Audit 344625

FY End
2024-06-30
Total Expended
$2.73M
Findings
2
Programs
8
Year: 2024 Accepted: 2025-03-04
Auditor: Rsm US LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
525546 2024-001 Material Weakness Yes I
1101988 2024-001 Material Weakness Yes I

Contacts

Name Title Type
UEYKTPWSV9Q9 Jodilynn Vitello Auditee
6082634037 Jeremy Zabel Auditor
No contacts on file

Notes to SEFA

Title: Note 1 Basis of Presentation Accounting Policies: Expenditures are recognized under the accrual basis of accounting. Such expenditures are reported following the cost principles contained in the Uniform Guidance and in the Wisconsin Department of Health Services (DHS) Allowable Cost Policy Manual, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: UW Health - Madison and the discretely presented component unit, Madison Surgery Center, have elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal and state awards (the Schedule) includes the federal and state award activity of UW Health - Madison and the discretely presented component unit, Madison Surgery Center, for the year ended June 30, 2024. The information in the Schedule is presented in accordance with the 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), and Wisconsin State Single Audit Guidelines, including the Department of Health Services Audit Guide, an Appendix to Wisconsin’s State Single Audit Guidelines. Because the Schedule presents only a selected portion of the operations of UW Health – Madison and the discretely presented component unit, Madison Surgery Center, it is not intended to and does not present the financial position, changes in net position, or cash flows of UW Health – Madison and the discretely presented component unit, Madison Surgery Center.
Title: Note 2 Summary of Significant Accounting Policies Accounting Policies: Expenditures are recognized under the accrual basis of accounting. Such expenditures are reported following the cost principles contained in the Uniform Guidance and in the Wisconsin Department of Health Services (DHS) Allowable Cost Policy Manual, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: UW Health - Madison and the discretely presented component unit, Madison Surgery Center, have elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Expenditures are recognized under the accrual basis of accounting. Such expenditures are reported following the cost principles contained in the Uniform Guidance and in the Wisconsin Department of Health Services (DHS) Allowable Cost Policy Manual, wherein certain types of expenditures are not allowable or are limited as to reimbursement.
Title: Note 3 Indirect Cost Accounting Policies: Expenditures are recognized under the accrual basis of accounting. Such expenditures are reported following the cost principles contained in the Uniform Guidance and in the Wisconsin Department of Health Services (DHS) Allowable Cost Policy Manual, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: UW Health - Madison and the discretely presented component unit, Madison Surgery Center, have elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. UW Health - Madison and the discretely presented component unit, Madison Surgery Center, have elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Note 4 Programs Subject to Single Audit Accounting Policies: Expenditures are recognized under the accrual basis of accounting. Such expenditures are reported following the cost principles contained in the Uniform Guidance and in the Wisconsin Department of Health Services (DHS) Allowable Cost Policy Manual, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Y Rate Explanation: UW Health - Madison and the discretely presented component unit, Madison Surgery Center, have elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. All significant federal and state awards received by UW Health – Madison and the discretely presented component unit, Madison Surgery Center, either directly from the federal or state governments or passed through from other organizations, have been included in the Schedule.

Finding Details

2024-001 Procurement Federal Agency: Department of Health and Human Services Program: Social Services Research and Demonstration (ALN 93.647) Pass-through Entity: N/A Federal Assistance Identification Number or Pass-Through Numbers: N/A Federal Award Years: Year ended June 30, 2024 Type of Finding: Material Weakness in Internal Control over Compliance; Other Matter Compliance Finding Criteria: 2 CFR 200.303(a) requires that each non-Federal entity must "Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award." 2 CFR 200.320 requires that each non-Federal entity must "have and use documented procurement procedures, consistent with the standards of this section and §§ 200.317, 200.318, and 200.319 for any of the following methods of procurement used for the acquisition of property or services required under a Federal award or sub-award." Condition: While testing the procurement requirement, we noted that internal controls were not properly designed over the procurement requirement. Prior to receiving federal funding beginning in August 2022, the program conducted a request for proposal (RFP) process and began contracting with a vendor. When federal funding was obtained, the vendor was not reevaluated in accordance with the Uniform Guidance to ensure the procurement requirements were being met. In addition, we noted UW Health – Madison’s procurement policy documents do not include all of the information that is required by the Uniform Guidance. Cause: Because the vendor was already in place for the program prior to receiving federal funds, management did not recognize the need to reevaluate the vendor under the requirements of the Uniform Guidance. Management became aware of the need to perform additional procedures to comply with Uniform Guidance part way through the year and completed the evaluation once it became known. However, by that time, the vendor was already charged to the grant prior to the completion of the vendor evaluation. In addition, management also did not recognize the need to include additional information in its procurement policy documents related to the Uniform Guidance. Effect: Without appropriate internal controls, there is an increased risk of noncompliance related to federal funding. Context: We identified and tested 3 vendors that were direct and material to the program and related to the procurement and suspension and debarment requirements. The sample size was based on guidance from chapter 11 of the AICPA Audit Guide, Government Auditing Standards and Single Audits. Questioned Costs: None. Repeat Finding?: Yes Recommendation: While it was determined that the requirements of the Uniform Guidance were met related to the vendor tested, we suggest that management reevaluate all vendors that were previously used prior to receiving federal funding. In addition, we recommend that management update its procurement policies to incorporate the requirements of the Uniform Guidance. View of responsible officials of the auditee: Management agrees with the finding.
2024-001 Procurement Federal Agency: Department of Health and Human Services Program: Social Services Research and Demonstration (ALN 93.647) Pass-through Entity: N/A Federal Assistance Identification Number or Pass-Through Numbers: N/A Federal Award Years: Year ended June 30, 2024 Type of Finding: Material Weakness in Internal Control over Compliance; Other Matter Compliance Finding Criteria: 2 CFR 200.303(a) requires that each non-Federal entity must "Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award." 2 CFR 200.320 requires that each non-Federal entity must "have and use documented procurement procedures, consistent with the standards of this section and §§ 200.317, 200.318, and 200.319 for any of the following methods of procurement used for the acquisition of property or services required under a Federal award or sub-award." Condition: While testing the procurement requirement, we noted that internal controls were not properly designed over the procurement requirement. Prior to receiving federal funding beginning in August 2022, the program conducted a request for proposal (RFP) process and began contracting with a vendor. When federal funding was obtained, the vendor was not reevaluated in accordance with the Uniform Guidance to ensure the procurement requirements were being met. In addition, we noted UW Health – Madison’s procurement policy documents do not include all of the information that is required by the Uniform Guidance. Cause: Because the vendor was already in place for the program prior to receiving federal funds, management did not recognize the need to reevaluate the vendor under the requirements of the Uniform Guidance. Management became aware of the need to perform additional procedures to comply with Uniform Guidance part way through the year and completed the evaluation once it became known. However, by that time, the vendor was already charged to the grant prior to the completion of the vendor evaluation. In addition, management also did not recognize the need to include additional information in its procurement policy documents related to the Uniform Guidance. Effect: Without appropriate internal controls, there is an increased risk of noncompliance related to federal funding. Context: We identified and tested 3 vendors that were direct and material to the program and related to the procurement and suspension and debarment requirements. The sample size was based on guidance from chapter 11 of the AICPA Audit Guide, Government Auditing Standards and Single Audits. Questioned Costs: None. Repeat Finding?: Yes Recommendation: While it was determined that the requirements of the Uniform Guidance were met related to the vendor tested, we suggest that management reevaluate all vendors that were previously used prior to receiving federal funding. In addition, we recommend that management update its procurement policies to incorporate the requirements of the Uniform Guidance. View of responsible officials of the auditee: Management agrees with the finding.