did not have an internal control process in place to ensure that allowable expenses excluded costs incurred near the end of the period of availability relating to the next fiscal year. Effect: The Organization incorrectly calculated the amount of certain expenses reported. Questioned Costs: There were no questioned costs in excess of $25,000 required to be reported. Context: A nonstatistical sample of 65 out of 344 ($167,277) direct program expenditures were tested for activities allowed or unallowed and allowable costs/cost principles. Of these 65 items, there was an error in one of the expenditures tested relating to $24,996 of costs benefiting 2023 and this error was determined to be isolated in nature. Repeat Finding from Prior Years: No Recommendation: We recommend that the Organization enhance internal control policies to ensure all cash disbursements are reviewed and approved prior to payment to ensure that all payments are necessary, correct, meet the requirements of the federal program including an assessment of the period of availability, and are properly recorded in the reports required to be submitted to the federal agency. Views of Responsible Officials: Management agrees with the finding.
Show full finding ▾Hide full finding ▴2022-002 Department of Health and Human Services Federal Assistance Listing #93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year ? Period 4 TIN #411517351 Activities Allowed or Unallowed and Allowable Costs/Cost Principles Significant Deficiency in Internal Control over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. Condition: The Organization claimed a portion of expenses that benefited the period outside of the period of availability for period 4 which was January 1, 2020, to December 31, 2022. Cause: The Organization did not have an internal control process in place to ensure that allowable expenses excluded costs incurred near the end of the period of availability relating to the next fiscal year. Effect: The Organization incorrectly calculated the amount of certain expenses reported. Questioned Costs: There were no questioned costs in excess of $25,000 required to be reported. Context: A nonstatistical sample of 65 out of 344 ($167,277) direct program expenditures were tested for activities allowed or unallowed and allowable costs/cost principles. Of these 65 items, there was an error in one of the expenditures tested relating to $24,996 of costs benefiting 2023 and this error was determined to be isolated in nature. Repeat Finding from Prior Years: No Recommendation: We recommend that the Organization enhance internal control policies to ensure all cash disbursements are reviewed and approved prior to payment to ensure that all payments are necessary, correct, meet the requirements of the federal program including an assessment of the period of availability, and are properly recorded in the reports required to be submitted to the federal agency. Views of Responsible Officials: Management agrees with the finding.
Finding 2022-002 Activities Allowed or Unallowed and Allowable Costs/Cost Principles Significant Deficiency in Internal Control over Compliance Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Applicable Federal Award Number and Year ? Period 4 TIN #411517351 Federal Assistance Listing #93.498 Finding Summary: The Organization claimed a portion of expenses that benefited the period outside of the period of availability for period 4 which was January 1, 2020 to December 31, 2022. Responsible Individuals: Twila Jensen, Senior Vice President, Finance Corrective Action Plan: Management will enhance internal controls to ensure all cash disbursements are not only reviewed and approved prior to payment to ensure that all payments are necessary, correct, meet the requirements of the federal program, but include an assessment of the period of availability, and are properly recorded in the reports required to be submitted to the federal agency. Anticipated Completion Date: 7/28/2023
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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