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NATIVE AMERICAN LIFELINES, INCNon-Profit

EIN: 522225714

UEI: N95MUH88ADK7

Audited by: GORFINE, SCHILLER & GARDYN, P.A.

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

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Data as of September 2, 2026

NATIVE AMERICAN LIFELINES, INC8 audit years10 findings7 repeat
8
Audit Years
10
Total Findings
7
Repeat Findings
$1.5M
Federal Awards Expended (FY 2023)

FY 2023-12-31

$1,529,851 federal awards expended

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on January 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 July 30, 2026 (38 days ago).

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2023-001
Other
MATERIAL WEAKNESSREPEAT OF 2022-001

In accordance with 2 CFR § 200.512(a)(1), the Organization is required to submit the Data Collection Form, to the Federal Audit Clearinghouse within the earlier of 30 calendar days after the receipt of the auditors’ report or nine months after the end of the audit period.

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In accordance with 2 CFR § 200.512(a)(1), the Organization is required to submit the Data Collection Form, to the Federal Audit Clearinghouse within the earlier of 30 calendar days after the receipt of the auditors’ report or nine months after the end of the audit period.

Corrective Action Plan

Management has been in contact with their funders regarding the late submission and no action is expected. Management will arrange for future audits and submissions to be performed timely

Prior Finding References

2022-001

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FY 2022-12-31

GOING CONCERN$1,501,198 federal awards expended

FAC accepted this audit on July 16, 2025 — management decision was due January 16, 2026.

2022-001
Other
MATERIAL WEAKNESSOTHER MATTERS

Late Filing of Annual Audit Reporting Package

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Late Filing of Annual Audit Reporting Package

Corrective Action Plan

Management has been in contact with their funders regarding the late submission and no action is expected. Management will arrange for future audits and submissions to be performed timely

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FY 2021-12-31

GOING CONCERN$1,589,282 federal awards expended

FAC accepted this audit on July 16, 2025 — management decision was due January 16, 2026.

2021-001
Other
MATERIAL WEAKNESSOTHER MATTERS

Late Filing of Annual Audit Reporting Package

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Late Filing of Annual Audit Reporting Package

Corrective Action Plan

Management has been in contact with their funders regarding the late submission and no action is expected. Management will arrange for future audits and submissions to be performed timely

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FY 2020-12-31

$1,616,755 federal awards expendedNo findings recorded this year

FAC accepted this audit on February 13, 2022 — management decision was due August 13, 2022.

FY 2019-12-31

$1,095,805 federal awards expended

FAC accepted this audit on November 9, 2020 — management decision was due May 9, 2021.

2019-001
Eligibility
MODIFIED OPINIONSIGNIFICANT DEFICIENCYREPEAT OF 2018-001

Files were tested to verify eligibility for the individuals being served by the Organization, including proof that they are Native American. Appropriate support was not available to be reviewed in all cases. Cause: The Organization?s internal control policies were not properly followed. Effect or potential effect: Some of the people assisted may not have been eligible for assistance. Context: While performing tests on eligibility, a sample of 40 client folders was selected to test for eligibility to the major federal award program. The test revealed one file that did not have proof of eligibility. We consider this significant to the Indian Health Services program. Recommendation: The Organization should establish controls over eligibility to ensure that all client files have the appropriate proof of eligibility. We recommend that current files be examined to be sure that documentation is adequate. View of Responsible Officials and Planned Corrective Actions: We accept responsibility for the condition outlined above. In recent years, we have made updates to eligibility documents used to collect information in our office guided by the auditors? suggestions. We have also expanded implementation of an electronic health record for all clients, which makes tracking documents easier. Our staff and clients are informed of eligibility requirements and clients understand that they may not be rescheduled until the requested documentation is secured. Charts will be reviewed in advance of scheduled appointments and follow up on outstanding requests will be made quarterly. We were missing one eligibility form for 2019. It is the opinion of NAL management that this represents continued improvement in eligibility documentation. Although this finding continues, we are working diligently towards 100% compliance. Planned Implementation Date of Corrective Action: Changes have been made as described above. Internal audits for eligibility documentation are ongoing and outreach efforts focus on educating the community on eligibility requirements. Person(s) Responsible for Corrective Action: Executive Director, Finance Director, Clinical Director, and Board of Directors.

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Federal Program: CFDA 93.193 Urban Indian Health Services, United States Department of Health and Human Services Compliance Requirement: (E) Eligibility Type of Finding: Significant deficiency in internal control over compliance. Criteria: The Organization's contract with Indian Health Services requires that the Organization give assistance to Native Americans. Condition: Files were tested to verify eligibility for the individuals being served by the Organization, including proof that they are Native American. Appropriate support was not available to be reviewed in all cases. Cause: The Organization?s internal control policies were not properly followed. Effect or potential effect: Some of the people assisted may not have been eligible for assistance. Context: While performing tests on eligibility, a sample of 40 client folders was selected to test for eligibility to the major federal award program. The test revealed one file that did not have proof of eligibility. We consider this significant to the Indian Health Services program. Recommendation: The Organization should establish controls over eligibility to ensure that all client files have the appropriate proof of eligibility. We recommend that current files be examined to be sure that documentation is adequate. View of Responsible Officials and Planned Corrective Actions: We accept responsibility for the condition outlined above. In recent years, we have made updates to eligibility documents used to collect information in our office guided by the auditors? suggestions. We have also expanded implementation of an electronic health record for all clients, which makes tracking documents easier. Our staff and clients are informed of eligibility requirements and clients understand that they may not be rescheduled until the requested documentation is secured. Charts will be reviewed in advance of scheduled appointments and follow up on outstanding requests will be made quarterly. We were missing one eligibility form for 2019. It is the opinion of NAL management that this represents continued improvement in eligibility documentation. Although this finding continues, we are working diligently towards 100% compliance. Planned Implementation Date of Corrective Action: Changes have been made as described above. Internal audits for eligibility documentation are ongoing and outreach efforts focus on educating the community on eligibility requirements. Person(s) Responsible for Corrective Action: Executive Director, Finance Director, Clinical Director, and Board of Directors.

Corrective Action Plan

Native American LifeLines, Inc. respectfully submits the following plan for the year ended December 31, 2019. Gorfine, Schiller, and Gardyn, PA 10045 Red Run Blvd., Suite 200 Owings Mills, MD 21117 Audit Period December 31, 2019 The findings from December 31, 2019 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Finding 2019-001 ? Eligibility Response and Planned Corrective Action: We accept responsibility for the condition outlined above. In recent years, we have made updates to eligibility documents used to collect information in our office guided by the auditors? suggestions. We have also expanded implementation of an electronic health record for all clients, which makes tracking documents easier. Our staff and clients are informed of eligibility requirements and clients understand that they may not be rescheduled until the requested documentation is secured. Charts will be reviewed in advance of scheduled appointments and follow up on outstanding requests will be made quarterly. We were missing one eligibility form for 2019. It is the opinion of NAL management that this represents continued improvement in eligibility documentation. Although this finding continues, we are working diligently towards 100% compliance. Name of Contact Person: Kerry Lessard, Executive Director Jessica McPherson, Finance Director

Prior Finding References

2018-001

About Eligibility →

FY 2018-12-31

$945,489 federal awards expended

FAC accepted this audit on September 29, 2019 — management decision was due March 29, 2020.

2018-001
Eligibility
MODIFIED OPINIONSIGNIFICANT DEFICIENCYREPEAT OF 2017-001

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-001

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2018-002
Reporting
MODIFIED OPINIONSIGNIFICANT DEFICIENCYREPEAT OF 2017-002

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-002

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FY 2017-12-31

$786,541 federal awards expended

FAC accepted this audit on December 27, 2018 — management decision was due June 27, 2019.

2017-001
Eligibility
MODIFIED OPINIONSIGNIFICANT DEFICIENCYREPEAT OF 2016-002

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2016-002

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2017-002
Reporting
MODIFIED OPINIONSIGNIFICANT DEFICIENCYREPEAT OF 2016-003

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2016-003

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FY 2016-12-31

$752,795 federal awards expended

FAC accepted this audit on October 31, 2017 — management decision was due May 1, 2018.

2016-002
Eligibility
MODIFIED OPINIONSIGNIFICANT DEFICIENCYREPEAT OF 2014-004

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2014-004

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2016-003
Reporting
MODIFIED OPINIONSIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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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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