Audit 359210

FY End
2024-09-30
Total Expended
$175.64M
Findings
4
Programs
78
Organization: Seattle Children's Hospital (WA)
Year: 2024 Accepted: 2025-06-18
Auditor: Kpmg LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
565370 2024-001 Significant Deficiency - I
565371 2024-001 Significant Deficiency - I
1141812 2024-001 Significant Deficiency - I
1141813 2024-001 Significant Deficiency - I

Programs

ALN Program Spent Major Findings
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $22.02M Yes 0
93.493 Congressional Directives $855,721 - 0
93.307 Minority Health and Health Disparities Research $846,513 Yes 0
93.867 Vision Research $605,614 Yes 0
93.RD National Institute of Allergy and Infectious Diseases $514,342 Yes 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $496,827 Yes 0
93.RD Centers for Disease Control and Prevention $441,600 Yes 0
47.070 Computer and Information Science and Engineering $391,875 Yes 0
93.185 Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects $390,140 Yes 0
93.396 Cancer Biology Research $345,553 Yes 0
47.074 Biological Sciences $201,295 Yes 0
93.855 Allergy and Infectious Diseases Research $201,125 Yes 0
93.839 Blood Diseases and Resources Research $147,188 Yes 0
93.110 Maternal and Child Health Federal Consolidated Programs $140,216 - 0
93.RD Department of Health and Human Services Office of the Assistant Secretary for Prepardness and Response $137,641 Yes 0
93.866 Aging Research $117,721 Yes 0
93.399 Cancer Control $105,280 Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $100,000 - 0
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $99,773 - 0
93.113 Environmental Health $87,081 Yes 0
93.173 Research Related to Deafness and Communication Disorders $86,979 Yes 0
93.398 Cancer Research Manpower $81,188 Yes 0
93.994 Maternal and Child Health Services Block Grant to the States $74,711 - 0
93.RD Health Resources and Services Administration $57,314 Yes 0
93.121 Oral Diseases and Disorders Research $57,266 Yes 0
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $54,087 Yes 0
93.242 Mental Health Research Grants $46,419 Yes 0
93.233 National Center on Sleep Disorders Research $46,210 Yes 0
93.RD National Cancer Institute $43,073 Yes 0
93.393 Cancer Cause and Prevention Research $41,554 Yes 0
84.305A Education Research Grants Program $34,755 Yes 0
93.RD National Heart, Lung, and Blood Institute $31,871 Yes 0
93.315 Rare Disorders: Research, Surveillance, Health Promotion, and Education $31,418 Yes 0
93.838 Lung Diseases Research $31,339 Yes 0
93.395 Cancer Treatment Research $31,215 Yes 0
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $30,895 Yes 0
93.351 Research Infrastructure Programs $28,204 Yes 0
93.350 National Center for Advancing Translational Sciences $26,369 Yes 0
93.495 Community Health Workers for Public Health Response and Resilient $26,057 - 0
93.268 Immunization Cooperative Agreements $24,193 - 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $21,529 Yes 0
93.273 Alcohol Research Programs $18,315 Yes 0
10.310 Agriculture and Food Research Initiative (afri) $16,882 Yes 0
93.397 Cancer Centers Support Grants $15,490 Yes 0
93.127 Emergency Medical Services for Children $15,010 Yes 0
93.172 Human Genome Research $14,360 Yes 0
93.226 Research on Healthcare Costs, Quality and Outcomes $13,559 Yes 0
93.859 Biomedical Research and Research Training $11,955 Yes 0
93.266 Health Systems Strengthening and Hiv/aids Prevention, Care and Treatment Under the President's Emergency Plan for Aids Relief $11,777 Yes 0
93.778 Medical Assistance Program $10,731 - 0
93.RD Department of Health and Human Services $9,442 Yes 0
17.289 Community Project Funding/congressionally Directed Spending $5,801 - 0
93.U02 Department of Energy $5,447 - 0
93.738 Pphf: Racial and Ethnic Approaches to Community Health Program Financed Solely by Public Prevention and Health Funds $5,404 Yes 0
93.RD Department of Veteran Affairs $4,284 Yes 0
93.394 Cancer Detection and Diagnosis Research $4,128 Yes 0
93.RD Defense Threat Reduction Agency $2,897 Yes 0
98.001 Usaid Foreign Assistance for Programs Overseas $2,886 Yes 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $2,708 Yes 0
93.304 Racial and Ethnic Approaches to Community Health $2,195 - 0
93.213 Research and Training in Complementary and Integrative Health $2,088 Yes 0
93.945 Assistance Programs for Chronic Disease Prevention and Control $2,068 - 0
93.877 Autism Collaboration, Accountability, Research, Education, and Support $1,967 Yes 0
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $1,803 Yes 0
93.365 Sickle Cell Treatment Demonstration Program $1,679 - 0
93.279 Drug Use and Addiction Research Programs $828 Yes 0
93.988 Cooperative Agreements for Diabetes Control Programs $769 - 0
12.420 Military Medical Research and Development $363 Yes 0
93.310 Trans-Nih Research Support $-8 Yes 0
93.RD Department of Transportation $-21 Yes 0
93.865 Child Health and Human Development Extramural Research $-212 Yes 0
93.361 Nursing Research $-499 Yes 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $-4,149 Yes 0
93.837 Cardiovascular Diseases Research $-4,152 Yes 0
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $-6,287 Yes 0
93.103 Food and Drug Administration Research $-7,421 Yes 0
93.225 National Research Service Awards Health Services Research Training $-12,011 Yes 0
93.RD National Institutes of Health Clinical Center $-21,569 Yes 0

Contacts

Name Title Type
LMAWH591NFK5 Samantha Sloane Auditee
2068842351 Kelsey Reynolds Auditor
No contacts on file

Notes to SEFA

Title: (1) Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: SCHS has elected not to use 10% de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of Seattle Children’s Healthcare System (SCHS) for the fiscal year ended September 30, 2024. This Schedule has been prepared on the accrual basis of accounting. The information in this schedule is presented in accordance with the requirements of Office of Management and Budget Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance).
Title: (2) Summary of Significant Accounting Policies Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: SCHS has elected not to use 10% de minimis indirect cost rate allowed under the Uniform Guidance. Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years.
Title: (3) Indirect Cost Rate Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: SCHS has elected not to use 10% de minimis indirect cost rate allowed under the Uniform Guidance. SCHS has elected not to use 10% de minimis indirect cost rate allowed under the Uniform Guidance.
Title: (4) Amounts Related to Prior Year Expenditures Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: SCHS has elected not to use 10% de minimis indirect cost rate allowed under the Uniform Guidance. The eligible expenditures reported under Assistance Listing Number 97.036 on the Schedule reflect expenditures incurred in years prior to 2024. The amount of expenditures related to prior years is approximately $22.0 million.

Finding Details

Program Information: Cluster: Research and Development Cluster Federal Program: Child Health and Human Development Extramural Research ALN: 93.865 Federal Agency: United States Department of Health and Human Services Pass-through entity: N/A Grant Name(s): Influence of Maternal Virome and HIV Status on Infant Gut Virome, Growth, and Immunity; Influence of HIV Infection on Vaginal Virome and Risk of Preterm Birth in Pregnant South African Women Grant ID Number Federal Award Year 5R01HD102239-04 9/21/2020 – 8/30/2025 5R01HD106821-04 9/9/2021 – 7/31/2026 Criteria or requirement: Per 2 CFR 200.320(a)(2)(i): Simplified acquisition procedures. The aggregate dollar amount of the procurement transaction is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If simplified acquisition procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources. Unless specified by the Federal agency, the recipient or subrecipient may exercise judgment in determining what number is adequate. 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 2 out of 40 procurement selections tested, totaling $22,675, the entity did not obtain price or rate quotations as required by its procurement policies. Both selections, related to the same purchase invoice, were above the micro-purchase threshold and were related to cost transfers to federal awards. Cause and possible asserted effect: The entity did not have a control in place to review cost transfers to federal awards to ensure the entity followed the appropriate procurement policies for these costs. Without adequate controls over cost transfers, there is an increased risk of non-compliance with procurement policies. Identification of questioned costs and how they were computed: Known questioned costs identified as part of this finding were $22,675. 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 management design and implement a control to review cost transfers to federal awards to ensure that the entity follows its procurement policies. Views of Responsible Officials: Management will design and implement a control to review cost transfers from non-federal awards to federal awards to ensure we follow our procurement policies. This will be achieved by adding a new step to the non-payroll cost transfer form that requires the requestor to include a copy of the Procurement authorization form if the procurement policies apply. The Procurement authorization form documents the process, rationale, and justification for procurements. If the purchase being transferred did not go through the appropriate procurement procedures at the time of purchase, then the transfer from the non-federal award to the federal award will not be allowed. Management will also provide additional training around procurement and our related policies and ensure staff involved in this area are aware of the new step embedded in the non-payroll cost transfer form.
Program Information: Cluster: Research and Development Cluster Federal Program: Child Health and Human Development Extramural Research ALN: 93.865 Federal Agency: United States Department of Health and Human Services Pass-through entity: N/A Grant Name(s): Influence of Maternal Virome and HIV Status on Infant Gut Virome, Growth, and Immunity; Influence of HIV Infection on Vaginal Virome and Risk of Preterm Birth in Pregnant South African Women Grant ID Number Federal Award Year 5R01HD102239-04 9/21/2020 – 8/30/2025 5R01HD106821-04 9/9/2021 – 7/31/2026 Criteria or requirement: Per 2 CFR 200.320(a)(2)(i): Simplified acquisition procedures. The aggregate dollar amount of the procurement transaction is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If simplified acquisition procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources. Unless specified by the Federal agency, the recipient or subrecipient may exercise judgment in determining what number is adequate. 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 2 out of 40 procurement selections tested, totaling $22,675, the entity did not obtain price or rate quotations as required by its procurement policies. Both selections, related to the same purchase invoice, were above the micro-purchase threshold and were related to cost transfers to federal awards. Cause and possible asserted effect: The entity did not have a control in place to review cost transfers to federal awards to ensure the entity followed the appropriate procurement policies for these costs. Without adequate controls over cost transfers, there is an increased risk of non-compliance with procurement policies. Identification of questioned costs and how they were computed: Known questioned costs identified as part of this finding were $22,675. 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 management design and implement a control to review cost transfers to federal awards to ensure that the entity follows its procurement policies. Views of Responsible Officials: Management will design and implement a control to review cost transfers from non-federal awards to federal awards to ensure we follow our procurement policies. This will be achieved by adding a new step to the non-payroll cost transfer form that requires the requestor to include a copy of the Procurement authorization form if the procurement policies apply. The Procurement authorization form documents the process, rationale, and justification for procurements. If the purchase being transferred did not go through the appropriate procurement procedures at the time of purchase, then the transfer from the non-federal award to the federal award will not be allowed. Management will also provide additional training around procurement and our related policies and ensure staff involved in this area are aware of the new step embedded in the non-payroll cost transfer form.
Program Information: Cluster: Research and Development Cluster Federal Program: Child Health and Human Development Extramural Research ALN: 93.865 Federal Agency: United States Department of Health and Human Services Pass-through entity: N/A Grant Name(s): Influence of Maternal Virome and HIV Status on Infant Gut Virome, Growth, and Immunity; Influence of HIV Infection on Vaginal Virome and Risk of Preterm Birth in Pregnant South African Women Grant ID Number Federal Award Year 5R01HD102239-04 9/21/2020 – 8/30/2025 5R01HD106821-04 9/9/2021 – 7/31/2026 Criteria or requirement: Per 2 CFR 200.320(a)(2)(i): Simplified acquisition procedures. The aggregate dollar amount of the procurement transaction is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If simplified acquisition procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources. Unless specified by the Federal agency, the recipient or subrecipient may exercise judgment in determining what number is adequate. 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 2 out of 40 procurement selections tested, totaling $22,675, the entity did not obtain price or rate quotations as required by its procurement policies. Both selections, related to the same purchase invoice, were above the micro-purchase threshold and were related to cost transfers to federal awards. Cause and possible asserted effect: The entity did not have a control in place to review cost transfers to federal awards to ensure the entity followed the appropriate procurement policies for these costs. Without adequate controls over cost transfers, there is an increased risk of non-compliance with procurement policies. Identification of questioned costs and how they were computed: Known questioned costs identified as part of this finding were $22,675. 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 management design and implement a control to review cost transfers to federal awards to ensure that the entity follows its procurement policies. Views of Responsible Officials: Management will design and implement a control to review cost transfers from non-federal awards to federal awards to ensure we follow our procurement policies. This will be achieved by adding a new step to the non-payroll cost transfer form that requires the requestor to include a copy of the Procurement authorization form if the procurement policies apply. The Procurement authorization form documents the process, rationale, and justification for procurements. If the purchase being transferred did not go through the appropriate procurement procedures at the time of purchase, then the transfer from the non-federal award to the federal award will not be allowed. Management will also provide additional training around procurement and our related policies and ensure staff involved in this area are aware of the new step embedded in the non-payroll cost transfer form.
Program Information: Cluster: Research and Development Cluster Federal Program: Child Health and Human Development Extramural Research ALN: 93.865 Federal Agency: United States Department of Health and Human Services Pass-through entity: N/A Grant Name(s): Influence of Maternal Virome and HIV Status on Infant Gut Virome, Growth, and Immunity; Influence of HIV Infection on Vaginal Virome and Risk of Preterm Birth in Pregnant South African Women Grant ID Number Federal Award Year 5R01HD102239-04 9/21/2020 – 8/30/2025 5R01HD106821-04 9/9/2021 – 7/31/2026 Criteria or requirement: Per 2 CFR 200.320(a)(2)(i): Simplified acquisition procedures. The aggregate dollar amount of the procurement transaction is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If simplified acquisition procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources. Unless specified by the Federal agency, the recipient or subrecipient may exercise judgment in determining what number is adequate. 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 2 out of 40 procurement selections tested, totaling $22,675, the entity did not obtain price or rate quotations as required by its procurement policies. Both selections, related to the same purchase invoice, were above the micro-purchase threshold and were related to cost transfers to federal awards. Cause and possible asserted effect: The entity did not have a control in place to review cost transfers to federal awards to ensure the entity followed the appropriate procurement policies for these costs. Without adequate controls over cost transfers, there is an increased risk of non-compliance with procurement policies. Identification of questioned costs and how they were computed: Known questioned costs identified as part of this finding were $22,675. 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 management design and implement a control to review cost transfers to federal awards to ensure that the entity follows its procurement policies. Views of Responsible Officials: Management will design and implement a control to review cost transfers from non-federal awards to federal awards to ensure we follow our procurement policies. This will be achieved by adding a new step to the non-payroll cost transfer form that requires the requestor to include a copy of the Procurement authorization form if the procurement policies apply. The Procurement authorization form documents the process, rationale, and justification for procurements. If the purchase being transferred did not go through the appropriate procurement procedures at the time of purchase, then the transfer from the non-federal award to the federal award will not be allowed. Management will also provide additional training around procurement and our related policies and ensure staff involved in this area are aware of the new step embedded in the non-payroll cost transfer form.