EIN: 731098634
UEI: L9TVJKED1H68
Data as of August 20, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on August 10, 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 February 10, 2027 (173 days from today).
What is a management decision? →Finding: 2024-004: Record Retention Federal Programs - Block grants for Community Mental Health Services. Federal Financial Assistance Listings - 93.958. Federal Award Numbers - 4529066471 and 4529064876. Federal Agencies - Department of Health and Human Services Pass-through Entity - ODMHSAS. Allowable Activities or Unallowed, Allowable Costs/Cost Principles, Eligibility, and Period of Performance. Significant Deficiency in Internal Control over Compliance. Criteria: Uniform Guidance (2 CFR 200.334) establishes recipients and subrecipients must retain all federal award records for three years from the date of submission of their final financial report. For awards that are renewed quarterly or annually, the recipient and subrecipient must retain records for three years from the date of submission of their quarterly or annual financial report, respectively. Records to be retained include but are not limited to financial records, supporting documentation, and statistical records. Condition: Hope was unable to provide support for reimbursed expenditures totaling 31,673, as reported in the SEFA. Cause: Management's internal control for retaining documentation was not adequately designed to ensure the population of costs and underlying support could be timely identified and supported under the Uniform Guidance requirements. Effect or Potential Effect: Without adequate retention of support for expenditures reported and reimbursed, the auditor was unable to determine if they were in compliance with requirements under the federal award. Questioned Costs: 31,673. Context: The management team and personnel responsible for overseeing document approval and retention changed from the period the costs were initially incurred and approved to the period they were under audit and the current management team was not able to locate the supporting documentation. Repeat Finding from Prior Year: No. Recommendation: Management may consider implementing specific retention policies and controls to ensure digital copies as well as sub-listing of all applicable costs being reimbursed are maintained in accordance with the 2 CFR 200.334. Views of Responsible Officials: Management's response is included in the corrective action plan.
Management will improve internal processes and controls to include the following: Monthly staff training for documentation retention requirements and policies, Quarterly audits of program expenditure documentation, and Annual Uniform Guidance compliance training.
Finding: 2024-005: Payroll Allocation. Federal Programs - Continuum of Care. Federal Financial Assistance Listing - 14.267. Federal Award Numbers - OK0024L6I021111, OK0024L6I022113, OK0024L6I022212, OK0024L6I022213, OK0024L6I022214, OK0024L6I022215, OK0024L6I022316. Federal Agencies - Department of Housing and Urban Development. Pass-through Entities - City of Oklahoma City and the City of Norman. Allowable Activities or Unallowed, Allowable Costs/Cost Principles. Material Weakness in Internal Control over Compliance and Material Noncompliance. Criteria: Per Uniform Guidance (2 CFR 200.403) as it relates to federal grants: Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under federal awards: a) Be necessary and reasonable for the performance of the federal award and be allocable thereto under these principles; b) Conform to any limitations or exclusions set forth in these principles or in the federal award as to types or amount of cost items; c) Be consistent with policies and procedures that apply uniformly to both federally financed and other activities of the nonfederal entity; d) Be accorded consistent treatment. A cost may not be assigned to a federal award as a direct cost if any other cost incurred for the same purpose in like circumstances has been allocated to the federal award as an indirect cost; e) Be determined in accordance with generally accepted accounting principles (GAAP) , except, for state and local governments and Indian tribes only, as otherwise provided for in this part; (f) Not be included as a cost or used to meet cost sharing or matching requirements of any other federally financed program in either the current or a prior period; g) Be adequately documented; h) Cost must be incurred during the approved budget period. 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition: Hope could not readily provide the appropriate documentation to support the allocations of compensation applicable to the referenced programs for actual time worked, or to support the drawdown from grant funding. Cause: Management did not have procedures and controls in place to ensure allocated payroll was for time-and-effort applied to the award and ensure time was not allocated across multiple awards. Effect or Potential Effect: We were unable to determine whether the payroll costs allocated to the federal awards were allowable due to the lack of systematic application of payroll allocations to time and effort of the employees. Questioned Costs: 262,125. Context: Total allocated salaries and fringe benefits equal 262,125. None of the amounts were able to be supported by records that accurately reflect the work performed. Repeat Finding from Prior Year: No. Recommendation: Controls should be put in place to ensure that expenditures of program funds for payroll expense are reviewed and approved by program management and are properly allocated based on time and activities worked consistent with the grant requirements. Additionally, level of effort requirements as made known in grant contracts should be substantiated by payroll allocation or other records. Views of Responsible Officials: Management's response is included in the corrective action plan.
Management will improve internal processes and controls to include the following: Monthly reconciliation of payroll documentation with general ledger allocations, Monthly review of payroll allocation with program directors to ensure proper allocations, Quarterly review of payroll system to ensure proper grant tracking functionally, Annual review with program directors of program requirements, and Annual Uniform Guidance compliance training.
Finding: 2024-006 Voided Rental Payments. Federal Programs - Continuum of Care. Federal Financial Assistance Listing - 14.267. Federal Award Numbers - OK0024L6I021111, OK0024L6I022113, OK0024L6I022212, OK0024L6I022213, OK0024L6I022214, OK0024L6I022215, OK0024L6I022316. Federal Agency - Department of Housing and Urban Development. Pass-through Entities - City of Oklahoma City and the City of Norman. Allowable Activities or Unallowed, Allowable Costs/Cost Principles. Significant deficiency in Internal Control over Compliance. Criteria: Uniform Guidance (2 CFR 200.302(b) ) requires recipients and subrecipients to maintain financial management systems that provide accurate, current, and complete disclosure of financial results. In addition, 2 CFR 200.403 requires costs charged to federal awards to be allowable and adequately supported. 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition: Hope received reimbursement for rental expenditures that were later voided due to tenants no longer being current residents. Cause: Management did not maintain controls to ensure that expenditures claimed for reimbursement were supported by actual costs incurred. Backdated and adjusting entries were recorded without reconciliation to underlying expense documentation or budget tracking schedules and ultimately claimed to the granting pass-through agency. Effect or Potential Effect: Expenditures claimed for reimbursement exceed actual expenditures incurred. As a result, a portion of grant expenditures recorded is unsupported and may be unallowable. Questioned Costs: 1,305 questioned and 9,675 of likely questioned costs. Context: A nonstatistical sampling of 54 out of over 3,000 transactions were selected for testing of Activities Allowed and Unallowed, and Allowable Costs/Cost Principles. Two transactions totaling 1,305 were selected for testing that were voided after invoicing. The expenditure detail included 9,675 of other expenditures with the description "voided." Repeat Finding from Prior Year: No. Recommendation: Management may consider a subsequent review or an additional review when adjusting and removing costs after drawdowns to ensure any claimed expenses that subsequently become voided are adjusted in future drawdowns. Views of Responsible Officials: Management's response is included in the corrective action plan.
Management will improve internal processes and controls to include the following: Monthly review of program expenditures for overall grant period, Quarterly reconciliation of voided checks against program drawdown invoices, and Annual Uniform Guidance compliance training.
Finding: 2024-007 Late Fees. Federal Programs - Continuum of Care. Federal Financial Assistance Listing - 14.267. Federal Award Number - OK0024L6I021111, OK0024L6I022113, OK0024L6I022212, OK0024L6I022213, OK0024L6I022214, OK0024L6I022215, OK0024L6I022316. Federal Agency - Department of Housing and Urban Development. Pass-through Entity - City of Oklahoma City and the City of Norman. Allowable Activities or Unallowed, Allowable Costs/Cost Principles. Significant deficiency in Internal Control over Compliance. Criteria: Uniform Guidance (2 CFR 200.302(b) ) requires recipients and subrecipients to maintain financial management systems that provide accurate, current, and complete disclosure of financial results. In addition, 2 CFR 200.403 requires costs charged to federal awards to be allowable and adequately supported. 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition: Hope incurred rental late fees related to housing units of participants in the program. These late fees resulted from rent payments remitted after the contractual due date and were claimed as part of rental costs. Late fees represent penalties and are not an allowable cost under the program. The tenant-caused damage exception permitted under 24 CFR Part 578 does not extend to late fees. Cause: Hope did not establish internal controls to identify and exclude unallowable late fees from rent charged to the program. Additionally, reimbursement requests were not reviewed to ensure penalties were segregated from allowable rental costs. Effect or Potential Effect: Hope incurred unallowable costs. Questioned Costs: 500. Context: A nonstatistical sampling of 54 out of over 3,000 transactions were selected for testing of Activities Allowed and Unallowed, and Allowable Costs/Cost Principles. Four transactions included rental late fees in the rent expense claimed. Repeat Finding from Prior Year: No. Recommendation: Management may consider reviewing both the approval of rental expenses prior to issuing rental assistance checks as well as reimbursement processing of rental costs to ensure late fees are not included. Views of Responsible Officials: Management's response is included in the corrective action plan.
Management will improve internal processes and controls to include the following: Creation of a subset of general ledger codes for unallowed program costs, Management review of program expenditure requests prior to payment, and Annual Uniform Guidance compliance training.
Finding: 2024-008. Untimely Reimbursement Requests. Federal Programs - (1) Block Grants for Community Mental Health Services (2) Continuum of Care. Federal Financial Assistance Listings - (1) 93.958, (2) 14.267. Federal Award Numbers - (1) 4529066471 and 4529064876, (2) OK0024L6I021111, OK0024L6I022113, OK0024L6I022212, OK0024L6I022213, OK0024L6I022214, OK0024L6I022215, OK0024L6I022316. Federal Agencies - (1) Department of Health and Human Services, (2) Department of Housing and Urban Development. Pass-through Entity - (1) The ODMHSAS, (2) The City of Oklahoma City and the City of Norman. Special Tests - Timely Submission of Drawdowns. Significant deficiency in Internal Control over Compliance. Criteria: Performance requirements under the agreements with the ODMHSAS requires recipients and subrecipients to submit reimbursement requests within 60 days from the last day services were last rendered during the invoice month. Condition: The entity submitted reimbursement requests after the timeframe required by the grant agreement (60 days). The reimbursement was honored by the pass-through agency, resulting in no questioned costs, however, written approval or a waiver from the pass-through entity was not obtained for submitting reimbursement requests outside the required timeframe. As a result, costs included in the late reimbursement requests were not submitted in accordance with the terms and conditions of the subaward. Cause: The untimely submission of reimbursement requests were the result of changes in invoicing requirements and communication with pass-through agency. However, Hope did not obtain written approval or a formal waiver from the pass-through entity authorizing reimbursement requests to be submitted outside the timeframe required by the subaward agreement and corroborate approval of untimely submissions. Effect or Potential Effect: As a result of this condition, the entity did not comply with the terms and conditions of the subaward. Costs submitted outside the required timeframe may be ineligible for reimbursement. Questioned Costs: None. Context: A nonstatistical sample of 18 out of 134 drawdowns was selected for testing. Of the 18 transactions tested, seven were submitted outside of the 60-day requirement, with submission delays ranging from seven to 83 days. Repeat Finding from Prior Year: No. Recommendation: Management should implement procedures to ensure reimbursement requests are submitted within the timeframe required by the subaward agreement. In circumstances where this cannot be completed or will be delayed, a waiver and documentation of contact with the agency should be maintained. Views of Responsible Officials: Management's response is included in the corrective action plan.
Management will: Establish grant drawdown submission deadlines, Implement automated compliance calendar reminders and list of important dates for grant period, and Annual Uniform Guidance compliance training.
Finding: 2024-009. Closeout Procedures and Reporting. Federal Program - Section 223 Demonstration Programs to Improve Community Mental Health Services. Federal Financial Assistance Listing - 93.829. Federal Award Number - H79SM085287. Federal Agency - Department of Health and Human Services. Pass-through Entity - Substance Abuse and Mental Health Services Administration (SAMHSA). Special Test - Closeout Procedures. Significant Deficiency in Internal Control over Compliance. Criteria: Uniform Guidance (2 CFR 200.344) establishes requirements for grantees to meet closeout terms and conditions listed in the notice of award. The notice of award included a requirement for a final progress report to be submitted as part of closeout procedures. Condition: Hope was unable to provide support of timely completing the closeout procedures required under SAMHSA's Notice of Award in compliance with 2 CFR 200.344 for closeout terms and conditions to accurately and timely report within 120 days after the project period (August 31, 2023). Cause: Management did not maintain controls to ensure that record retention was maintained for the required compliance period defined in the notice of award. Effect or Potential Effect: SAMHSA data collection was not complete for Hope's expenditures under the notice of award with pass-through agency. Questioned Costs: None. Context: Closeout requirements include reconciliation of financial expenditures to reported disbursements, which was not able to be supported. Hope supported submission of the Final Federal Financial Report (SF-425); however, the corresponding Final Progress Report was not able to be supported. Repeat Finding from Prior Year: No. Recommendation: Management may consider implementing specific retention policies and controls to ensure all required close-out reporting requirements are timely completed and to ensure retention of evidence of completion in accordance with the 2 CFR 200.344. Views of Responsible Officials: Management's response is included in the corrective action plan
Management will: Establish grant closeout deadlines based on project award defined end date, Implement automated compliance calendar reminders and list of important dates for grant period, and Annual Uniform Guidance compliance training.
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 17, 2025. 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 August 17, 2025, which was (369 days ago).
What is a management decision? →of Health and Human Services, Passed Through Substance Abuse and Mental Health Services Administration, Section 223 Demonstration Programs to Improve Community Mental Health Services Listing 93.829, H79SM085287, 8/31/2022 – 8/30/2023 Procurement, Suspension and Debarment Material Weakness in Internal Control over Compliance Criteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations and conditions of the federal award. 2 CFR 200.318(c)(1) provides that the auditee must maintain written standards of conduct covering conflicts of interest and governing the actions of its employees engaged in the selection, award, and administration of contracts. Federal regulations state that the auditee must have written procedures for procurement transactions. As outlined in 2 CFR 180, recipients must not utilize any vendor which is suspended or debarred or is otherwise excluded from the central contractor registry. Condition: Hope’s formally documented policy did not include many of the necessary procurement provisions until it was revised in February 2024. Expenditures under the federal grants did not have a consistent control in place to check applicable vendors for potential suspension and/or debarment for covered transactions, and controls were not documented to provide for a proper audit trail. Cause: For the year under audit, Hope did not have a consistent procurement process in place including all federal requirements or to check vendors under covered transactions ($25,000 or more) in accordance with federal regulations. Effect: Hope could be out of compliance with federal requirements when entering into procurement contracts as well as not meeting suspension and debarment requirements by potentially contracting with a suspended or debarred vendor. Questioned costs: None reported. Context: Procurement requirements were applicable to 1 vendor, which was selected for testing and was in excess of the micro-purchase threshold but were not in excess of $250,000. Suspension and Debarment requirements were applicable to both transactions for this vendor tested. Subsequent to year-end, Hope’s procurement policy has been updated. Repeat Finding From Prior Year: Yes Recommendation: This finding was noted in the prior year where the policy could not be put into place for the FY2023 audit procedures. We recognize that the policy has been updated and will be followed going forward. Views of Responsible Officials: We agree with the finding.
Department of Health and Human Services, Passed Through Substance Abuse and Mental Health Services Administration, Section 223 Demonstration Programs to Improve Community Mental Health Services Listing 93.829, H79SM085287, 8/31/2022 - 8/30/2023 Procurement, Suspension and Debarment Material Weakness in Internal Control over Compliance Finding Summary: As part of the audit, Eide Bailly LLP identified that the formally documented policy did not include many of the necessary procurement provisions prior to its revision in February 2024. Provisions include a consistent control in place to check applicable vendors for potential suspension and/or debarment for covered transactions. In addition, current controls are to be documented to provide for a proper audit trail. Responsible Individual: Chief Financial Officer Corrective Action Plan: The policy was updated in February 2024 to include all federal requirements regarding procurement controls and suspension and debarment controls as proposed by the auditors. Completion Date: February 2024
2022-002
Department of Health and Human Services, Passed Through Substance Abuse and Mental Health Services Administration, Section 223 Demonstration Programs to Improve Community Mental Health Services Listing 93.829, H79SM085287, 8/31/2022 – 8/30/2023 Allowable Activities or Unallowed, Allowable Costs/Cost Principles, Cash Management, and Matching, Level of Effort, and Earmarking Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria: Per Uniform Guidance (2 CFR Section 200.403) as it relates to federal grants: Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; b) Conform to any limitations or exclusions set forth in these principles or in the Federal award as to types or amount of cost items; c) Be consistent with policies and procedures that apply uniformly to both federally financed and other activities of the non-Federal entity; d) Be accorded consistent treatment. A cost may not be assigned to a Federal award as a direct cost if any other cost incurred for the same purpose in like circumstances has been allocated to the Federal award as an indirect cost; e) Be determined in accordance with generally accepted accounting principles (GAAP), except, for state and local governments and Indian tribes only, as otherwise provided for in this part; f) Not be included as a cost or used to meet cost sharing or matching requirements of any other federally-financed program in either the current or a prior period; g) Be adequately documented; h) Cost must be incurred during the approved budget period. Per the grant policy manual for Department of Health and Human Services: Non-federal entities must minimize the time elapsing between any advance payment under this award and the disbursement of the funds for direct program costs. 2 CFR Part 200, OMB Compliance Supplement, defines Level of Effort as follows: Level of effort includes requirements for (a) a specified level of service to be provided from period to period, (b) a specified level of expenditures from non-federal or federal sources for specified activities to be maintained from period to period, and (c) federal funds to supplement and not supplant non-federal funding of services. 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition: Hope could not readily provide the appropriate documentation to support the allocations of compensation applicable to the referenced programs for actual time worked, or to support the drawdown from grant funding or that the level of effort requirements, as outlined in the grant contract, was achieved. Cause: The process used to track employee payroll does not adequately track the allocations of payroll or time worked to the respective federal grant programs. Or, if such documentation did exist, it could not be provided as audit evidence. As a result, certain expenditures were claimed as program expenditures, but could not be substantiated for purposes of allowable costs or level of effort. Much of the issue can be attributed to employee turnover. Effect: Hope is at risk for noncompliance with allowable activities and allowable costs, as well as cash management and level of effort requirements. Questioned costs: None reported. Context: A nonstatistical sampling of 70 out of over 1,500 transactions were selected for testing of Activities Allowed and Unallowed, and Allowable Costs/Cost Principles. Allocation support could not be provided for any of the 60 items selected. Two of 7 drawdowns of grant funds were selected for testing of Cash Management which where nonstatistical. Support could not be provided for the 2 items selected. 2 of 2 employees were tested with respect to level of effort requirements as outlined in the program contract, but supporting information could not be provided. Repeat Finding From Prior Year: Yes Recommendation: Controls should be put in place to ensure that expenditures of program funds allocated through payroll expense are reviewed and approved by program management and are properly allocated based on time and activities worked consistent with the grant requirements. Additionally, level of effort requirements as made known in grant contracts should be substantiated by payroll allocation or other records. Controls should be put in place to ensure that direct expenditures of program funds are reviewed and approved by program management and are consistent with the grant reimbursements for those expenditures. Such reconciliations can be done monthly, quarterly, or annually, at Hope’s discretion. Controls should also ensure that program expenditures are made prior to requesting reimbursement of funds and are allowable in accordance with the federal program requirements. Views of Responsible Officials: We agree with the finding.
Department of Health and Human Services, Passed Through Substance Abuse and Mental Health Services Administration, Section 223 Demonstration Programs to Improve Community Mental Health Services Listing 93.829, H79SM085287, 8/31/2022- 8/30/2023 Allowable Activities or Unallowed, Allowable Costs/Cost Principles, Cash Management, and Matching, Level of Effort, and Earmarking Material Weakness in Internal Control over Compliance and Material Noncompliance Finding Summary: As part of the audit, Eide Bailly LLP identified that the process for allocating payroll or time worked to respective federal programs was insufficient and did not substantiate allowability under the federal award guidelines. Responsible Individuals: Chief Financial Officer and Chief Human Resources Officer Corrective Action Plan: In December 2024, changes were made to the payroll system to improve tracking of time worked and appropriate allocations to respective federal grant programs. Completion Date: December 2024
2022-003
Department of Health and Human Services, Passed Through Oklahoma Department of Mental Health and Substance Abuse Services, Block Grants for Community Mental Health Services Listing 93.958, 4529063664/4529063519, 7/1/2022 – 6/30/2023 Allowable Activities or Unallowed and Allowable Costs/Cost Principles Material Weakness in Internal Control over Compliance and Material Noncompliance Criteria: Per Uniform Guidance (2 CFR Section 200.403) as it relates to federal grants: Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles; b) Conform to any limitations or exclusions set forth in these principles or in the Federal award as to types or amount of cost items; c) Be consistent with policies and procedures that apply uniformly to both federally financed and other activities of the non-Federal entity; d) Be accorded consistent treatment. A cost may not be assigned to a Federal award as a direct cost if any other cost incurred for the same purpose in like circumstances has been allocated to the Federal award as an indirect cost; e) Be determined in accordance with generally accepted accounting principles (GAAP), except, for state and local governments and Indian tribes only, as otherwise provided for in this part; f) Not be included as a cost or used to meet cost sharing or matching requirements of any other federally-financed program in either the current or a prior period; g) Be adequately documented; h) Cost must be incurred during the approved budget period. 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition: Hope could not readily provide the appropriate documentation to support the allocations of compensation applicable to the referenced programs for actual time worked, or to support allowable costs. Cause: The process used to track employee payroll does not adequately track the allocations of payroll or time worked to the respective federal grant programs. Or, if such documentation did exist, it could not be provided as audit evidence. As a result, certain expenditures were claimed as program expenditures, but could not be substantiated for purposes of allowable costs. Much of the issue can be attributed to employee turnover. Effect: Hope is at risk for noncompliance with allowable activities and allowable costs. Questioned costs: $116,222 in payroll was identified as questionable allowable costs that could not be substantiated. Context: A nonstatistical sampling of 40 out of over 4,000 transactions were selected for testing of Activities Allowed and Unallowed, and Allowable Costs/Cost Principles. Allocation support could not be provided for any of the 40 items selected. Repeat Finding From Prior Year: No Recommendation: Controls should be put in place to ensure that expenditures of program funds allocated through payroll expense are reviewed and approved by program management and are properly allocated based on time and activities worked consistent with the grant requirements. Such support should be retained. Views of Responsible Officials: We agree with the finding.
Department of Health and Human Services, Passed Through Oklahoma Department of Mental Health and Substance Abuse Services, Block Grants for Community Mental Health Services Listing 93.958, 4529063664/4529063519, 711/2022- 6/30/2023 Allowable Activities or Unallowed and Allowable Costs/Cost Principles Material Weakness in Internal Control over Compliance and Material Noncompliance Finding Summary: As part of the audit, Eide Bailly LLP identified that the process for allocating payroll or time worked to respective federal programs was insufficient and did not substantiate allowability under the federal award guidelines. Responsible Individuals: Chief Financial Officer and Chief Human Resources Officer Corrective Action Plan: In December 2024, changes were made to the payroll system to improve tracking of time worked and appropriate allocations to respective federal grant programs. Completion Date: December 2024
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on May 23, 2023. 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 23, 2023, which was (1002 days ago).
What is a management decision? →2022-002 Department of Health and Human Services, Passed Through Substance Abuse andMental Health Services Administration,Section 223 Demonstration Programs to Improve Community Mental Health ServicesListing 93.829, H79SM085287, 8/31/2021 ? 8/30/2022Procurement, Suspension and DebarmentMaterial Weakness in Internal Control over ComplianceCriteria: 2 CFR 200.303(a) establishes that the auditee must establish and maintain effectiveinternal control over the federal award the provides assurance that the entity ismanaging the federal award in compliance with federal statutes, regulations andconditions of the federal award. 2 CFR 200.318(c)(1) provides that the auditee mustmaintain written standards of conduct covering conflicts of interest and governing theactions of its employees engaged in the selection, award, and administration ofcontracts. 2 CFR 200.319(c) establishes that the auditee must have written proceduresfor procurement transactions.As outlined in 2 CFR 180, recipients must not utilize any vendor which is suspended ordebarred or is otherwise excluded from the central contractor registry.Condition: Hope?s formally documented policy did not include many of the necessary procurementprovisions. Expenditures under the federal grants did not have a consistent control inplace to check applicable vendors for potential suspension and/or debarment for coveredtransactions. Current controls are not documented to provide for a proper audit trail.Cause: Hope does not have a consistent procurement process in place including all federalrequirements or to check vendors under covered transactions ($25,000 or more) inaccordance with federal regulations.Effect: Hope could be out of compliance with federal requirements when entering intoprocurement contracts as well as not meeting suspension and debarment requirementsby potentially contracting with a suspended or debarred vendor.Questioned costs: None reported.Context: Procurement requirements were applicable to 2 transactions, both of which wereselected for testing and were in excess of the micro-purchase threshold but were not inexcess of $250,000. Suspension and Debarment requirements were applicable to bothtransactions tested.Repeat FindingFrom Prior Year: No Recommendation: The policy should be updated to include all federal requirements for procurement.Further, control procedures should be implemented to ensure that all vendors undercovered transactions are checked against the federal website for vendors that could besuspended or debarred prior to transacting with such vendors, or another process asallowed by the federal regulations discussed above. We also suggest that managementretain documentation to support that the control process was followed.Views ofResponsible Officials: We agree with the finding.
Finding 2022-002 - Procurement, Suspension and DebarmentMaterial Weakness in Internal Control over ComplianceFinding Summary: As part of the audit, Eide Bailly LLP identified that the formally documented policy didnot include many of the necessary procurement provisions. Provisions include a consistent control in placeto check applicable vendors for potential suspension and/or debarment for covered transactions. Inaddition, current controls are to be documented to provide for a proper audit trail.Responsible lndividual(s): Chief Financial OfficerCorrective Action Plan: The policy has been updated to include all federal requirements regardingprocurement controls and suspension and debarment controls as proposed by the auditors. Managementwill retain documentation to support that the control process was followed.Anticipated Completion Date: Ongoing
2022-003 Department of Health and Human Services, Passed Through Substance Abuse andMental Health Services Administration,Section 223 Demonstration Programs to Improve Community Mental Health ServicesListing 93.829, H79SM085287, 8/31/2021 ? 8/30/2022Allowable Activities or Unallowed, Allowable Costs/Cost Principles and Cash ManagementMaterial Weakness in Internal Control over Compliance and Material NoncomplianceCriteria: Per Uniform Guidance (2 CFR Section 200.403) as it relates to federal grants:Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards:a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles;b) Conform to any limitations or exclusions set forth in these principles or in the Federal award as to types or amount of cost items;c) Be consistent with policies and procedures that apply uniformly to both federally financed and other activities of the non-Federal entity;d) Be accorded consistent treatment. A cost may not be assigned to a Federal award as a direct cost if any other cost incurred for the same purpose in like circumstances has been allocated to the Federal award as an indirect cost;e) Be determined in accordance with generally accepted accounting principles (GAAP), except, for state and local governments and Indian tribes only, as otherwise provided for in this part;f) Not be included as a cost or used to meet cost sharing or matching requirements of any other federally-financed program in either the current or a prior period;g) Be adequately documented;h) Cost must be incurred during the approved budget period. Per the grant policy manual for Department of Health and Human Services: Non-federal entities must minimize the time elapsing between any advance payment under this award and the disbursement of the funds for direct program costs.2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award.Condition: Hope could not readily provide the appropriate documentation for grant expenditures to support the drawdown from grant funding. Additionally, one of the items submitted for reimbursement under the grant, was not an allowable activity or cost in fiscal year 2022 as it was not in accordance with accounting treatment under GAAP.Hope did not adequately minimize the time between draw down of program funds and disbursement.Cause: The process used to ensure that grant expenditures are allowable and reconciled was not clearly communicated to appropriate parties. As a result, certain expenditures were inappropriately claimed in the wrong fiscal year. These expenditures were not made in a reasonable time in relation to receipt of program reimbursements.Effect: Hope is at risk for noncompliance with allowable activities and allowable costs, as well as cash management requirements.Questioned costs: $54,158 was claimed for reimbursement in the current year that did not relate to the fiscal year. Further, grant receipts of $54,158 were received in June 2022 but not disbursed until April 2023.Context: A nonstatistical sampling of 40 out of 702 total transactions were selected for testing, which accounted for $134,724 of $1,021,571 total program expenditures.Repeat FindingFrom Prior Year: NoRecommendation: Controls should be put in place to ensure that direct expenditures of program funds are reviewed and approved by program management and are consistent with the grant reimbursements for those expenditures. Such reconciliations can be done monthly, quarterly, or annually, at Hope?s discretion. Controls should also ensure that program expenditures are made prior to requesting reimbursement of funds and are allowable in accordance with the federal program requirements.Views ofResponsible Officials: We agree with the finding.
Finding 2022-003 - Allowable Activities or Unallowed, Allowable Costs/Cost Principles and CashManagementMaterial Weakness in Internal Control over Compliance and Material Noncompliancefinding Summary: During the audit, the appropriate documentation for grant expenditures to supportthe drawdown from grant funding was not readily provided. In addition, the process to ensure thatgrant expenditures are allowable and reconciled was not clearly communicated to appropriate partiescausing expenditures to be inappropriately claimed in the wrong fiscal year.Responsible Individual: Chief Financial OfficerCorrective Action Plan; We have designated a member of management to participate in monthly,quarterly, or annual reconciliations as proposed by the auditors. The existing controls will be clearlycommunicated to ensure that program expenditures are made prior to requesting reimbursement offunds.Anticipated Completion Date: Ongoing
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on May 17, 2020. 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 17, 2020, which was (2103 days ago).
What is a management decision? →U.S. Department of Housing and Urban Development ? Passed through the City of Oklahoma City and the City of Norman CFDA #14.267 Continuum of Care Special Tests and Provisions Significant Deficiency in Internal Control over Compliance Criteria: Where grants are used to pay rent for individual housing units, the rent paid must be reasonable in relation to rents being charged for comparable units. Accountability should be provided by documenting rent calculations in the tenant files. Condition: During our testing of reasonable rents in the program, we encountered certain files for which there was no documentation of the rent calculation to ensure that rent is reasonable in relation to rents being charged for comparable units. Cause: HCS' controls for ensuring that rent calculation are properly documented were not operating effectively during the period under audit. Effect: While rents being paid appear reasonable, excluding the calculations from the files could result in grant costs being paid in excess of what is allowable. Questioned Costs: None reported Context/Sampling: A nonstatistical sample of 4 tenant files out of 40 requested lacked the proper documentation of reasonable rent calculations. Repeat Finding from Prior Year: No Recommendation: All tenant files should be reviewed by the appropriate personnel to ensure that all required documentation is included, and therefore, only allowable costs are included in program expenditures. Views of Responsible Officials: Management agrees with the finding.
Finding 2019-001 U.S. Department of Housing and Urban Development-Passed through the City of Oklahoma City and the City of Norman Continuum of Care CFDA#14.267 Initial Fiscal Year Finding Occurred: 2019 Finding Summary: During the testing of reasonable rents in the program, the auditor encountered certain files for which there was no documentation of the rent calculation to ensure that rent is reasonable in relation to rents being charged for comparable units. A nonstatistical sample of 4 tenant files out of 40 requested lacked the proper documentation of reasonable rent calculations. Responsible Individuals: Jeanette Moore, Chief Executive Officer Angela Wernke, Director of Community Living Program Corrective Action Plan: We will ensure that rent calculations be documented upon entry to the program and again at annual review. If a client reports a change of income, the rent calculation will be updated at that time and documented in the tenant file. Anticipated Completion Date: Ongoing Summary Schedule of Prior Year Findings: Finding 2018-001 Adjustment Identified During the Audit Donated medications from third-party donors were incorrectly recorded as in-kind contributions to revenue and expense. The error was corrected during the audit.
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