EIN: 452131381
UEI: LSMDMWLRKXK4
Audited by: Allan Smith & Company, CPAs PC
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 7, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 30, 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 September 30, 2026 (20 days from today).
What is a management decision? →FAC accepted this audit on February 1, 2026 — management decision was due August 1, 2026.
There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of Condition and Context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
Show full finding ▾Hide full finding ▴Statement of condition: In prior years, the Organization experienced delays in completing timely financial statement audits and major Federal program compliance reporting in accordance with the Federal Single Audit Act. We note that the delays were due to misunderstandings of the grant compliance requirements, whereby only the subcontractor was audited. Subsequent audit and filing timing challenges were due to the extensive effort required to prepare and file multiple years of audits. As noted in the fiscal 2024 audit report, the Organization has completed and filed its audited financial statements for fiscal year 2019 through 2023 and has scheduled its fiscal 2025’s financial statement and major Federal program compliance audit to ensure it is timely filed. Timely external financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the organizations grants and contracts have accountability to provide its audited financial statement and federal major program compliance audit. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the organization’s fiscal year-end. Cause of Condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of Condition and Context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
We agree with the recommendation and understand the required compliance responsibility to provide audited financial statements and major Federal program compliance reporting timely each fiscal year, in accordance with the Federal Single Audit Act. Because of past misunderstandings and incorrect assumptions about major Federal program compliance requirements for fiscal 2019, 2020, 2021, 2022, 2023, and 2024 management failed to provide for timely audits. One critical assumption was that the Organization’s subrecipient, responsible for over ninety percent (90%) of grant distributions, fulfilled the audit requirement for the required Federal grant reporting under the Single Audit Act. However, upon recognizing this error, the Organization promptly engaged for the financial statement and major Federal program compliance audits spanning multiple years including up to last fiscal year and is on track to provide for timely filing with the current year. With this understanding and the expectation of financial statement and major Federal program compliance audits, the Organization replaced its contracted accountants by hiring its first Chief Financial Officer (CFO) in January of 2021 and a number of additional support accountants beginning in November of 2021 through January of 2024. Upon hire, and with the growth of the programming, the CFO and the accounting team focused extensively on enhancing the Organization’s financial reporting framework and data management systems to ensure continued compliance with federal and state guidelines and reporting requirements. This effort has been crucial in expediting the more recent audits and improving overall efficiencies in the day-to-day and monthly financial reporting and budgeting requirements. Further, the Organization must acknowledge the challenges posed by the transition of multiple Chief Executive Officers in a 2-year period as well as the impact of the pandemic on operations and reporting. These two factors affected operations and time lines as well as access to data files as many were in paper form. Despite these difficulties, management’s commitment to timely financial reporting and program compliance remains steadfast and are working diligently to get its timing back on track going forward.
2023-001
FAC accepted this audit on October 6, 2025 — management decision was due April 6, 2026.
Statement of condition: In prior years, the Organization experienced delays in completing timely financial statement audits and major Federal program compliance reporting in accordance with the Federal Single Audit Act. We note that the delays were due to misunderstandings of the grant compliance requirements, whereby only the subcontractor was audited. Subsequent audit and filing timing challenges were due to the extensive effort required to prepare and file multiple years of audits. As noted in the fiscal 2023 audit report, the Organization has completed and filed its audited financial statements for fiscal year 2019 through 2022 and is actively finalizing fiscal 2024's financial statement and major Federal program compliance audit. Timely external financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization's grants and contracts have accountability to provide its audited financial statement and federal major program compliance audit. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies followed by the extensive effort required to prepare and file multiple years of Federal compliance audits in arrears. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
Show full finding ▾Hide full finding ▴Statement of condition: In prior years, the Organization experienced delays in completing timely financial statement audits and major Federal program compliance reporting in accordance with the Federal Single Audit Act. We note that the delays were due to misunderstandings of the grant compliance requirements, whereby only the subcontractor was audited. Subsequent audit and filing timing challenges were due to the extensive effort required to prepare and file multiple years of audits. As noted in the fiscal 2023 audit report, the Organization has completed and filed its audited financial statements for fiscal year 2019 through 2022 and is actively finalizing fiscal 2024's financial statement and major Federal program compliance audit. Timely external financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization's grants and contracts have accountability to provide its audited financial statement and federal major program compliance audit. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies followed by the extensive effort required to prepare and file multiple years of Federal compliance audits in arrears. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
We agree with the recommendation and understand the required compliance responsibility to provide audited financial statements and major Federal program compliance reporting timely each fiscal year, in accordance with the Federal Single Audit Act. Because of past misunderstandings and incorrect assumptions about major Federal program compliance requirements for fiscal 2019, 2020, 2021, 2022, and 2023, management failed to provide for timely audits. One critical assumption was that the Organization’s subrecipient, responsible for over ninety percent (90%) of grant distributions, fulfilled the audit requirement for the required Federal grant reporting under the Single Audit Act. However, upon recognizing this error, the Organization promptly engaged for the financial statement and major Federal program compliance audits spanning multiple years including up to last fiscal year and is on track to provide for timely filing with the current year. With this understanding and the expectation of financial statement and major Federal program compliance audits, the Organization replaced its contracted accountants by hiring its first Chief Financial Officer (CFO) in January of 2021 and a number of additional support accountants beginning in November of 2021 through January of 2024. Upon hire, and with the growth of the programming, the CFO and the accounting team focused extensively on enhancing the Organization’s financial reporting framework and data management systems to ensure continued compliance with federal and state guidelines and reporting requirements. This effort has been crucial in expediting the more recent audits and improving overall efficiencies in the day-to-day and monthly financial reporting and budgeting requirements. Further, the Organization must acknowledge the challenges posed by the transition of multiple Chief Executive Officers in a 2-year period as well as the impact of the pandemic on operations and reporting. These two factors affected operations and time lines as well as access to data files as many were in paper form. While the timeliness of reporting has improved significantly, some delays remain as a result of the historical backlog. However, the Organization is on track to achieve timely reporting for fiscal 2025. We affirm that timely external financial reporting is a critical internal control feature to support effective Board and management oversight, as well as to meet the accountability requirements of various grants and contracts. Despite the aforementioned difficulties, management’s commitment to timely financial reporting and program compliance remains steadfast and are working diligently to get its timing back on track going forward.
2022-001
FAC accepted this audit on September 18, 2025 — management decision was due March 18, 2026.
Statement of condition: The Organization has been challenged in recent years to provide for a timely financial statement audit and major Federal program compliance reporting in accordance with the Federal Single Audit Act. Timely external financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization's grants and contracts have accountability to provide its audited financial statement and Federal major program compliance audit. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
Show full finding ▾Hide full finding ▴Statement of condition: The Organization has been challenged in recent years to provide for a timely financial statement audit and major Federal program compliance reporting in accordance with the Federal Single Audit Act. Timely external financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization's grants and contracts have accountability to provide its audited financial statement and Federal major program compliance audit. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
We agree with the recommendation and understand the required compliance responsibility to provide audited financial statements and major Federal program compliance reporting timely each fiscal year, in accordance with the Federal Single Audit Act. Because of past misunderstandings and incorrect assumptions about major Federal program compliance requirements for fiscal 2019, 2020, 2021, and 2022, management failed to provide for timely audits. One critical assumption was that the Organization’s subrecipient, responsible for over ninety percent (90%) of grant distributions, fulfilled the audit requirement for the required Federal grant reporting under the Single Audit Act. However, upon recognizing this error, the Organization promptly engaged for the financial statement and major Federal program compliance audits spanning multiple years including up to last fiscal year and is on track to provide for timely filing with the current year. With this understanding and the expectation of financial statement and major Federal program compliance audits, the Organization replaced its contracted accountants by hiring its first Chief Financial Officer (CFO) in January of 2021 and a number of additional support accountants beginning in November of 2021 through January of 2024. Upon hire, and with the growth of the programming, the CFO and the accounting team focused extensively on enhancing the Organization’s financial reporting framework and data management systems to ensure continued compliance with federal and state guidelines and reporting requirements. This effort has been crucial in expediting the more recent audits and improving overall efficiencies in the day-to-day and monthly financial reporting and budgeting requirements. Further, the Organization must acknowledge the challenges posed by the transition of multiple Chief Executive Officers in a 2-year period as well as the impact of the pandemic on operations and reporting. These two factors affected operations and time lines as well as access to data files as many were in paper form. Despite these difficulties, management’s commitment to timely financial reporting and program compliance remains steadfast and are working diligently to get its timing back on track going forward.
2021-001
FAC accepted this audit on March 25, 2025 — management decision was due September 25, 2025.
Statement of condition: The Organization has been challenged in recent years to provide for a timely financial statement audit and major Federal program compliance reporting in accordance with the Federal Single Audit Act. Timely external financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization's grants and contracts have accountability to provide its audited financial statement and Federal major program compliance audit. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
Show full finding ▾Hide full finding ▴Statement of condition: The Organization has been challenged in recent years to provide for a timely financial statement audit and major Federal program compliance reporting in accordance with the Federal Single Audit Act. Timely external financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization's grants and contracts have accountability to provide its audited financial statement and Federal major program compliance audit. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
We agree with the recommendation and understand the required compliance responsibility to provide audited financial statements and major Federal program compliance reporting timely each fiscal year, in accordance with the Federal Single Audit Act. Because of past misunderstandings and incorrect assumptions about major Federal program compliance requirements for fiscal 2019, 2020, and 2021, management failed to provide for timely audits. One critical assumption was that the Organization’s subrecipient, responsible for over ninety percent (90%) of grant distributions, fulfilled the audit requirement for the required Federal grant reporting under the Single Audit Act. However, upon recognizing this error, the Organization promptly engaged for the financial statement and major Federal program compliance audits spanning multiple years including up to last fiscal year and is on track to provide for timely filing with the current year. With this understanding and the expectation of financial statement and major Federal program compliance audits, the Organization replaced its contracted accountants by hiring its first Chief Financial Officer (CFO) in January of 2021 and a number of additional support accountants beginning in November of 2021 through January of 2024. Upon hire, and with the growth of the programming, the CFO and the accounting team focused extensively on enhancing the Organization’s financial reporting framework and data management systems to ensure continued compliance with federal and state guidelines and reporting requirements. This effort has been crucial in expediting the more recent audits and improving overall efficiencies in the day-to-day and monthly financial reporting and budgeting requirements. Further, the Organization must acknowledge the challenges posed by the transition of multiple Chief Executive Officers in a 2-year period as well as the impact of the pandemic on operations and reporting. These two factors affected operations and time lines as well as access to data files as many were in paper form. Despite these difficulties, management’s commitment to timely financial reporting and program compliance remains steadfast and are working diligently to get its timing back on track going forward.
2019-001
FAC accepted this audit on January 13, 2025 — management decision was due July 13, 2025.
Statement of condition: The Organization has been challenged in recent years to provide for the timely reporting of financial activities to its funding sources; particularly the financial statement audit and major Federal program compliance in accordance with the Federal Single Audit Act. Timely financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization’s grants and contracts have accountability to an approved budget from the funding source. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
Show full finding ▾Hide full finding ▴Statement of condition: The Organization has been challenged in recent years to provide for the timely reporting of financial activities to its funding sources; particularly the financial statement audit and major Federal program compliance in accordance with the Federal Single Audit Act. Timely financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization’s grants and contracts have accountability to an approved budget from the funding source. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F, require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal 45 CFR 75 Subpart F reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal 45 CFR 75 Subpart F.
We agree with the recommendation and understand the required compliance responsibility to provide audited financial statements and major Federal program compliance reporting timely each fiscal year in accordance with the Federal Single Audit Act. Because of past misunderstandings and incorrect assumptions about major Federal program compliance requirements for fiscal 2019 and 2020, management failed to provide for timely audits. One critical assumption was that the Organization’s subrecipient, responsible for over ninety percent (90%) of grant distributions, fulfilled the audit requirement for the required Federal grant reporting under the Single Audit Act. However, upon recognizing this error, the Organization promptly engaged for the financial statement and major Federal program compliance audits spanning multiple years including up to last fiscal year and is on track to provide for timely filing with the current year.
2019-001
FAC accepted this audit on December 2, 2024 — management decision was due June 2, 2025.
Statement of condition: The Organization has been challenged in recent years to provide for the timely reporting of financial activities to its funding sources; particularly the financial statement audit and major Federal program compliance in accordance with the Federal Single Audit Act. Timely financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization’s grants and contracts have accountability to an approved budget from the funding source. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal grants and contracts require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal Single Audit Act’s reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal grants and contracts.
Show full finding ▾Hide full finding ▴Statement of condition: The Organization has been challenged in recent years to provide for the timely reporting of financial activities to its funding sources; particularly the financial statement audit and major Federal program compliance in accordance with the Federal Single Audit Act. Timely financial reporting is a critical internal control feature for the Board and management to provide for prudent oversight of program operations. Further, many of the Organization’s grants and contracts have accountability to an approved budget from the funding source. Criteria: The State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal grants and contracts require financial and programmatic compliance reporting via an external audit within nine (9) months of the fiscal year-end. Cause of condition: There was a lack of clarity among the subcontractors regarding the reporting responsibilities for grant activities for the funding agencies. Effect of condition and context: Non-compliance with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals and the Federal Single Audit Act’s reporting requirements. Recommendation: We recommend the Organization provide for timely audited financial and program compliance reporting consistent with the State of Rhode Island, Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as well as the Federal grants and contracts.
We agree with the recommendation and understand the required compliance responsibility to provide audited financial statements and major Federal program compliance reporting timely each fiscal year in accordance with the Federal Single Audit Act. Because of past misunderstandings and incorrect assumptions about major Federal program compliance requirements for fiscal 2019 and 2020, management failed to provide for timely audits. One critical assumption was that the Organization’s subrecipient, responsible for over ninety percent (90%) of grant distributions, fulfilled the audit requirement for the required Federal grant reporting under the Single Audit Act. However, upon recognizing this error, the Organization promptly engaged for the financial statement and major Federal program compliance audits spanning multiple years including up to last fiscal year. With this understanding and the expectation of financial statement and major Federal program compliance audits, the Organization replaced its contracted accountants by hiring its first Chief Financial Officer (CFO) in January of 2021 and a number of additional support accountants beginning in November of 2021 through January of 2024. Upon hire, and with the growth of the programming, the CFO and the accounting team focused extensively on enhancing the Organization’s financial reporting framework and data management systems to ensure continued compliance with federal and state guidelines and reporting requirements. This effort has been crucial in expediting the more recent audits and improving overall efficiencies in the day-to-day and monthly financial reporting and budgeting requirements. Further, the Organization must acknowledge the challenges posed by the transition of multiple Chief Executive Officers in a 2-year period as well as the impact of the pandemic on operations and reporting. These two factors affected operations and time lines as well as access to data files as many were in paper form. Despite these difficulties, management’s commitment to timely financial reporting and program compliance remains steadfast and are working diligently to get its timing back on track going forward.
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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