Audit 296790

FY End
2023-06-30
Total Expended
$42.77M
Findings
2
Programs
26
Organization: Johns Hopkins Health System (MD)
Year: 2023 Accepted: 2024-03-22

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
383755 2023-001 - - L
960197 2023-001 - - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $21.20M Yes 1
84.181 Special Education-Grants for Infants and Families $1.79M Yes 0
93.926 Healthy Start Initiative $1.01M - 0
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $983,454 - 0
93.RD National Institute of Neurological Disorders & Stroke Direct Award $687,141 - 0
93.958 Block Grants for Community Mental Health Services $349,125 - 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $204,386 Yes 0
16.575 Crime Victim Assistance $204,111 - 0
93.994 Maternal and Child Health Services Block Grant to the States $194,000 - 0
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $181,445 - 0
93.788 Opioid Str $107,630 - 0
93.839 Blood Diseases and Resources Research $104,330 - 0
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $84,930 - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $74,311 - 0
93.969 Pphf Geriatric Education Centers $65,770 - 0
93.865 Child Health and Human Development Extramural Research $58,872 - 0
10.558 Child and Adult Care Food Program $51,837 - 0
93.395 Cancer Treatment Research $47,700 - 0
93.815 Domestic Ebola Supplement to the Epidemiology and Laboratory Capacity for Infectious Diseases (elc). $46,460 - 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $44,251 - 0
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $30,000 - 0
93.110 Maternal and Child Health Federal Consolidated Programs $15,836 - 0
93.307 Minority Health and Health Disparities Research $7,342 - 0
93.226 Research on Healthcare Costs, Quality and Outcomes $6,666 - 0
10.559 Summer Food Service Program for Children $4,905 - 0
93.461 Covid-19 Testing for the Uninsured $-1.20M - 0

Contacts

Name Title Type
CJJKBJKFAHM9 Ben Thompson Auditee
4438122253 Tim Weld Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: The Schedules reflect federal award program expenditures recognized on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America. JHHS has not elected to use the 10% de minimis rate for indirect costs. Indirect costs are billed based upon negotiated and budgeted rates. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The accompanying Schedules of Expenditures of federal awards and Florida state financial assistance (the "Schedules") include the federal and state grant transactions of the Johns Hopkins Health System Corporation and its affiliates ("JHHS") under programs of the federal government and state of Florida for the year ended June 30, 2023. Because the Schedules present only a selected portion of the operations of JHHS, they are not intended to and do not present the financial position, results of operations and changes in net assets, or cash flows of JHHS. For purposes of the Schedules, federal and state awards include all awards in the form of grants, contracts, and similar agreements entered into directly between JHHS and the agencies, the departments of the federal government, the non-federal pass-through entities, and the state of Florida. Federal Assistance Listing information, Catalog of State Financial Assistance (“CSFA”), and pass-through identification numbers are included when available.
Title: Summary of Significant Accounting Policies Accounting Policies: The Schedules reflect federal award program expenditures recognized on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America. JHHS has not elected to use the 10% de minimis rate for indirect costs. Indirect costs are billed based upon negotiated and budgeted rates. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The Schedules reflect federal and state award program expenditures recognized on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America. JHHS has not elected to use the 10% de minimis rate for indirect costs. Indirect costs are billed based upon negotiated and budgeted rates.
Title: HRSA COVID-19 Testing and Treatment for the Uninsured Accounting Policies: The Schedules reflect federal award program expenditures recognized on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America. JHHS has not elected to use the 10% de minimis rate for indirect costs. Indirect costs are billed based upon negotiated and budgeted rates. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. JHHS conducted COVID-19 testing and/or provided treatment for uninsured individuals with a COVID-19 primary diagnosis on or after February 4, 2020 and as such requested claims reimbursement under Assistance Listing # 93.461 Health Resources and Services Administration's ("HRSA") COVID-19 Testing and Treatment for the Uninsured. JHHS recorded $(1.2) million on the Schedule consisting of refunds and adjustments reported in fiscal year 2023 relating to claims submitted and reported with service dates in fiscal years 2020, 2021, and 2022 for $(313) thousand, $(600) thousand, and $(284) thousand, respectively. The Uninsured program stopped accepting claims due to a lack of sufficient funds. No claims submitted after March 22, 2022 for testing or treatment and claims for vaccine administration after April 5, 2022, will be processed for adjudication and payment.
Title: Department of Health and Human Services COVID-19 Provider Relief Funds and American Rescue Plan Rural Distribution Accounting Policies: The Schedules reflect federal award program expenditures recognized on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America. JHHS has not elected to use the 10% de minimis rate for indirect costs. Indirect costs are billed based upon negotiated and budgeted rates. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The Schedule includes Period 4 funds received between July 1, 2021 and December 31, 2021 expended by December 31, 2022 and Period 5 funds received between January 1, 2022 and June 30, 2022 expended by June 30, 2023 as reported to HRSA via the Provider Relief Funds and American Rescue Plan Rural Reporting Portal. The grant activity associated with Assistance Listing #93.498 is attributable to lost revenues and direct expenditures. The total amount recognized in the Schedule of $21.2 million for the year ended June 30, 2023, includes $12.6 million of direct expenditures and $8.6 million of lost revenue. The affiliate ACHS included in the Schedule represents Provider Relief Funds totaling $1.2 million, of which $1.1 million were reported for Pediatric Physician Services, Inc. and $43 thousand were reported for West Coast Neonatology, Inc.
Title: Federal Emergency Management Agency Disaster Grants – Public Assistance (Presidentially Declared Disasters) Accounting Policies: The Schedules reflect federal award program expenditures recognized on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America. JHHS has not elected to use the 10% de minimis rate for indirect costs. Indirect costs are billed based upon negotiated and budgeted rates. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. In fiscal year 2023, the affiliate Johns Hopkins All Children’s Hospital (“JHACH”) received approval of their project related to Federal Emergency Management Agency (“FEMA”) Disaster Grants – Public Assistance (Presidentially Declared Disasters) funding passed thru from the Florida Division of Emergency Management. As required by the OMB Compliance Supplement, non-federal entities must record expenditures on the Schedule when (1) FEMA has obligated the non-federal entity’s project, and (2) the non-federal entity has incurred the eligible expenditures. JHACH, as such, recorded $74,311 in expenditures on the Schedule, all of which were obligated and incurred in fiscal year 2023. In addition, there are $132,870 in expenditures that were incurred in fiscal year 2023 but not obligated by FEMA until fiscal year 2024 and therefore will be reported on the fiscal year 2024 Schedule.

Finding Details

COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution Reporting Cluster: Not applicable Federal Agency: Department of Health and Human Services (“HHS”) Award Name: COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution Assistance Listing #: 93.498 Assistance Listing Title: COVID-19 - Provider Relief Fund and American Rescue Plan Rural Distribution – Period 4 and Period 5 Award Year(s): January 1, 2020 – December 31, 2022 and January 1, 2020 – June 30, 2023 Criteria Step Six of the Steps on Reporting on Use of Funds section of the June 11, 2021 Provider Relief Fund (“PRF”) General and Targeted Distribution Post-Payment Notice of Reporting Requirements requires recipients that apply PRF payments toward lost revenues to use one of the following three options for calculating lost revenues: • Option (i): difference between actual patient care revenues and actuals for each quarter during the period of availability; • Option (ii): difference between budgeted (budget approved prior to March 27, 2020) and actual patient care revenues for each quarter during the period of availability; or • Option (iii): any reasonable method of estimating revenues Condition Through our testing of the JHHS affiliate, Johns Hopkins Regional Physicians’ (JHRP) period 4 HRSA reporting portal submission, we identified a $168,000 discrepancy between the actual patient care revenue amount input into the portal for Q3 2021 and the actual patient care revenue amount per JHRP’s general ledger, which supports it’s lost revenue calculation. Cause The actual patient care revenue for Q3 2021 used within the lost revenue calculation reported via the HRSA portal differed from the amount per the general ledger due to additional revenues other than patient care revenue being included in the HRSA portal reporting. Effect Inputs into the lost revenue calculation were not accurate and impacted the total lost revenue calculated by JHRP for Q3 2021. However, the amounts input incorrectly into the “Total Revenue/Net Charges from Patient Care” line for Q3 2021 did not have an impact on lost revenue that JHRP could claim in the reporting period as JHRP maintained sufficient capacity in amounts that qualified for use. Additionally, the impact from correcting the input error increased the lost revenue of JHRP for Q3 2021 by $168,000. Questioned Costs There are no questioned costs associated with this finding as the exceptions noted relate to an aspect of reporting which would have increased the potential qualifying funds of JHRP. Recommendation Management should implement procedures to ensure that the lost revenue calculation used to report data into the HRSA portal is reconciled to patient care revenues per the general ledger. Management’s Views and Corrective Action Plan Refer to Management’s Views and Corrective Action Plan at the end of this report.
COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution Reporting Cluster: Not applicable Federal Agency: Department of Health and Human Services (“HHS”) Award Name: COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution Assistance Listing #: 93.498 Assistance Listing Title: COVID-19 - Provider Relief Fund and American Rescue Plan Rural Distribution – Period 4 and Period 5 Award Year(s): January 1, 2020 – December 31, 2022 and January 1, 2020 – June 30, 2023 Criteria Step Six of the Steps on Reporting on Use of Funds section of the June 11, 2021 Provider Relief Fund (“PRF”) General and Targeted Distribution Post-Payment Notice of Reporting Requirements requires recipients that apply PRF payments toward lost revenues to use one of the following three options for calculating lost revenues: • Option (i): difference between actual patient care revenues and actuals for each quarter during the period of availability; • Option (ii): difference between budgeted (budget approved prior to March 27, 2020) and actual patient care revenues for each quarter during the period of availability; or • Option (iii): any reasonable method of estimating revenues Condition Through our testing of the JHHS affiliate, Johns Hopkins Regional Physicians’ (JHRP) period 4 HRSA reporting portal submission, we identified a $168,000 discrepancy between the actual patient care revenue amount input into the portal for Q3 2021 and the actual patient care revenue amount per JHRP’s general ledger, which supports it’s lost revenue calculation. Cause The actual patient care revenue for Q3 2021 used within the lost revenue calculation reported via the HRSA portal differed from the amount per the general ledger due to additional revenues other than patient care revenue being included in the HRSA portal reporting. Effect Inputs into the lost revenue calculation were not accurate and impacted the total lost revenue calculated by JHRP for Q3 2021. However, the amounts input incorrectly into the “Total Revenue/Net Charges from Patient Care” line for Q3 2021 did not have an impact on lost revenue that JHRP could claim in the reporting period as JHRP maintained sufficient capacity in amounts that qualified for use. Additionally, the impact from correcting the input error increased the lost revenue of JHRP for Q3 2021 by $168,000. Questioned Costs There are no questioned costs associated with this finding as the exceptions noted relate to an aspect of reporting which would have increased the potential qualifying funds of JHRP. Recommendation Management should implement procedures to ensure that the lost revenue calculation used to report data into the HRSA portal is reconciled to patient care revenues per the general ledger. Management’s Views and Corrective Action Plan Refer to Management’s Views and Corrective Action Plan at the end of this report.