Audit 303244

FY End
2021-06-30
Total Expended
$266.13M
Findings
2
Programs
95
Year: 2021 Accepted: 2024-04-11

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
392957 2021-001 Significant Deficiency - L
969399 2021-001 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $54.27M Yes 0
93.350 National Center for Advancing Translational Sciences $2.77M - 0
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $2.34M Yes 1
93.600 Head Start $1.92M - 0
93.226 Research on Healthcare Costs, Quality and Outcomes $1.86M - 0
93.103 Food and Drug Administration_research $1.78M - 0
84.305 Education Research, Development and Dissemination $909,752 - 0
93.RD Targeted Clinical Research to Address Select-Viral Infections $763,244 - 0
93.RD Covid-19 Multisystem Inflammatory Syndrome in Children (mis-C) Pilot Project $753,048 - 0
93.253 Poison Center Support and Enhancement Grant $704,521 - 0
93.225 National Research Service Awards_health Services Research Training $576,799 - 0
93.233 National Center on Sleep Disorders Research $500,731 - 0
93.RD Open Targets Data Prep $480,826 - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $473,844 - 0
93.398 Cancer Research Manpower $393,152 - 0
93.889 National Bioterrorism Hospital Preparedness Program $348,157 - 0
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $345,324 - 0
93.396 Cancer Biology Research $321,941 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $250,000 - 0
47.041 Engineering $216,570 - 0
20.600 State and Community Highway Safety $206,195 - 0
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $205,440 - 0
93.732 Mental and Behavioral Health Education and Training Grants $201,587 - 0
93.127 Emergency Medical Services for Children $184,410 - 0
93.865 Child Health and Human Development Extramural Research $170,666 - 0
93.558 Temporary Assistance for Needy Families $164,445 - 0
93.087 Enhance Safety of Children Affected by Substance Abuse $154,827 - 0
93.914 Hiv Emergency Relief Project Grants $149,868 - 0
93.861 Strengthening the Public Health System in US-Affiliated Pacific Islands (pphf) $140,947 - 0
93.838 Lung Diseases Research $136,781 - 0
93.397 Cancer Centers Support Grants $136,210 - 0
93.213 Research and Training in Complementary and Integrative Health $128,554 - 0
93.242 Mental Health Research Grants $121,858 - 0
93.310 Trans-Nih Research Support $111,601 - 0
93.351 Research Infrastructure Programs $106,225 - 0
93.855 Allergy, Immunology and Transplantation Research $102,749 - 0
93.945 Assistance Programs for Chronic Disease Prevention and Control $95,960 - 0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $95,733 - 0
93.991 Preventive Health and Health Services Block Grant $93,780 - 0
93.859 Biomedical Research and Research Training $92,690 - 0
93.365 Sickle Cell Treatment Demonstration Program $89,248 - 0
93.395 Cancer Treatment Research $86,821 - 0
93.172 Human Genome Research $84,736 - 0
93.994 Maternal and Child Health Services Block Grant to the States $80,816 - 0
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $77,958 - 0
93.307 Minority Health and Health Disparities Research $77,451 - 0
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $76,933 - 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $76,307 - 0
16.575 Crime Victim Assistance $75,190 - 0
43.003 Exploration $69,325 - 0
10.001 Agricultural Research_basic and Applied Research $66,081 - 0
12.431 Basic Scientific Research $65,033 - 0
93.917 Hiv Care Formula Grants $65,000 - 0
93.940 Hiv Prevention Activities_health Department Based $64,936 Yes 0
93.RD Incidence and Outcomes of Human Adenovirus Infection $61,353 - 0
93.867 Vision Research $59,215 - 0
93.084 Prevention of Disease, Disability, and Death by Infectious Diseases $50,580 - 0
93.RD Targeted Clincal Trials to Reduce the Risk of Antimicrobial Resistance $48,355 - 0
47.070 Computer and Information Science and Engineering $47,068 - 0
93.394 Cancer Detection and Diagnosis Research $46,779 - 0
93.RD Polyethylene Glycol Safety in Children $44,313 - 0
93.273 Alcohol Research Programs $38,023 - 0
93.217 Family Planning_services $30,370 - 0
16.560 National Institute of Justice Research, Evaluation, and Development Project Grants $30,166 - 0
93.173 Research Related to Deafness and Communication Disorders $28,583 - 0
93.283 Centers for Disease Control and Prevention_investigations and Technical Assistance $26,766 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $26,228 - 0
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $25,772 - 0
93.866 Aging Research $25,025 - 0
93.279 Drug Abuse and Addiction Research Programs $24,819 - 0
93.RD Develop Recombinant Aav Vectors $24,201 - 0
93.110 Maternal and Child Health Federal Consolidated Programs $22,463 - 0
93.RD Patholgy Studies $20,607 - 0
93.070 Environmental Public Health and Emergency Response $20,586 - 0
93.853 Blood Diseases and Resources Research $20,419 - 0
93.RD (ptn) Core Function Activties $20,071 - 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $18,295 - 0
93.113 Environmental Health $16,328 - 0
93.879 Medical Library Assistance $13,554 - 0
93.121 Oral Diseases and Disorders Research $11,171 - 0
20.200 Highway Research and Development Program $11,060 - 0
93.393 Cancer Cause and Prevention Research $9,385 - 0
93.399 Cancer Control $8,899 - 0
47.075 Social, Behavioral, and Economic Sciences $6,974 - 0
93.RD Pediatric Research Network Program $5,999 - 0
93.RD Pumps for Kids, Infants and Neonates (pumpkin) Clinical Trial $4,917 - 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $3,971 - 0
93.989 International Research and Research Training $3,582 - 0
12.420 Military Medical Research and Development $3,309 - 0
93.928 Special Projects of National Significance $2,421 - 0
93.361 Nursing Research $1,628 - 0
93.837 Cardiovascular Diseases Research $1,590 - 0
93.317 Emerging Infections Programs $668 - 0
93.839 Blood Diseases and Resources Research $108 - 0
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Purpose Activities Relating to the Clean Air Act $-2 - 0

Contacts

Name Title Type
G7MQPLSUX1L4 Bethann Kurek Auditee
2673192401 Stephanie Jinks Auditor
No contacts on file

Notes to SEFA

Title: Department of Health and Human Services Provider Relief Funds Accounting Policies: Basis of Presentation The accompanying Schedule of Expenditures of Federal Awards and Schedule of Expenditures of State Awards (the “Schedules”) include the Federal and State of New Jersey grant transactions of The Children’s Hospital of Philadelphia Foundation and Controlled Affiliates (the “Enterprise”) recorded on the cash basis of accounting, which is a comprehensive basis of accounting other than accounting principles generally accepted in the United States of America. Because the Schedules present only a selected portion of the operations of the Enterprise, they are not intended to and do not present the financial position, changes in net assets or cash flows of the Enterprise. The information in these Schedules is presented in accordance with the requirements of Government Auditing Standards, issued by the Comptroller General of the United States; and the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), the New Jersey Department of the Treasury State Grant Compliance Supplement. Negative amounts represent adjustments or credits to amounts reported as expenditures in prior years. The pass-through ID numbers were noted in the Schedule of Federal Awards when available. De Minimis Rate Used: N Rate Explanation: Expenditures consist of direct costs and indirect costs. The Enterprise applies its predetermined approved facilities and administration rate when charging indirect costs to federal awards rather than the 10% de minimis cost rate as described in Section 200.424 of the Uniform Guidance. The Enterprise was the recipient of funding under Assistance Listing 93.498, Department of Health and Human Services (HHS) Coronavirus Aid Relief and Economic Security (CARES) Act Provider Relief Funds (PRF). The grant activity presented in the Schedule of Expenditures of Federal awards associated with this Assistance Listing includes all Period 1 funding received between April 1, 2020 and June 30, 2020 as reported to HRSA via the PRF Reporting Portal and includes lost revenues and direct expenditures. The Schedule of Expenditures of Federal Awards includes $54,274,751 of Provider Relief Funds received that have been covered by $2,378,443 of direct expenditures and $51,896,308 of lost revenues (the total eligible amount of lost revenues reported in the PRF reporting portal was $285,716,768). Business Name EIN Payments Received Lost Revenues Direct Expenditures Children’s Hospital of Philadelphia 23-1352166 $42,896,367 $40,517,924 $2,378,443 Children’s Health Care Associates of NJ, PC 23-3036699 $900,214 $900,214 $0 Children’s Health Care Associates, Inc. 22-2785804 $6,536,794 $6,536,794 $0 Children’s Surgical Associates, Ltd. 23-2589322 $2,395,613 $2,395,613 $0 Children’s Anesthesiology Assoc Ltd 23-2592835 $1,544,000 $1,544,000 $0 Radiology Associates of Children’s Hospital, Inc. 23-2665855 $1,763 $1,763 $0 Totals $54,274,751 $51,896,308 $2,378,443
Title: Revision Accounting Policies: Basis of Presentation The accompanying Schedule of Expenditures of Federal Awards and Schedule of Expenditures of State Awards (the “Schedules”) include the Federal and State of New Jersey grant transactions of The Children’s Hospital of Philadelphia Foundation and Controlled Affiliates (the “Enterprise”) recorded on the cash basis of accounting, which is a comprehensive basis of accounting other than accounting principles generally accepted in the United States of America. Because the Schedules present only a selected portion of the operations of the Enterprise, they are not intended to and do not present the financial position, changes in net assets or cash flows of the Enterprise. The information in these Schedules is presented in accordance with the requirements of Government Auditing Standards, issued by the Comptroller General of the United States; and the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), the New Jersey Department of the Treasury State Grant Compliance Supplement. Negative amounts represent adjustments or credits to amounts reported as expenditures in prior years. The pass-through ID numbers were noted in the Schedule of Federal Awards when available. De Minimis Rate Used: N Rate Explanation: Expenditures consist of direct costs and indirect costs. The Enterprise applies its predetermined approved facilities and administration rate when charging indirect costs to federal awards rather than the 10% de minimis cost rate as described in Section 200.424 of the Uniform Guidance. The accompanying Schedule of Expenditures of Federal awards initially excluded $2.3 million of expenditures from program 93.354, COVID-19 Community Testing. The accompanying Schedule of Expenditures of Federal awards has been revised to include this amount.

Finding Details

2021-001 Completeness of funding on the schedule of expenditures of federal awards Federal Granting Agency: Center for Disease Control and Prevention Award Name: COVID-19 Community Testing Assistance Listing Number: 93.354 Assistance Listing Title: Public Health Crisis Response Awards Award Year: 9/10/2020 – 6/30/2021 Pass-through Entity: City of Philadelphia Department of Public Health Criteria Per OMB Guidance, nonfederal entities must record expenditures on the Schedule of Expenditures of Federal Awards (SEFA) when the nonfederal entity has incurred the eligible expenditures. Federal awards expended in subsequent fiscal years are to be recorded on the nonfederal entity’s SEFA in those subsequent years. Condition During the 2023 Uniform Guidance audit, we noted that there were $2.3 million of funds from this program that were not appropriately recorded in the 2021 SEFA. On the 2021 SEFA, management did not record any eligible expenditures for this program as management was unaware that the pass-through funding originated from federal sources. In addition, effort certification was also not performed timely for workers assigned on this grant, as this is a federal requirement and CHOP’s policy. Once management identified that this program was federally funded, effort was certified retroactively. Cause The cause of this finding was due to the omission of key data points within the contract identifying the funding source as federal and lack of follow-up with the Sponsor for clarification specific to the contract’s subrecipient requirements. Effect Federal funds related to program 93.354 of $2.3 million were incorrectly excluded from the 2021 SEFA. Had this been recorded correctly, this program would have been tested as a major program in 2021 for the City of Philadelphia. As such, when the significant deficiency over compliance was identified, testing was performed for this program in 2023 and the 2021 SEFA was updated. This required the reports for the 2021 Report of Independent Auditors on Compliance for Each Major Program and the Internal Control Over Compliance Required by Uniform Guidance to be revised. Subsequently, the 2021 reporting package was re-submitted to the Federal Audit Clearinghouse. Additionally, CHOP utilizes a worker time and effort reporting system where reports are generated quarterly to review salary allocations to the grant for accuracy based on the effort devoted to the functional and programmatic activities. For 17 of the 25 effort reports selected for compensation testing in FY 2023, the effort reports were not certified within 90 days of management’s notification of the federally sourced funding, in accordance with CHOP policy. The impact of untimely effort report review could lead to incorrect expenses charged to a grant. Questioned Costs None. Recommendation Management should enhance the controls in place to ensure contracts are complete and contain appropriate data elements related to funding sources for transparency and accurate reporting requirements related to all pass-through programs, to ensure expenditures are reported on the SEFA and are reported in the appropriate period and to allow for timely effort reporting.
2021-001 Completeness of funding on the schedule of expenditures of federal awards Federal Granting Agency: Center for Disease Control and Prevention Award Name: COVID-19 Community Testing Assistance Listing Number: 93.354 Assistance Listing Title: Public Health Crisis Response Awards Award Year: 9/10/2020 – 6/30/2021 Pass-through Entity: City of Philadelphia Department of Public Health Criteria Per OMB Guidance, nonfederal entities must record expenditures on the Schedule of Expenditures of Federal Awards (SEFA) when the nonfederal entity has incurred the eligible expenditures. Federal awards expended in subsequent fiscal years are to be recorded on the nonfederal entity’s SEFA in those subsequent years. Condition During the 2023 Uniform Guidance audit, we noted that there were $2.3 million of funds from this program that were not appropriately recorded in the 2021 SEFA. On the 2021 SEFA, management did not record any eligible expenditures for this program as management was unaware that the pass-through funding originated from federal sources. In addition, effort certification was also not performed timely for workers assigned on this grant, as this is a federal requirement and CHOP’s policy. Once management identified that this program was federally funded, effort was certified retroactively. Cause The cause of this finding was due to the omission of key data points within the contract identifying the funding source as federal and lack of follow-up with the Sponsor for clarification specific to the contract’s subrecipient requirements. Effect Federal funds related to program 93.354 of $2.3 million were incorrectly excluded from the 2021 SEFA. Had this been recorded correctly, this program would have been tested as a major program in 2021 for the City of Philadelphia. As such, when the significant deficiency over compliance was identified, testing was performed for this program in 2023 and the 2021 SEFA was updated. This required the reports for the 2021 Report of Independent Auditors on Compliance for Each Major Program and the Internal Control Over Compliance Required by Uniform Guidance to be revised. Subsequently, the 2021 reporting package was re-submitted to the Federal Audit Clearinghouse. Additionally, CHOP utilizes a worker time and effort reporting system where reports are generated quarterly to review salary allocations to the grant for accuracy based on the effort devoted to the functional and programmatic activities. For 17 of the 25 effort reports selected for compensation testing in FY 2023, the effort reports were not certified within 90 days of management’s notification of the federally sourced funding, in accordance with CHOP policy. The impact of untimely effort report review could lead to incorrect expenses charged to a grant. Questioned Costs None. Recommendation Management should enhance the controls in place to ensure contracts are complete and contain appropriate data elements related to funding sources for transparency and accurate reporting requirements related to all pass-through programs, to ensure expenditures are reported on the SEFA and are reported in the appropriate period and to allow for timely effort reporting.