EIN: 460339207
UEI: HBVNF914LC57
Audited by: KETEL THORSTENSON, LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on June 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 December 30, 2026 (122 days from today).
What is a management decision? →Finding 2025-002: Adjustments to Financial Statements and Schedule of Expenditures of Federal Awards Federal Program Affected: Protection and Advocacy for Individuals with Mental Illness, ALN 93.318 and Developmental Disabilities Basic Support and Advocacy Grants, ALN 93.630 Compliance Requirement: Reporting Questioned Costs: None Condition and Cause: During our engagement, we posted several audit adjustments. Adjustments included entries to cash, prepaids, receivables, lease assets, lease liabilities, accrued liabilities, refundable advance and federal grant revenue, net assets, and the schedule of expenditures of federal awards (SEFA). The Organization does not have internal control processes to reconcile year-end balances. Criteria and Effect: All balance sheet accounts and SEFA balances should be reconciled to supporting schedules. These adjustments were not identified with the Organization’s existing internal controls and would have resulted in a material misstatement of the Organization’s financial statements and SEFA. Repeat Finding from Prior Year: 2024-002 Recommendation: All significant balance sheet accounts, net assets and federal expenditures reported on the SEFA should be reconciled to supporting schedules and adjusted regularly. At a minimum, such reconciliations should be completed at year end. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Show full finding ▾Hide full finding ▴Finding 2025-002: Adjustments to Financial Statements and Schedule of Expenditures of Federal Awards Federal Program Affected: Protection and Advocacy for Individuals with Mental Illness, ALN 93.318 and Developmental Disabilities Basic Support and Advocacy Grants, ALN 93.630 Compliance Requirement: Reporting Questioned Costs: None Condition and Cause: During our engagement, we posted several audit adjustments. Adjustments included entries to cash, prepaids, receivables, lease assets, lease liabilities, accrued liabilities, refundable advance and federal grant revenue, net assets, and the schedule of expenditures of federal awards (SEFA). The Organization does not have internal control processes to reconcile year-end balances. Criteria and Effect: All balance sheet accounts and SEFA balances should be reconciled to supporting schedules. These adjustments were not identified with the Organization’s existing internal controls and would have resulted in a material misstatement of the Organization’s financial statements and SEFA. Repeat Finding from Prior Year: 2024-002 Recommendation: All significant balance sheet accounts, net assets and federal expenditures reported on the SEFA should be reconciled to supporting schedules and adjusted regularly. At a minimum, such reconciliations should be completed at year end. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Finding No. 2025-002: Adjustments to Financial Statements and Schedule of Expenditures of Federal Awards Responsible Individuals: Carrie Watts, Fiscal and Grant Manager Corrective Action Plan: The Organization will seek outside consulting to train existing personnel on accrual accounting and assistance with year-end adjustments. Anticipated Completion Date: September 30, 2026
2024-002
Finding No. 2025-004: Federal Program Expenditure Tracking Federal Program Affected: Protection and Advocacy for Individuals with Mental Illness, ALN 93.318 and Developmental Disabilities Basic Support and Advocacy Grants, ALN 93.630 Compliance Requirement: Cash Management and Reporting Questioned Costs: None after adjustment Condition and Cause: The Organization does not have a current internal control process to reconcile reimbursement-based grant revenue to incurred expenses. Federal grant revenue reimbursed exceeded expenses incurred and allocated to the grant funding, also creating variances in the federal program reporting requirements. A refundable advance totaling $139,872 was recorded as of September 30, 2025, which included the following federal grant programs: • Developmental Disabilities Basic Support and Advocacy Grants, ALN 93.630 - $69,253 • Protection and Advocacy for Individuals with Mental Illness, ALN 93.138 - $36,760 • Non-major federal programs - $33,859 Criteria and Effect: Current internal controls did not identify the errors in drawdown requests for reimbursement-based federal programs during the year. This resulted in material noncompliance. Repeat Finding from Prior Year: N/A Recommendation: The Organization should use actual expenditure reports from the general ledger to prepare reimbursement requests and federal reporting submissions. The general ledger reports should be maintained to support reimbursement requests and report submissions. Management reviewing the reimbursement requests should ensure such expenditure reports match or exceed the reimbursement requests and agree to reports submitted for the federal programs. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Show full finding ▾Hide full finding ▴Finding No. 2025-004: Federal Program Expenditure Tracking Federal Program Affected: Protection and Advocacy for Individuals with Mental Illness, ALN 93.318 and Developmental Disabilities Basic Support and Advocacy Grants, ALN 93.630 Compliance Requirement: Cash Management and Reporting Questioned Costs: None after adjustment Condition and Cause: The Organization does not have a current internal control process to reconcile reimbursement-based grant revenue to incurred expenses. Federal grant revenue reimbursed exceeded expenses incurred and allocated to the grant funding, also creating variances in the federal program reporting requirements. A refundable advance totaling $139,872 was recorded as of September 30, 2025, which included the following federal grant programs: • Developmental Disabilities Basic Support and Advocacy Grants, ALN 93.630 - $69,253 • Protection and Advocacy for Individuals with Mental Illness, ALN 93.138 - $36,760 • Non-major federal programs - $33,859 Criteria and Effect: Current internal controls did not identify the errors in drawdown requests for reimbursement-based federal programs during the year. This resulted in material noncompliance. Repeat Finding from Prior Year: N/A Recommendation: The Organization should use actual expenditure reports from the general ledger to prepare reimbursement requests and federal reporting submissions. The general ledger reports should be maintained to support reimbursement requests and report submissions. Management reviewing the reimbursement requests should ensure such expenditure reports match or exceed the reimbursement requests and agree to reports submitted for the federal programs. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Finding No. 2025-004: Federal Program Expenditure Tracking Responsible Individuals: Carrie Watts, Fiscal and Grant Manager Corrective Action Plan: The Organization will establish cash management internal control and review processes and maintain adequate documentation for reimbursement requests and federal grant reports. Anticipated Completion Date: September 30, 2026
Finding No. 2025-005: Matching Compliance Controls Federal Program Affected: Developmental Disabilities Basic Support and Advocacy Grants Compliance Requirement: Matching Questioned Costs: None Condition and Cause: The Organization does not have a current internal control process to maintain documentation to support travel, training and homework time related its grant matching requirement. Alternative documentation was obtained to support the reasonableness of matching hours used. Criteria and Effect: Documentation should be maintained to support hours spent and the rates used for travel, training and homework for matching requirements. The lack of adequate documentation could lead to noncompliance. Repeat Finding from Prior Year: 2024-004 Recommendation: We recommend management establish and maintain documentation for all in-kind/matching balances including time sheets and proper rate documentation for all travel, training and homework time. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Show full finding ▾Hide full finding ▴Finding No. 2025-005: Matching Compliance Controls Federal Program Affected: Developmental Disabilities Basic Support and Advocacy Grants Compliance Requirement: Matching Questioned Costs: None Condition and Cause: The Organization does not have a current internal control process to maintain documentation to support travel, training and homework time related its grant matching requirement. Alternative documentation was obtained to support the reasonableness of matching hours used. Criteria and Effect: Documentation should be maintained to support hours spent and the rates used for travel, training and homework for matching requirements. The lack of adequate documentation could lead to noncompliance. Repeat Finding from Prior Year: 2024-004 Recommendation: We recommend management establish and maintain documentation for all in-kind/matching balances including time sheets and proper rate documentation for all travel, training and homework time. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Finding No. 2025-005: Matching Compliance Controls Responsible Individuals: Carrie Watts, Fiscal and Grant Manager Corrective Action Plan: The Organization will establish and maintain documentation to support in-kind/matching balances. Anticipated Completion Date: September 30, 2026
2024-004
FAC accepted this audit on June 27, 2025 — management decision was due December 27, 2025.
Finding 2024-002: Adjustments to Financial Statements and Schedule of Expenditures of Federal Awards Federal Program Affected: Developmental Disabilities Basic Support and Advocacy Grants Compliance Requirement: Reporting Questioned Costs: None Condition and Cause: During our engagement, we posted several audit adjustments. Adjustments included entries to cash, prepaids, receivables, lease assets, lease liabilities, accounts payable, accrued liabilities, net assets, and the schedule of expenditures of federal awards (SEFA). The Organization does not have internal control processes to reconcile year-end balances. Criteria and Effect: All balance sheet accounts and SEFA balances should be reconciled to supporting schedules. These adjustments were not identified as a result of the Organization’s existing internal controls and could have resulted in a material misstatement of the Organization’s financial statements and SEFA. Repeat Finding from Prior Year: No Recommendation: All significant balance sheet accounts, net assets and federal expenditures reported on the SEFA should be reconciled to supporting schedules and adjusted regularly. At a minimum, such reconciliations should be completed at year end. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Show full finding ▾Hide full finding ▴Finding 2024-002: Adjustments to Financial Statements and Schedule of Expenditures of Federal Awards Federal Program Affected: Developmental Disabilities Basic Support and Advocacy Grants Compliance Requirement: Reporting Questioned Costs: None Condition and Cause: During our engagement, we posted several audit adjustments. Adjustments included entries to cash, prepaids, receivables, lease assets, lease liabilities, accounts payable, accrued liabilities, net assets, and the schedule of expenditures of federal awards (SEFA). The Organization does not have internal control processes to reconcile year-end balances. Criteria and Effect: All balance sheet accounts and SEFA balances should be reconciled to supporting schedules. These adjustments were not identified as a result of the Organization’s existing internal controls and could have resulted in a material misstatement of the Organization’s financial statements and SEFA. Repeat Finding from Prior Year: No Recommendation: All significant balance sheet accounts, net assets and federal expenditures reported on the SEFA should be reconciled to supporting schedules and adjusted regularly. At a minimum, such reconciliations should be completed at year end. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Finding No. 2024-002: Adjustments to Financial Statements and Schedule of Expenditures of Federal Awards Responsible Individuals: Ona Arnold, Director of Operations and Finance Corrective Action Plan: The Organization will seek outside consulting to train existing personnel on accrual accounting and assistance with year-end adjustments. Anticipated Completion Date: September 30, 2025
Finding No. 2024-004: Matching Compliance Controls Federal Program Affected: Developmental Disabilities Basic Support and Advocacy Grants Compliance Requirement: Matching Questioned Costs: None Condition and Cause: The Organization does not have a current internal control process to maintain documentation to support travel, training and homework time related its grant matching requirement. Alternative documentation was obtained to support the reasonableness of matching hours used. Criteria and Effect: Documentation should be maintained to support hours spent and the rates used for travel, training and homework for matching requirements. The lack of adequate documentation could lead to noncompliance. Repeat Finding from Prior Year: No Recommendation: We recommend management establish and maintain documentation for all in-kind/matching balances including time sheets and proper rate documentation for all travel, training and homework time. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Show full finding ▾Hide full finding ▴Finding No. 2024-004: Matching Compliance Controls Federal Program Affected: Developmental Disabilities Basic Support and Advocacy Grants Compliance Requirement: Matching Questioned Costs: None Condition and Cause: The Organization does not have a current internal control process to maintain documentation to support travel, training and homework time related its grant matching requirement. Alternative documentation was obtained to support the reasonableness of matching hours used. Criteria and Effect: Documentation should be maintained to support hours spent and the rates used for travel, training and homework for matching requirements. The lack of adequate documentation could lead to noncompliance. Repeat Finding from Prior Year: No Recommendation: We recommend management establish and maintain documentation for all in-kind/matching balances including time sheets and proper rate documentation for all travel, training and homework time. Response/Corrective Action Plan: The Organization agrees with the above finding. See Corrective Action Plan.
Finding No. 2024-004: Financial Statement Preparation Responsible Individuals: Ona Arnold, Director of Operations and Finance Corrective Action Plan: The Organization will establish and maintain documentation to support in-kind/matching balances. Anticipated Completion Date: September 30, 2025
FAC accepted this audit on June 26, 2024 — management decision was due December 26, 2024.
FAC accepted this audit on June 29, 2023 — management decision was due December 29, 2023.
FAC accepted this audit on June 29, 2022 — management decision was due December 29, 2022.
FAC accepted this audit on June 29, 2021 — management decision was due December 29, 2021.
FAC accepted this audit on July 8, 2020 — management decision was due January 8, 2021.
FAC accepted this audit on June 23, 2019 — management decision was due December 23, 2019.
FAC accepted this audit on June 27, 2018 — management decision was due December 27, 2018.
GSA_MIGRATION
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GSA_MIGRATION
2016-001
FAC accepted this audit on October 12, 2017 — management decision was due April 12, 2018.
GSA_MIGRATION
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