Harborview Medical Center

EIN: 911631806

UEI: RSMSNTV2Z425

Data as of August 20, 2026

12
Audit Years
6
Total Findings
2
Repeat Findings

FY 2025-06-30

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 31, 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 October 1, 2026 (42 days from today).

What is a management decision? →
2025-001
Reporting
Condition

Federal Program: Crime Victim Assistance ALN: 16.575 Federal Agency: United States Department of Justice Pass-through entity: Washington State Department of Commerce Grant Name(s): Crime Victims Advocacy, Unmet Needs, Crime Victim Service Project, Sexual Assault Medical Forensic Examination; Criteria or requirement Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CFR 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, (Subpart D, Section 200.303 nonfederal entity must establish, document and maintain effective internal control over the Federal award that provides reasonable assurance that the recipient or subrecipient is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. Condition found, including facts that support the deficiency identified in the finding and information to provide proper perspective for judging the prevalence and consequences of the finding For 7 out of 7 progress reports tested, the entity did not retain documentation to evidence the review control occurred prior to submission. Cause and possible asserted effect The existing control for compliance is not implemented as designed such that documentation of the control operation is not retained. Identification of questioned costs and how they were computed None. Sample Statistically Valid The sample was not intended to be, and was not, a statistically valid sample. Repeat finding from prior year No Recommendation We recommend that the Medical Center review and enhance its current procedures to ensure that documentation of the review control prior to report submission is properly retained. Views of Responsible Officials We acknowledge the finding regarding the absence of documented progress reports and evidence demonstrating that supervisory review controls occurred prior to submission. The Medical Center has strengthened its internal controls to ensure full compliance with federal statutes, regulations, and award requirements. Management has revised its policy to require the timely and consistent submission of client services data through the secure, web based InfoNet system used by victim service providers. To ensure accuracy and completeness, staff now download a system generated InfoNet report at the close of each reporting quarter. This report includes a timestamp verifying that all required data was entered within the mandated period, manager’s review, and signature. Prior to submission to the program sponsor, the Manager conducts a comprehensive review to confirm accuracy, completeness, and compliance with reporting requirements. To address the control gap identified by the auditor, the Medical Center has also established clear delegation procedures to ensure continuity of review responsibilities during planned staff absences. In addition, management has implemented proactive communication protocols with program sponsors regarding expected reporting timelines. Collectively, these corrective actions strengthen oversight, improve documentation of supervisory review, and ensure dependable, timely, and compliant reporting going forward.

Corrective Action Plan

Harborview Medical Center has strengthened its internal controls to ensure full compliance with federal statutes, regulations, and award requirements. Management has revised its policy to require the timely and consistent submission of client services data through the secure, web based InfoNet system used by victim service providers. To ensure accuracy and completeness, staff now download a system generated InfoNet report at the close of each reporting quarter. This report includes a timestamp verifying that all required data was entered within the mandated period, manager’s review, and signature. Prior to submission to the program sponsor, the Manager conducts a comprehensive review to confirm accuracy, completeness, and compliance with reporting requirements. To address the control gap identified by the auditor, Harborview Medical Center has also established clear delegation procedures to ensure continuity of review responsibilities during planned staff absences. In addition, management has implemented proactive communication protocols with program sponsors regarding expected reporting timelines. Collectively, these corrective actions strengthen oversight, improve documentation of supervisory review, and ensure dependable, timely, and compliant reporting going forward.

About Reporting →

FY 2019-06-30

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on February 10, 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 August 10, 2020, which was (2201 days ago).

What is a management decision? →
2019-001
Activities Allowed or Unallowed / Cost Allowability
REPEAT
Condition

HARBORVIEW MEDICAL CENTER UNIFORM GUIDANCE FOR FEDERAL AWARDS Schedule of Findings and Questioned Costs Year ended June 30, 2019 50 (Continued) DRAFT 2/6/2020 12:35 AM 047394I-1A_RESTRICTED_19_HarborviewMedicalCenter_UG.docx (1) Summary of Auditors? Results Financial Statements Type of auditors? report issued: Unmodified Internal control over financial reporting: ? Material weakness(es) identified? No ? Significant deficiency(ies) identified that are not considered to be material weakness(es)? None Reported Noncompliance material to the financial statements noted? No Federal Awards Type of auditors? report issued on compliance for major programs: Unmodified Internal control over major programs: ? Material weakness(es) identified? No ? Significant deficiency(ies) identified that are not considered to be material weakness(es)? Yes Any audit findings disclosed that are required to be reported in accordance with Section 200.516(a) of the Uniform Guidance? Yes Identification of Major Programs Federal grantor and program title CFDA number 93.918 93.153 Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease (Ryan White HIV/AIDS Part C) Coordinated Services and Access to Research for Women, Infants, Children, and Youth (Ryan White HIV/AIDS Part D) Dollar threshold used to distinguish between type A and type B programs: $ 750,000 Auditee qualified as low-risk auditee? No (2) Findings Relating to the Financial Statements Reported in Accordance with Government Auditing Standards None HARBORVIEW MEDICAL CENTER UNIFORM GUIDANCE FOR FEDERAL AWARDS Schedule of Findings and Questioned Costs Year ended June 30, 2019 51 (Continued) DRAFT 2/6/2020 12:35 AM 047394I-1A_RESTRICTED_19_HarborviewMedicalCenter_UG.docx (3) Federal Award Findings and Questioned Costs Finding 19-001 Federal Program 93.918 ? Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease (Ryan White HIV/AIDS Part C) 93.153 ? Coordinated Services and Access to Research for Women, Infants, Children, and Youth (Ryan White HIV/AIDS Part D) Federal Agency U.S. Department of Health and Human Services Federal Award Year July 1, 2018 to June 30, 2019 Criteria Section 200.303 of the Uniform Guidance indicates that a nonfederal entity must establish and maintain effective internal control over the federal award that provides reasonable assurance that the nonfederal entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Statement of Condition Medical Center supervisors did not review payroll time-and-effort documentation in a timely manner. During our testwork over the Health and Human Services Cluster, we identified one of our nine selections tested in our payroll testwork where the manager did not sign off on the time and effort certification within 30 days of the payroll period. The Medical Center?s controls over time and effort certification were not operating effectively and the documentation that review occurred within 30 days of the payroll period was not evidenced. Cause and Effect A new Medical Center Grants and Contracts Coordinator was assigned the responsibility of time and effort certification review and documentation for the month of February. Due to technical issues and additional training required due to personnel changes, the documentation of this review was completed after 30 days following the payroll period. The Medical Center should have controls designed and operating effectively to ensure that time and effort certifications are reviewed and documented within 30 days of the payroll period. Questioned Costs None Was the Sampling Statistically Valid? The sample was not intended to be, and was not, a statistically valid sample. HARBORVIEW MEDICAL CENTER UNIFORM GUIDANCE FOR FEDERAL AWARDS Schedule of Findings and Questioned Costs Year ended June 30, 2019 52 DRAFT 2/6/2020 12:35 AM 047394I-1A_RESTRICTED_19_HarborviewMedicalCenter_UG.docx Repeat Finding? Yes Recommendation We recommend that the Medical Center assign the appropriate personnel to perform the controls over the time and effort certification process. View of Responsible Officials and Corrective Action Plan We understand the finding regarding the time and effort certification. Management has implemented improvements to meet the requirements including revising our policy to state ?Complete within 30 days after release date,? and specified that both dates and signatures are required. Management has reassigned the responsibilities to appropriate personnel. In addition, the Medical Center reiterated to program staff the importance of completing effort certifications in a timely manner, retrained program management to ensure effort certifications were approved prior to seeking reimbursement, and is holding quarterly meetings to ensure compliance with the time and effort certification process.

Corrective Action Plan

We understand the finding regarding the time and effort certification. Management has implemented improvements to meet the requirements including revising our policy to state ?Complete within 30 days after release date,? and specified that both dates and signatures are required. Management has reassigned the responsibilities to appropriate personnel. In addition, the Medical Center reiterated to program staff the importance of completing effort certifications in a timely manner, retrained program management to ensure effort certifications were approved prior to seeking reimbursement, and is holding quarterly meetings to ensure compliance with the time and effort certification process.

Prior Finding References

2018-001

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles →

FY 2018-06-30

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 28, 2019. 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 September 28, 2019, which was (2518 days ago).

What is a management decision? →
2018-001
Activities Allowed or Unallowed / Cost Allowability
REPEATMATERIAL WEAKNESS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-001

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles →

FY 2017-06-30

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 29, 2018. 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 September 29, 2018, which was (2882 days ago).

What is a management decision? →
2017-001
Activities Allowed or Unallowed / Cost Allowability
MATERIAL WEAKNESS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles →

FY 2016-06-30

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on July 13, 2017. 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 January 13, 2018, which was (3141 days ago).

What is a management decision? →
2016-001
Activities Allowed or Unallowed / Cost Allowability / Program Income / Reporting
MATERIAL WEAKNESS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles, Program Income, Reporting →
2016-002
Activities Allowed or Unallowed / Cost Allowability / Program Income / Reporting
MATERIAL WEAKNESS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles, Program Income, Reporting →

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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