Lakeshore Regional EntityLocal Government

EIN: 463272932

UEI: N82QCBGJ3ND7

Audited by: Roslund, Prestage & Company, P.C.

Oversight agency: 93 [Department of Health and Human Services]

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Data as of August 28, 2026

Lakeshore Regional Entity8 audit years5 findings3 repeat
8
Audit Years
5
Total Findings
3
Repeat Findings
$9.2M
Federal Awards Expended (FY 2023)

FY 2023-09-30

$9,226,784 federal awards expended

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on May 30, 2024. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by November 30, 2024 (637 days ago).

What is a management decision? →
2023-001
Subrecipient Monitoring
SIGNIFICANT DEFICIENCYREPEAT OF 2022-001OTHER MATTERS

Contracts with subrecipients did not include portions of required disclosures. Cause/Effect: Inadequate internal controls over compliance. Select contracts were not in compliance with 2 CFR 200.332. Questioned Cost: None. Recommendation: We recommend that the PIHP update all contracts with subrecipients to include required language. View of Responsible Official: Management is in agreement with this recommendation.

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Full finding narrative

2023-001 – Communications with Subrecipients (repeat comment) Finding Type: Significant Deficiency in internal control over compliance / noncompliance Program: ALN 93.959 – COVID-19 - ARPA Prevention ALN 93.959 – SAPT Block Grant - Prevention ALN 93.959 – COVID-19 - Prevention Criteria: As required by 2 CFR 200.332, the pass-through entity must communicate specific information to subrecipients, as applicable. Condition: Contracts with subrecipients did not include portions of required disclosures. Cause/Effect: Inadequate internal controls over compliance. Select contracts were not in compliance with 2 CFR 200.332. Questioned Cost: None. Recommendation: We recommend that the PIHP update all contracts with subrecipients to include required language. View of Responsible Official: Management is in agreement with this recommendation.

Corrective Action Plan

2023-001 – Communications with Subrecipients Finding Type: Significant Deficiency in internal control over compliance / noncompliance Program: ALN 93.959 – COVID-19 – ARPA Prevention ALN 93.959 – SAPT Block Grant - Prevention ALN 93.959 – COVID-19 - Prevention Criteria: As required by 2 CFR 200.332, the pass-through entity must communicate specific information to subrecipients, as applicable. Condition: Contracts with subrecipients did not include portions of required disclosures. Cause/Effect: Inadequate internal controls over compliance. Select contracts were not in compliance with 2 CFR 200.332. Questioned Cost: None. Recommendation: We recommend that the PIHP update all contracts with subrecipients to include required language. View of Responsible Official: Management is in agreement with this recommendation. Planned corrective action: FY2024 contracts with subrecipients have been updated with all the required language. Responsible party: Chief Financial Officer Anticipated completion date: September 30, 2024

Prior Finding References

2022-001

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FY 2022-09-30

$8,599,629 federal awards expended

FAC accepted this audit on December 29, 2023 — management decision was due June 29, 2024.

2022-001
Subrecipient Monitoring
SIGNIFICANT DEFICIENCYOTHER MATTERS

Contracts with subrecipients did not include portions of required disclosures. Cause/Effect: Inadequate internal controls over compliance. Select contracts were not in compliance with 2 CFR 200.332. Questioned Cost: None. Recommendation: We recommend that the Entity update all contracts with subrecipients to include required language. View of Responsible Official: Management is in agreement with this recommendation.

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Full finding narrative

2022-001 – Communications with Subrecipients Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – SAPT COVID Supplement ALN 93.959 – Prevention, Women’s Specialty Services, Administration ALN 93.959 – Treatment/AMS Criteria: As required by 2 CFR 200.332, the pass-through entity must communicate specific information to subrecipients, as applicable. Condition: Contracts with subrecipients did not include portions of required disclosures. Cause/Effect: Inadequate internal controls over compliance. Select contracts were not in compliance with 2 CFR 200.332. Questioned Cost: None. Recommendation: We recommend that the Entity update all contracts with subrecipients to include required language. View of Responsible Official: Management is in agreement with this recommendation.

Corrective Action Plan

2022-001 – Communications with Subrecipients Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – SAPT COVID Supplement ALN 93.959 – Prevention, Women’s Specialty Services, Administration ALN 93.959 – Treatment/AMS Criteria: As required by 2 CFR 200.332, the pass-through entity must communicate specific information to subrecipients, as applicable. Condition: Contracts with subrecipients did not include portions of required disclosures. Cause/Effect: Inadequate internal controls over compliance. Select contracts were not in compliance with 2 CFR 200.332. Questioned Cost: None. Recommendation: We recommend that the Entity update all contracts with subrecipients to include required language. View of Responsible Official: Management is in agreement with this recommendation. Planned corrective action: FY2023 contracts with subrecipients have been partially updated with the required language and all required language will be included in the FY2024 contracts with subrecipients. Responsible party: Chief Financial Officer Anticipated completion date: September 30, 2024

About Subrecipient Monitoring →
2022-002
Cost Allowability
SIGNIFICANT DEFICIENCYOTHER MATTERS

For the timecard tested, all paid time off was charged to the grant. However, based on the percentage allocations in the timecard, only a portion should have been charged to the grant. Cause/Effect: Management oversight. Unallowable costs were charged to the grant. Questioned Cost: None. Recommendation: We recommend that the Entity review the internal controls over approval of payroll costs and modify them, if necessary, to assure that only allowable costs are charged to grants. View of Responsible Official: Management is in agreement with this recommendation.

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Full finding narrative

2022-002 – Activities Allowed/Allowable Costs Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – Prevention, Women’s Specialty Services, Administration Criteria: As required by 2 CFR 200.402, the total cost of a Federal award is the sum of the allowable direct and allocable indirect costs less any applicable credits. Condition: For the timecard tested, all paid time off was charged to the grant. However, based on the percentage allocations in the timecard, only a portion should have been charged to the grant. Cause/Effect: Management oversight. Unallowable costs were charged to the grant. Questioned Cost: None. Recommendation: We recommend that the Entity review the internal controls over approval of payroll costs and modify them, if necessary, to assure that only allowable costs are charged to grants. View of Responsible Official: Management is in agreement with this recommendation.

Corrective Action Plan

2022-002 – Activities Allowed/Allowable Costs Finding Type: Significant Deficiency in internal control over compliance Program: ALN 93.959 – Prevention, Women’s Specialty Services, Administration Criteria: As required by 2 CFR 200.402, the total cost of a Federal award is the sum of the allowable direct and allocable indirect costs less any applicable credits. Condition: For the timecard tested, all paid time off was charged to the grant. However, based on the percentage allocations in the timecard, only a portion should have been charged to the grant. Cause/Effect: Management oversight. Unallowable costs were charged to the grant. Recommendation: We recommend that the Entity review the internal controls over approval of payroll costs and modify them, if necessary, to assure that only allowable costs are charged to grants. View of Responsible Official: Management is in agreement with this recommendation. Planned corrective action: Management will work with the third party payroll processor to implement a payroll audit process to assure that timecards are entered as submitted. Responsible party: Chief Financial Officer Anticipated completion date: September 30, 2024

About Allowable Costs / Cost Principles →

FY 2021-09-30

$7,735,008 federal awards expendedNo findings recorded this year

FAC accepted this audit on November 16, 2023 — management decision was due May 16, 2024.

FY 2020-09-30

$8,060,192 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 29, 2021 — management decision was due December 29, 2021.

FY 2019-09-30

GOING CONCERN$9,078,753 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 28, 2020 — management decision was due December 28, 2020.

FY 2018-09-30

GOING CONCERN$8,105,182 federal awards expendedNo findings recorded this year

FAC accepted this audit on August 20, 2019 — management decision was due February 20, 2020.

FY 2017-09-30

$6,943,587 federal awards expended

FAC accepted this audit on September 30, 2018 — management decision was due March 30, 2019.

2017-002
Subrecipient Monitoring
SIGNIFICANT DEFICIENCYREPEAT OF 2016-001OTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2016-001

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FY 2016-09-30

$6,697,397 federal awards expended

FAC accepted this audit on August 22, 2017 — management decision was due February 22, 2018.

2016-001
Subrecipient Monitoring
SIGNIFICANT DEFICIENCYREPEAT OF 2015-003OTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2015-003

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