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DES MOINES VALLEY HEALTH & HUMAN SERVICESLocal Government

EIN: 463299916

UEI: TN5KJU5BTQN8

Audited by: Abdo, LLP

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

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Data as of September 7, 2026

DES MOINES VALLEY HEALTH & HUMAN SERVICES10 audit years16 findings6 repeat
10
Audit Years
16
Total Findings
6
Repeat Findings
$2.6M
Federal Awards Expended (FY 2025)

FY 2025-12-31

$2,631,807 federal awards expendedNo findings recorded this year

FY 2024-12-31

$2,816,650 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 16, 2025 — management decision was due March 16, 2026.

FY 2023-12-31

$2,556,095 federal awards expended

FAC accepted this audit on September 30, 2024 — management decision was due March 30, 2025.

2023-001
Other
MATERIAL WEAKNESSREPEAT OF 2022-001

During our audit, adjustments were needed to correct the financial statements, including the following material entries: To adjust classification of state and federal aid revenues Criteria: The financial statements are the responsibility of the Agency’s management; therefore, the Agency must be able to prevent or detect a material misstatement in the financial statements including footnote disclosures. Cause: Agency staff has not prepared a year-end trial balance reflecting all necessary accounting entries. Effect: This indicates that it would be likely that a misstatement may occur and not be detected by the Agency’s system of internal control. The audit firm cannot serve as a compensating control over this deficiency. Recommendation: We recommend that management review each journal entry, obtain an understanding of why the entry was necessary and modify procedures to ensure that future corrections are not needed. Management Response: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits. The Agency Fiscal Manager plans to remedy this finding in future years.

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Condition: During our audit, adjustments were needed to correct the financial statements, including the following material entries: To adjust classification of state and federal aid revenues Criteria: The financial statements are the responsibility of the Agency’s management; therefore, the Agency must be able to prevent or detect a material misstatement in the financial statements including footnote disclosures. Cause: Agency staff has not prepared a year-end trial balance reflecting all necessary accounting entries. Effect: This indicates that it would be likely that a misstatement may occur and not be detected by the Agency’s system of internal control. The audit firm cannot serve as a compensating control over this deficiency. Recommendation: We recommend that management review each journal entry, obtain an understanding of why the entry was necessary and modify procedures to ensure that future corrections are not needed. Management Response: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits. The Agency Fiscal Manager plans to remedy this finding in future years.

Corrective Action Plan

Explanation of Disagreement with Audit Findings: There is no disagreement with the audit finding. Actions Planned in Response to Finding: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits. Official Responsible for Ensuring CAP: Natane Sadusky, Director of Business Management, is the official responsible for ensuring corrective action of the significant deficiency. Planned Completion Date for CAP: December 31, 2024 Plan to Monitor Completion of CAP: The Agency Board will be monitoring this corrective action plan.

Prior Finding References

2022-001

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FY 2022-12-31

LOW-RISK AUDITEE$2,662,944 federal awards expended

FAC accepted this audit on September 28, 2023 — management decision was due March 28, 2024.

2022-001
Other
MATERIAL WEAKNESS

During our audit, adjustments were needed to correct the financial statements, including the following material entries: ? To adjust state and federal aid revenues and receivables Criteria: The financial statements are the responsibility of the Agency?s management; therefore, the Agency must be able to prevent or detect a material misstatement in the financial statements including footnote disclosures. Cause: Agency staff has not prepared a year-end trial balance reflecting all necessary accounting entries. Effect: This indicates that it would be likely that a misstatement may occur and not be detected by the Agency?s system of internal control. The audit firm cannot serve as a compensating control over this deficiency. Recommendation: We recommend that management review each journal entry, obtain an understanding of why the entry was necessary and modify procedures to ensure that future corrections are not needed. Management Response: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits. The Agency Fiscal Manager plans to remedy this finding in future years

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2022-001 Material Audit Adjustment Condition: During our audit, adjustments were needed to correct the financial statements, including the following material entries: ? To adjust state and federal aid revenues and receivables Criteria: The financial statements are the responsibility of the Agency?s management; therefore, the Agency must be able to prevent or detect a material misstatement in the financial statements including footnote disclosures. Cause: Agency staff has not prepared a year-end trial balance reflecting all necessary accounting entries. Effect: This indicates that it would be likely that a misstatement may occur and not be detected by the Agency?s system of internal control. The audit firm cannot serve as a compensating control over this deficiency. Recommendation: We recommend that management review each journal entry, obtain an understanding of why the entry was necessary and modify procedures to ensure that future corrections are not needed. Management Response: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits. The Agency Fiscal Manager plans to remedy this finding in future years

Corrective Action Plan

2022-001 Material Audit Adjustment CORRECTIVE ACTION PLAN (CAP): 1. Explanation of Disagreement with Audit Findings: There is no disagreement with the audit finding. 2. Actions Planned in Response to Finding: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits. 3. Official Responsible for Ensuring CAP: Scott Nagel, Director of Business Management, is the official responsible for ensuring corrective action of the significant deficiency. 4. Planned Completion Date for CAP: December 31, 2023 5. Plan to Monitor Completion of CAP: The Agency Board will be monitoring this corrective action plan.

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FY 2021-12-31

$2,206,629 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 25, 2022 — management decision was due March 25, 2023.

FY 2020-12-31

$2,254,380 federal awards expended

FAC accepted this audit on October 3, 2021 — management decision was due April 3, 2022.

2020-003
Other
MATERIAL WEAKNESS

During our audit, adjustments were needed to record a number of audit adjustments, including the following material entries: ? To adjust grant revenues and receivables ? To reclassify receipts to proper accounts ? To record additional accounts payable Criteria: The financial statements are the responsibility of the Agency?s management; therefore, the Agency must be able to prevent or detect a material misstatement in the financial statements including footnote disclosures. Cause: Agency staff has not prepared a year-end trial balance reflecting all necessary accounting entries. Effect: This indicates that it would be likely that a misstatement may occur and not be detected by the Agency?s system of internal control. The audit firm cannot serve as a compensating control over this deficiency. Recommendation: We recommend that management review each journal entry, obtain an understanding of why the entry was necessary and modify current procedures to ensure that future corrections are not needed. Management Response: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits.

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2020-003 Material Audit Adjustments Condition: During our audit, adjustments were needed to record a number of audit adjustments, including the following material entries: ? To adjust grant revenues and receivables ? To reclassify receipts to proper accounts ? To record additional accounts payable Criteria: The financial statements are the responsibility of the Agency?s management; therefore, the Agency must be able to prevent or detect a material misstatement in the financial statements including footnote disclosures. Cause: Agency staff has not prepared a year-end trial balance reflecting all necessary accounting entries. Effect: This indicates that it would be likely that a misstatement may occur and not be detected by the Agency?s system of internal control. The audit firm cannot serve as a compensating control over this deficiency. Recommendation: We recommend that management review each journal entry, obtain an understanding of why the entry was necessary and modify current procedures to ensure that future corrections are not needed. Management Response: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits.

Corrective Action Plan

2020-003 Material Audit Adjustments Condition: During our audit, adjustments were needed to record a number of audit adjustments, including the following material entries: ? To adjust grant revenues and receivables ? To reclassify receipts to proper accounts ? To record additional accounts payable Criteria: The financial statements are the responsibility of the Agency?s management; therefore, the Agency must be able to prevent or detect a material misstatement in the financial statements including footnote disclosures. Cause: Agency staff has not prepared a year-end trial balance reflecting all necessary accounting entries. Effect: This indicates that it would be likely that a misstatement may occur and not be detected by the Agency?s system of internal control. The audit firm cannot serve as a compensating control over this deficiency. Recommendation: We recommend that management review each journal entry, obtain an understanding of why the entry was necessary and modify current procedures to ensure that future corrections are not needed. Management Response: Management will continue to review and gain an understanding of the audit adjustments in order to reduce the number of entries necessary for future audits.

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FY 2019-12-31

$2,247,748 federal awards expended

FAC accepted this audit on August 9, 2020 — management decision was due February 9, 2021.

2019-005
Cost Allowability
SIGNIFICANT DEFICIENCYOTHER MATTERS

TIME STUDY TRACKING Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) CFDA Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 05-1905MN5ADM, 05-1905MN5MAP Compliance Requirement Affected: Allowable Activities and Allowable Costs Award Period: Year Ended December 31, 2019 Type of Finding: Significant Deficiency in Internal Control over Compliance and Compliance Criteria: The County is required to send a list to DHS each quarter of county employees that should be subjected to time studies in order to receive federal reimbursement for staff time. Context: During our statistically valid sample of allowable activities, it was noted that 1 of the 14 employees was having their time coded to the Income Maintenance payroll code, however they were not on the IMRMS listing as having their time allocated to Income Maintenance. Questioned Costs: Not able to be determined. Cause: Employee was not added to the random moments database when the employee was promoted to Eligibility Worker. Possible Effect: The amount of federal reimbursement the county received could be incorrect as the wages reported on the quarterly report did not match the listing of time study employees that DHS was performing time studies on. Repeat Finding: Not applicable Recommendation: We recommend the County ensure that all individuals that are having their payroll coded to the Income Maintenance payroll code be on the IMRMS listing. Views of Responsible Officials and Planned Corrective Action: There is no disagreement with the audit finding. The Agency will review all time studies to make sure they are accurate.

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TIME STUDY TRACKING Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) CFDA Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 05-1905MN5ADM, 05-1905MN5MAP Compliance Requirement Affected: Allowable Activities and Allowable Costs Award Period: Year Ended December 31, 2019 Type of Finding: Significant Deficiency in Internal Control over Compliance and Compliance Criteria: The County is required to send a list to DHS each quarter of county employees that should be subjected to time studies in order to receive federal reimbursement for staff time. Context: During our statistically valid sample of allowable activities, it was noted that 1 of the 14 employees was having their time coded to the Income Maintenance payroll code, however they were not on the IMRMS listing as having their time allocated to Income Maintenance. Questioned Costs: Not able to be determined. Cause: Employee was not added to the random moments database when the employee was promoted to Eligibility Worker. Possible Effect: The amount of federal reimbursement the county received could be incorrect as the wages reported on the quarterly report did not match the listing of time study employees that DHS was performing time studies on. Repeat Finding: Not applicable Recommendation: We recommend the County ensure that all individuals that are having their payroll coded to the Income Maintenance payroll code be on the IMRMS listing. Views of Responsible Officials and Planned Corrective Action: There is no disagreement with the audit finding. The Agency will review all time studies to make sure they are accurate.

Corrective Action Plan

MEDICAL ASSISTANCE (MA) ? CFDA #93. GRANT PERIOD ? YEAR ENDED DECEMBER 31, 2019; TIME STUDY TRACKING Recommendation: We recommend the County ensure that all individuals that are having their payroll coded to the Income Maintenance payroll code be on the IMRMS listing. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Agency will review all time studies to make sure they are accurate. Name of the contact person responsible for corrective action plan: Scott Nagel, Director of Business Management Planned completion date for corrective action plan: December 31, 2020

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2019-006
Reporting
SIGNIFICANT DEFICIENCYREPEAT OF 2018-007

REIMBURSEMENT CLAIMS Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) CFDA Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 05-1905MN5ADM, 05-1905MN5MAP Compliance Requirement Affected: Reporting Award Period: Year Ended December 31, 2019 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria: Reimbursement for claims are to be submitted only after the expenditures have been incurred and paid. Context: During our testing, Child and Teen Checkup reimbursement claims were being submitted as 1/12 of the annual budget, not as expenditures were incurred and paid. Questioned Costs: Not able to be determined. Cause: Agency staff were unware of the requirement. Possible Effect: A reimbursement might be made for an activity that is not allowable per MA criteria. Repeat Finding: Finding was a repeat finding from the prior year identified as Finding 2018-007. Recommendation: We recommend the Agency claim reimbursement for only expenditures that have been incurred and paid. Views of Responsible Officials and Planned Corrective Action: There is no disagreement with the audit finding. The Agency will claim reimbursement for only expenditures that have been incurred.

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REIMBURSEMENT CLAIMS Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Medical Assistance Program (Medicaid Cluster) CFDA Number: 93.778 Pass-Through Agency: Minnesota Department of Human Services Pass-Through Numbers: 05-1905MN5ADM, 05-1905MN5MAP Compliance Requirement Affected: Reporting Award Period: Year Ended December 31, 2019 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria: Reimbursement for claims are to be submitted only after the expenditures have been incurred and paid. Context: During our testing, Child and Teen Checkup reimbursement claims were being submitted as 1/12 of the annual budget, not as expenditures were incurred and paid. Questioned Costs: Not able to be determined. Cause: Agency staff were unware of the requirement. Possible Effect: A reimbursement might be made for an activity that is not allowable per MA criteria. Repeat Finding: Finding was a repeat finding from the prior year identified as Finding 2018-007. Recommendation: We recommend the Agency claim reimbursement for only expenditures that have been incurred and paid. Views of Responsible Officials and Planned Corrective Action: There is no disagreement with the audit finding. The Agency will claim reimbursement for only expenditures that have been incurred.

Corrective Action Plan

MEDICAL ASSISTANCE (MA) ? CFDA #93.778; GRANT PERIOD ? YEAR ENDED DECEMBER 31, 2019; REIMBURSEMENT CLAIMS Recommendation: It is recommended the Agency claim reimbursement for only expenditures that have been incurred Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Agency will claim reimbursement for only expenditures that have been incurred. Name of the contact person responsible for corrective action plan: Scott Nagel, Director of Business Management Planned completion date for corrective action plan: December 31, 2020

Prior Finding References

2018-007

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FY 2018-12-31

$2,603,897 federal awards expended

FAC accepted this audit on September 11, 2019 — management decision was due March 11, 2020.

2018-005
Procurement & Suspension/Debarment
SIGNIFICANT DEFICIENCYOTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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2018-006
Reporting
SIGNIFICANT DEFICIENCYREPEAT OF 2017-008

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-008

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2018-007
Cash Management
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2017-12-31

$2,780,064 federal awards expended

FAC accepted this audit on September 19, 2018 — management decision was due March 19, 2019.

2017-007
Reporting
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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2017-008
Reporting
SIGNIFICANT DEFICIENCYOTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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2017-009
Cash Management
SIGNIFICANT DEFICIENCYREPEAT OF 2016-014OTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2016-014

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FY 2016-12-31

$2,396,889 federal awards expended

FAC accepted this audit on August 15, 2017 — management decision was due February 15, 2018.

2016-010
Eligibility
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

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GSA_MIGRATION

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2016-011
Eligibility
SIGNIFICANT DEFICIENCYREPEAT OF 2015-013OTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

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GSA_MIGRATION

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2015-013

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2016-012
Eligibility
SIGNIFICANT DEFICIENCYREPEAT OF 2015-014OTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

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GSA_MIGRATION

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2015-014

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2016-013
Eligibility
SIGNIFICANT DEFICIENCYOTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

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GSA_MIGRATION

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2016-014
Cash Management
SIGNIFICANT DEFICIENCYOTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

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GSA_MIGRATION

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