Audit 302131

FY End
2023-06-30
Total Expended
$400.73M
Findings
8
Programs
97
Organization: Thomas Jefferson University (PA)
Year: 2023 Accepted: 2024-04-01

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
391937 2023-001 - - L
391938 2023-002 - - F
391939 2023-003 - - H
391940 2023-004 - Yes L
968379 2023-001 - - L
968380 2023-002 - - F
968381 2023-003 - - H
968382 2023-004 - Yes L

Programs

ALN Program Spent Major Findings
84.268 Federal Direct Student Loans $122.81M - 1
21.027 Coronavirus State and Local Fiscal Recovery Funds $15.91M Yes 1
93.767 Children's Health Insurance Program $13.35M - 0
84.063 Federal Pell Grant Program $6.68M - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $2.56M Yes 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $2.43M - 0
84.038 Federal Perkins Loan Program $1.75M - 0
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $1.73M - 0
84.425F Heerf $1.41M Yes 0
84.007 Federal Supplemental Educational Opportunity Grants $1.10M - 0
84.033 Federal Work-Study Program $952,306 - 0
93.926 Healthy Start Initiative $801,209 - 0
93.498 Provider Relief Fund $532,931 Yes 0
93.364 Nursing Student Loans $451,666 - 0
93.884 Grants for Primary Care Training and Enhancement $438,395 - 0
93.732 Mental and Behavioral Health Education and Training Grants $394,133 Yes 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $378,099 Yes 0
93.855 Allergy, Immunology and Transplantation Research $320,744 Yes 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $297,130 - 0
93.958 Block Grants for Community Mental Health Services $271,502 - 0
93.186 National Research Service Award in Primary Care Medicine $260,052 Yes 0
93.867 Vision Research $218,809 Yes 0
93.940 Hiv Prevention Activities_health Department Based $200,199 - 0
93.264 Nurse Faculty Loan Program (nflp) $190,641 - 0
93.860 Emerging Infections Sentinel Networks $171,660 - 0
93.226 Research on Healthcare Costs, Quality and Outcomes $154,431 Yes 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $144,022 - 0
93.137 Community Programs to Improve Minority Health Grant Program $137,966 - 0
93.342 Health Professions Student Loans, Including Primary Care Loans/loans for Disadvantaged Students $124,000 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $123,316 Yes 0
81.086 Conservation Research and Development $118,873 Yes 0
21.019 Coronavirus Relief Fund $109,395 - 0
93.839 Blood Diseases and Resources Research $106,602 Yes 0
93.083 Prevention of Disease, Disability, and Death Through Immunization and Control of Respiratory and Related Diseases $82,162 - 0
93.250 Geriatric Academic Career Awards Department of Health and Human Services (b) $80,889 Yes 0
93.325 Paralysis Resource Center $72,397 Yes 0
93.859 Biomedical Research and Research Training $70,049 Yes 0
93.788 Opioid Str $69,110 - 0
93.837 Cardiovascular Diseases Research $67,523 Yes 0
93.268 Immunization Cooperative Agreements $60,857 - 0
93.994 Maternal and Child Health Services Block Grant to the States $60,571 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $53,312 Yes 0
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $52,832 Yes 0
93.914 Hiv Emergency Relief Project Grants $51,198 - 0
93.145 Aids Education and Training Centers $47,722 - 0
11.307 Economic Adjustment Assistance $47,221 - 0
93.396 Cancer Biology Research $46,238 Yes 0
43.003 Exploration $46,216 - 0
93.630 Developmental Disabilities Basic Support and Advocacy Grants $42,929 Yes 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $42,708 - 0
93.398 Cancer Research Manpower $41,930 Yes 0
45.162 Promotion of the Humanities_teaching and Learning Resources and Curriculum Development $41,451 Yes 0
93.124 Nurse Anesthetist Traineeships $39,369 - 0
12.340 Naval Medical Research and Development $39,121 Yes 0
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $35,528 Yes 0
12.420 Military Medical Research and Development $30,630 Yes 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $29,882 Yes 0
93.393 Cancer Cause and Prevention Research $29,750 Yes 0
93.361 Nursing Research $28,347 Yes 0
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $26,207 - 0
93.310 Trans-Nih Research Support $24,683 Yes 0
93.103 Food and Drug Administration_research $22,301 Yes 0
15.670 Adaptive Science $21,113 - 0
93.172 Human Genome Research $20,089 Yes 0
95.007 Research and Data Analysis $19,806 Yes 0
93.395 Cancer Treatment Research $19,075 Yes 0
93.865 Child Health and Human Development Extramural Research $16,594 Yes 0
47.049 Mathematical and Physical Sciences $15,253 Yes 0
93.433 Acl National Institute on Disability, Independent Living, and Rehabilitation Research $14,962 Yes 0
10.310 Agriculture and Food Research Initiative (afri) $14,935 Yes 0
93.351 Research Infrastructure Programs $14,417 Yes 0
93.173 Research Related to Deafness and Communication Disorders $14,287 Yes 0
93.399 Cancer Control $13,956 Yes 0
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $13,952 Yes 0
93.283 Centers for Disease Control and Prevention_investigations and Technical Assistance $13,332 - 0
93.110 Maternal and Child Health Federal Consolidated Programs $12,299 Yes 0
93.435 Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke- $7,007 - 0
93.686 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B (b) $6,615 - 0
93.048 Special Programs for the Aging_title Iv_and Title Ii_discretionary Projects $6,603 Yes 0
93.394 Cancer Detection and Diagnosis Research $5,277 Yes 0
93.217 Family Planning_services $5,168 - 0
93.273 Alcohol Research Programs $4,398 Yes 0
93.113 Environmental Health $4,029 Yes 0
93.RD Advanced Development of Multivalent Vaccine Candidate for Filovirus and Lassa Fever $3,815 Yes 0
93.184 Disabilities Prevention $3,667 Yes 0
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $3,136 - 0
93.866 Aging Research $2,873 Yes 0
93.307 Minority Health and Health Disparities Research $2,219 Yes 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $2,207 - 0
93.838 Lung Diseases Research $1,851 Yes 0
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $1,285 Yes 0
17.280 Workforce Investment Act (wia) Dislocated Worker National Reserve Demonstration Grants $16 - 0
93.242 Mental Health Research Grants $0 Yes 0
93.397 Cancer Centers Support Grants $-14 Yes 0
93.279 Drug Abuse and Addiction Research Programs $-34 Yes 0
93.121 Oral Diseases and Disorders Research $-212 Yes 0
12.300 Basic and Applied Scientific Research $-6,392 Yes 0

Contacts

Name Title Type
R8JEVL4ULGB7 Ronald Keller Auditee
2155038344 Robert Fell Auditor
No contacts on file

Notes to SEFA

Title: Reporting Entity Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formuals commonly referred to as facilities and adminstrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and adminstrative rate when charging indirect costs to federal award rather than the 10% de minimis cost rate as decribed in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students' FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: TJU uses the predetermined indirect cost rate in the rate agreement. Thomas Jefferson University (“Jefferson” or the “University’) is an independent, non-profit corporation organized under the laws of the Commonwealth of Pennsylvania and recognized as a tax-exempt organization pursuant to Section 501(c)(3) of the Internal Revenue Code. The University has a tripartite mission of education, research, and patient care. The University conducts research and offers undergraduate and graduate instruction through the Sidney Kimmel Medical College, the Jefferson College of Nursing, the Jefferson College of Pharmacy, the Jefferson College of Health Professions, the Jefferson College of Population Health, the Jefferson College of Biomedical Sciences, and the Kanbar College of Design, Engineering and Commerce, the School of Continuing and Professional Studies, the College of Architecture and the Built Environment, and the College of Science, Health, and Liberal Arts. The combined institution has approximately 7,370 students and is located in Philadelphia, Pennsylvania, with additional campus locations in the Greater Philadelphia Region and Atlantic City, New Jersey. For the year ended June 30, 2023, the integrated healthcare organization included TJUH System (“TJUHS”), Abington Health (“Abington”), Jefferson Health Northeast System (“JHNES”), Kennedy Health System (“Kennedy”), Magee Rehabilitation Hospital (“Magee”), and Albert Einstein Health Network (“AEHN”). The integrated healthcare organization provides inpatient, outpatient, and emergency care services through acute care, ambulatory care, rehabilitation care, physician and other primary care services for residents of the Greater Philadelphia Region. Additionally, the integrated healthcare organization includes Health Partners Plans (HPP). HPP provides access to healthcare services on a prepaid basis. HPP is licensed by the Commonwealth Departments of Insurance and Health to operate as a Health Maintenance Organization. Federal Identification Numbers for reporting entities included in this report are 23-1352651 for the University, 23- 2829095 for Thomas Jefferson University Hospital, 23-1352152 for Abington Memorial Hospital, 23-0596940 for Jefferson Health - Northeast, 22-1773439 for Kennedy University Hospital, Inc., 23-1396794 for Albert Einstein Medical Center, 26-3359979 for Lansdale Hospital Corporation, 23-1476328 for Magee Rehabilitation Hospital, 23-2691968 for Aria Health Physician Services, 46-0779942 for Aria Health Orthopedics, 47-2639286 for Jefferson Acute Care Physicians, P.C., 23-2809585 for Jefferson University Physicians, 23-2678055 for Methodist Associates in Healthcare, Inc., 46-1420853 for Kennedy Medical Group Practice, P.C., 46-4855345 for Jefferson University Physicians of New Jersey, 23-2858320 for Jefferson Medical Care, 22-2442032 for Kennedy Health Facilities, Inc., 23-2622006 for Walnut Home Therapeutics, Inc., 20-4193243 for Einstein Medical Center Montgomery, 23-2275991 for Fornance Physicians Inc., 23-2664784 for Einstein Practice Plan, Inc., 23-2760086 for Einstein Community Health Associates, and 23-2379751 for HPP.
Title: Basis of Presentation Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formuals commonly referred to as facilities and adminstrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and adminstrative rate when charging indirect costs to federal award rather than the 10% de minimis cost rate as decribed in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students' FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: TJU uses the predetermined indirect cost rate in the rate agreement. The accompanying Schedule of Expenditures of Federal Awards (the “Schedule”) presents a summary of certain activities of the University for the year ended June 30, 2023. Negative amounts represent current year adjustments of amounts reported in prior years. Assistance listing and pass-through entity numbers are included when available. The information in the schedule is presented in accordance with the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (the “Uniform Guidance”). Therefore, some amounts presented in the schedule may differ from amounts presented in, or used in the preparation of, the basic consolidated financial statements of the University. Amounts presented related to expenditures of HPP programs are inclusive of the 18-month period ending June 30, 2023. The University acquired a controlling interest in HPP on November 1, 2021. Independent auditors’ reports were issued by other auditors to the Board of Directors of HPP for the year ending December 31, 2021 for HPP’s Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statement Performed in Accordance With Government Auditing Standards and Compliance for the Major Federal Program and Report on Internal Control Over Compliance. For purposes of the Schedule, federal awards include all grants, contracts, and similar agreements entered into directly by the University with agencies and departments of the federal government and all sub awards to the University by nonfederal organizations pursuant to federal grants, contracts, and similar agreements.
Title: Summary of Significant Accounting Policies Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formuals commonly referred to as facilities and adminstrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and adminstrative rate when charging indirect costs to federal award rather than the 10% de minimis cost rate as decribed in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students' FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: TJU uses the predetermined indirect cost rate in the rate agreement. Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formulas commonly referred to as facilities and administrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimis cost rate as described in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students’ FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement.
Title: Student Loan Programs Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formuals commonly referred to as facilities and adminstrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and adminstrative rate when charging indirect costs to federal award rather than the 10% de minimis cost rate as decribed in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students' FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: TJU uses the predetermined indirect cost rate in the rate agreement. The Federal student loan programs listed below are administered directly by the University and balances and transactions relating to these programs are included in the University’s consolidated financial statements. Loans outstanding at the beginning of the year, the administrative cost allowance and loans made during the year are included in the federal expenditures presented in the Schedule. The balance of loans outstanding at June 30, 2023 consists of: Assistance Listing # Loan Balance Health Professions Student Loans, Including Primary Care Loans/Loans for Disadvantaged Students 93.342 $ 997,916 Nursing Student Loans 93.364 2,711,483 Perkins Loan Programs Nurse Faculty Loan Program 84.038 93.264 1,754,265 190,641
Title: Federal Direct Loan Program (FDLP) Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formuals commonly referred to as facilities and adminstrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and adminstrative rate when charging indirect costs to federal award rather than the 10% de minimis cost rate as decribed in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students' FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: TJU uses the predetermined indirect cost rate in the rate agreement. During the fiscal year ended June 30, 2023 the University processed new loans to students under the Direct Student Loan Program assistance listing # 84.268, which includes subsidized and unsubsidized Stafford Loans and Supplemental Loans for Students. The University is responsible only for the performance of certain administrative duties with respect to the FDLP and, accordingly, these loans are not included in the University's basic consolidated financial statements. Loans made during the year are included in the federal expenditures presented in the Schedule. It is not practical to determine the balance of loans outstanding under these programs at June 30, 2023.
Title: Provider Relief Funds Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formuals commonly referred to as facilities and adminstrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and adminstrative rate when charging indirect costs to federal award rather than the 10% de minimis cost rate as decribed in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students' FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: TJU uses the predetermined indirect cost rate in the rate agreement. The Schedule includes grant activity related to the Department of Health and Human Services ("HHS") Coronavirus Aid Relief and Economic Security (CARES) Act Assistance Listing Number 93.498. As required based on guidance in the 2022 OMB Compliance Supplement, the Schedule includes all Period 4 and 5 funds received between July 1, 2021 and June 30, 2022, and expended by June 30, 2023 as reported to HRSA via the PRF Reporting Portal. The Schedule thus includes $3.4M of direct expenditures and $107.7M in lost revenue.
Title: Federal Emergency Management Agency ("FEMA") Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Expenditures include a portion of costs associated with general university activities which are allocated to awards under negotiated formuals commonly referred to as facilities and adminstrative cost rates. Expenditures for certain non-student financial aid awards include indirect costs. The University generally applies its predetermined approved facilities and adminstrative rate when charging indirect costs to federal award rather than the 10% de minimis cost rate as decribed in Section 200.414 of the Uniform Guidance. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Pell program grants to students, the federal share of students' FSEOG program grants, Federal Work-Study program earnings, loans to students under federally guaranteed programs and certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for other federal awards of the University are determined using the cost accounting principles and procedures set forth in the Uniform Guidance. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: TJU uses the predetermined indirect cost rate in the rate agreement. As of June 30, 2023, the University received approval during 2023 for $10.4M of claims submitted to FEMA under Assistance Listing Number 97.036. The claims submitted represented incurred expenses attributed to the University’s response to COVID-19. The fiscal year 2023 Schedule of Expenditures of Federal Awards includes expenses of $10.4M which were incurred in a prior year.

Finding Details

Grantor(s): Health Resources and Services Administration Program: COVID-19 Provider Relief Fund (PRF) Assistance Listing#: 93.498 Title: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Award Year: 7/2022 – 6/2023 Award #: N/A Pass-through Number: N/A Criteria As specified in the Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements, issued on June 11, 2o21 and updated on October 27, 2022 and April 7. 2023, Provider Relief Fund (PRF) recipients who received one or more payments exceeding $10,000 in the aggregate during a Payment Received Period are required to report in each applicable Reporting Period. Step four requires recipients to report on expenses paid for with payments received (including any interest earned). Expense categories will include general and administrative and/or other health care-related expenses by calendar year quarter. Condition The University reported total general and administrative and other health care-related expenses of $133,333 (for the period January 1, 2021 to June 30, 2021) in the PRF Reporting Portal Submission for Period 3 for the Jefferson University Physicians entity. The University duplicated the reporting of these expenses (for the period July 1, 2021 to December 31, 2021) in the PRF Reporting Portal Submission for Period 4 for the same entity. Cause This finding was due to insufficient review of the report before submission. Effect The duplicate reporting of expenses in the PRF Portal Submission for Period 3 and Period 4 resulted in an incorrect calculation of the “Total Payments Used for Lost Revenues in the Current Reporting Period” section in the “Lost Revenue Summary” section of the PRF Portal Submission for Period 4. The calculated amount of “Total Payments Used for Lost Revenues in the Current Reporting Period” for Period 4 was calculated as $3,084,081 whereas the amount would have been $3,217,414 if the expenses had not been duplicated in the Period 4 PRF Portal Submission Reporting for the Jefferson University Physicians entity. Questioned Costs None. Recommendation Management should enhance the control in place to review each line item and ensure agreement to underlying support on the PRF portal prior to submission. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this Report. Questioned Costs None. Recommendation Management should enhance the control in place to review each line item and ensure agreement to underlying support on the PRF portal prior to submission. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this Report.
Grantor(s): Various Program: Research and Development Cluster Assistance Listing#: Various Title: Research and Development Cluster Award Year: 7/2022 – 6/2023 Award #: N/A Pass-through Number: N/A Criteria Non-federal entities other than states must follow 2 CFR sections 200.313(c) through (e) which require that a physical inventory of the property must be taken, and the results reconciled with the property records at least once every two years (2 CFR section 200.313(d)(2)). Condition The University performs a physical inventory of equipment at the department level. Within the Research and Development Cluster, there are 18 departments. Of the 18 departments, 5 departments did not perform the physical inventory at least once in the last two-year period (FY23 and FY22). These 5 departments included 25 individual equipment items that totaled $711,698. The remaining population of 13 departments appropriately performed the physical inventory in the last two-year period over the remaining 125 items totaling $2,294,506 as required. Cause The cause of this finding is due to a lapse in control operation to ensure that the required physical inventory of equipment (or other capitalized assets) acquired under Federal awards was performed by the University at least once every two years. Effect The required physical inventory of equipment (or other capitalized assets) acquired under Federal awards was not performed by the University for 5 departments at least once every two years for R&D related equipment. Questioned Costs None. Recommendation Management should enhance the control in place to ensure that all departments with equipment acquired under Federal Awards are performing the physical inventory when it is requested and ensure that all equipment is verified at least once every two years. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this report.
Grantor(s): American Rescue Plan Act (ARPA) Program: American Rescue Plan Act 2 of 2022 Assistance Listing#: 21.027 Title: Coronavirus State and Local Fiscal Recovery Funds Award Year: 7/2022 – 6/2023 Award #: N/A Pass-through Number: 4100086662 Criteria The funds received under Act 2 of 2022 are American Rescue Plan Act funds and are specifically for staff recruitment and retention payments. Recipients do not need to wait until they receive the payments to make payments to qualified staff, but they must spend the funds within the required timeframes. Act 2 of 2022 requires recipients to spend retention payments within 90 calendar days and recruitment payments within 180 calendar days of receipt of the funds. Additionally, hospitals and behavioral health providers may not use the money to pay more than one retention or recruitment payment to qualified staff with Act 2 of 2022 funding. Condition The University received the payments from Act 2 of 2022 on April 20, 2022, and therefore had 90 days to spend the retention payments. Of the $15,674,844 of retention payments spent by the University, 26 payments totaling $25,836 were spent after the performance period ended (7/19/2022). Additionally, the University reported more than one retention payment to 34 qualified staff members amounting to $31,530. Cause The cause of this finding is due to insufficient review of the details of retention payments paid with funds received from this program, specifically as it relates to the required 90-day window to make retention payments and the restriction on the quantity of payments to an individual with funds from this program. Effect Retention payments were spent after the performance period's end, and employees received more than one payment, which resulted in the dollar value of federal expenditures reported in the SEFA being overstated by $57,365. Questioned Costs None. Recommendation If the University receives further funding from this program, management should ensure that any future payments from this program are made within the specified timeline and with the appropriate frequency per the program’s requirements. Additionally, management should contact the Pennsylvania Department of Human Services to determine if any required corrective action related to the error of $58,442. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this report.
Finding 2023-004 Enrollment Reporting Grantor(s): Department of Education Program: Student Financial Aid Cluster Assistance Listing#(s): Various Title: Student Financial Aid Cluster Award Year: 7/2021 – 6/2022 Award #: N/A Pass-through Number: N/A Criteria Per the OMB Compliance Supplement, institutions are required to certify enrollment, including changes in students’ enrollment status, at a minimum of every 65 days. Institutions are responsible for timely reporting, whether they report directly or via a third-party servicer. Condition Through testing a sample of 25 students for enrollment reporting of Pell and Direct Loans, we noted 3 students were reported to the NSLDS outside of the required 65-day window. Each of these 3 students were reported 66 days after their status change. Additionally, for 3 other students in our sample of 25, there was no evidence to support their “graduated” status or date of the status change within the NSLDS. Cause The cause of the delay in reporting to the NSLDS for the first 3 students mentioned above is due to timing with graduation and resource constraints at the University during fiscal year 2022. For the second 3 students, the cause was due to the fact that these students had multiple status changes in a small period of time. The students were “full-time” until 12/31/2021 when they graduated the undergraduate program, then began the graduate program as full-time students in February 2022. The quick change in status was the cause of the NSLDS enrollment status not being supported for these students during fiscal year 2022. Effect NSLDS was not updated timely for the first 3 students mentioned above. For the second 3 students, their enrollment status could potentially be inaccurate in the NSLDS system if their graduation was not processed. Questioned Costs None. Recommendation Management should enhance their resources within the office of the registrar to be able to accommodate status changes during the graduation period and ensure timely status change submission to the NSLDS. Management’s View and Corrective Action Plan Management’s
Grantor(s): Health Resources and Services Administration Program: COVID-19 Provider Relief Fund (PRF) Assistance Listing#: 93.498 Title: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Award Year: 7/2022 – 6/2023 Award #: N/A Pass-through Number: N/A Criteria As specified in the Provider Relief Fund Distributions and American Rescue Plan Rural Distribution Post-Payment Notice of Reporting Requirements, issued on June 11, 2o21 and updated on October 27, 2022 and April 7. 2023, Provider Relief Fund (PRF) recipients who received one or more payments exceeding $10,000 in the aggregate during a Payment Received Period are required to report in each applicable Reporting Period. Step four requires recipients to report on expenses paid for with payments received (including any interest earned). Expense categories will include general and administrative and/or other health care-related expenses by calendar year quarter. Condition The University reported total general and administrative and other health care-related expenses of $133,333 (for the period January 1, 2021 to June 30, 2021) in the PRF Reporting Portal Submission for Period 3 for the Jefferson University Physicians entity. The University duplicated the reporting of these expenses (for the period July 1, 2021 to December 31, 2021) in the PRF Reporting Portal Submission for Period 4 for the same entity. Cause This finding was due to insufficient review of the report before submission. Effect The duplicate reporting of expenses in the PRF Portal Submission for Period 3 and Period 4 resulted in an incorrect calculation of the “Total Payments Used for Lost Revenues in the Current Reporting Period” section in the “Lost Revenue Summary” section of the PRF Portal Submission for Period 4. The calculated amount of “Total Payments Used for Lost Revenues in the Current Reporting Period” for Period 4 was calculated as $3,084,081 whereas the amount would have been $3,217,414 if the expenses had not been duplicated in the Period 4 PRF Portal Submission Reporting for the Jefferson University Physicians entity. Questioned Costs None. Recommendation Management should enhance the control in place to review each line item and ensure agreement to underlying support on the PRF portal prior to submission. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this Report. Questioned Costs None. Recommendation Management should enhance the control in place to review each line item and ensure agreement to underlying support on the PRF portal prior to submission. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this Report.
Grantor(s): Various Program: Research and Development Cluster Assistance Listing#: Various Title: Research and Development Cluster Award Year: 7/2022 – 6/2023 Award #: N/A Pass-through Number: N/A Criteria Non-federal entities other than states must follow 2 CFR sections 200.313(c) through (e) which require that a physical inventory of the property must be taken, and the results reconciled with the property records at least once every two years (2 CFR section 200.313(d)(2)). Condition The University performs a physical inventory of equipment at the department level. Within the Research and Development Cluster, there are 18 departments. Of the 18 departments, 5 departments did not perform the physical inventory at least once in the last two-year period (FY23 and FY22). These 5 departments included 25 individual equipment items that totaled $711,698. The remaining population of 13 departments appropriately performed the physical inventory in the last two-year period over the remaining 125 items totaling $2,294,506 as required. Cause The cause of this finding is due to a lapse in control operation to ensure that the required physical inventory of equipment (or other capitalized assets) acquired under Federal awards was performed by the University at least once every two years. Effect The required physical inventory of equipment (or other capitalized assets) acquired under Federal awards was not performed by the University for 5 departments at least once every two years for R&D related equipment. Questioned Costs None. Recommendation Management should enhance the control in place to ensure that all departments with equipment acquired under Federal Awards are performing the physical inventory when it is requested and ensure that all equipment is verified at least once every two years. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this report.
Grantor(s): American Rescue Plan Act (ARPA) Program: American Rescue Plan Act 2 of 2022 Assistance Listing#: 21.027 Title: Coronavirus State and Local Fiscal Recovery Funds Award Year: 7/2022 – 6/2023 Award #: N/A Pass-through Number: 4100086662 Criteria The funds received under Act 2 of 2022 are American Rescue Plan Act funds and are specifically for staff recruitment and retention payments. Recipients do not need to wait until they receive the payments to make payments to qualified staff, but they must spend the funds within the required timeframes. Act 2 of 2022 requires recipients to spend retention payments within 90 calendar days and recruitment payments within 180 calendar days of receipt of the funds. Additionally, hospitals and behavioral health providers may not use the money to pay more than one retention or recruitment payment to qualified staff with Act 2 of 2022 funding. Condition The University received the payments from Act 2 of 2022 on April 20, 2022, and therefore had 90 days to spend the retention payments. Of the $15,674,844 of retention payments spent by the University, 26 payments totaling $25,836 were spent after the performance period ended (7/19/2022). Additionally, the University reported more than one retention payment to 34 qualified staff members amounting to $31,530. Cause The cause of this finding is due to insufficient review of the details of retention payments paid with funds received from this program, specifically as it relates to the required 90-day window to make retention payments and the restriction on the quantity of payments to an individual with funds from this program. Effect Retention payments were spent after the performance period's end, and employees received more than one payment, which resulted in the dollar value of federal expenditures reported in the SEFA being overstated by $57,365. Questioned Costs None. Recommendation If the University receives further funding from this program, management should ensure that any future payments from this program are made within the specified timeline and with the appropriate frequency per the program’s requirements. Additionally, management should contact the Pennsylvania Department of Human Services to determine if any required corrective action related to the error of $58,442. Management’s View and Corrective Action Plan Management’s response is included in “Management’s Views and Corrective Action Plan” included in this report.
Finding 2023-004 Enrollment Reporting Grantor(s): Department of Education Program: Student Financial Aid Cluster Assistance Listing#(s): Various Title: Student Financial Aid Cluster Award Year: 7/2021 – 6/2022 Award #: N/A Pass-through Number: N/A Criteria Per the OMB Compliance Supplement, institutions are required to certify enrollment, including changes in students’ enrollment status, at a minimum of every 65 days. Institutions are responsible for timely reporting, whether they report directly or via a third-party servicer. Condition Through testing a sample of 25 students for enrollment reporting of Pell and Direct Loans, we noted 3 students were reported to the NSLDS outside of the required 65-day window. Each of these 3 students were reported 66 days after their status change. Additionally, for 3 other students in our sample of 25, there was no evidence to support their “graduated” status or date of the status change within the NSLDS. Cause The cause of the delay in reporting to the NSLDS for the first 3 students mentioned above is due to timing with graduation and resource constraints at the University during fiscal year 2022. For the second 3 students, the cause was due to the fact that these students had multiple status changes in a small period of time. The students were “full-time” until 12/31/2021 when they graduated the undergraduate program, then began the graduate program as full-time students in February 2022. The quick change in status was the cause of the NSLDS enrollment status not being supported for these students during fiscal year 2022. Effect NSLDS was not updated timely for the first 3 students mentioned above. For the second 3 students, their enrollment status could potentially be inaccurate in the NSLDS system if their graduation was not processed. Questioned Costs None. Recommendation Management should enhance their resources within the office of the registrar to be able to accommodate status changes during the graduation period and ensure timely status change submission to the NSLDS. Management’s View and Corrective Action Plan Management’s