Audit 362165

FY End
2024-09-30
Total Expended
$12.92M
Findings
2
Programs
27
Organization: Osf Healthcare System (IL)
Year: 2024 Accepted: 2025-07-14
Auditor: Kpmg LLC

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
571249 2024-001 Material Weakness - I
1147691 2024-001 Material Weakness - I

Programs

ALN Program Spent Major Findings
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $4.31M - 0
84.268 Federal Direct Student Loans $2.17M Yes 0
93.045 Special Programs for the Aging, Title Iii, Part C, Nutrition Services $1.13M Yes 0
93.493 Congressional Directives $1.02M Yes 1
16.575 Crime Victim Assistance $780,732 Yes 0
84.063 Federal Pell Grant Program $696,912 Yes 0
93.889 National Bioterrorism Hospital Preparedness Program $534,832 - 0
93.247 Advanced Education Nursing Grant Program $517,046 - 0
93.838 Lung Diseases Research $413,678 - 0
20.600 State and Community Highway Safety $280,862 - 0
93.994 Maternal and Child Health Services Block Grant to the States $215,925 - 0
93.053 Nutrition Services Incentive Program $211,729 Yes 0
10.136 American Rescue Plan Act of 2021 Loan Payment: $157,895 - 0
10.855 Distance Learning and Telemedicine Loans and Grants $116,935 - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $99,649 - 0
93.301 Small Rural Hospital Improvement Grant Program $71,944 - 0
47.070 Computer and Information Science and Engineering $47,389 - 0
93.399 Cancer Control $30,980 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $29,039 - 0
93.155 Rural Health Research Centers $28,563 - 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $18,722 - 0
93.110 Maternal and Child Health Federal Consolidated Programs $11,000 - 0
93.395 Cancer Treatment Research $10,650 - 0
10.555 National School Lunch Program $6,797 - 0
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $4,379 - 0
14.218 Community Development Block Grants/entitlement Grants $3,750 - 0
10.558 Child and Adult Care Food Program $816 - 0

Contacts

Name Title Type
CQMFPQF41QW3 Lauren Gardiner Auditee
3093086311 Darryl Buikema Auditor
No contacts on file

Notes to SEFA

Title: Indirect Costs Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) summarizes the federal expenditures incurred by OSF Healthcare System and Subsidiaries (OSF) under awards received from the federal government and other pass-through entities for the year ended September 30, 2024, and should be read in conjunction with the OSF consolidated financial statements. For purposes of the Schedule, federal awards include all grants, contracts, loans, and loan guarantee agreements entered into directly between OSF and agencies and departments of the federal government and other pass-through entities. For the year ended September 30, 2024, OSF had no expenditures in the form of noncash assistance and had no federally provided insurance in effect. Expenditures for federal award programs are recognized on the accrual basis of accounting. Expenditures consist of direct and indirect costs. Direct costs are those that can be easily identified with an individual Federally sponsored project; whereas, indirect costs cannot be easily identified with an individual sponsored project. Indirect costs are the costs of services and resources that benefit many sponsored projects as well as non-sponsored projects and activities. The information in this 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). De Minimis Rate Used: Y Rate Explanation: Calculation of a negotiated rate is impractical. OSF recovers indirect costs under agreements with various U.S. departments and agencies. OSF recovered $70,911 in indirect costs for the year ended September 30, 2024. OSF has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Disaster Grants Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) summarizes the federal expenditures incurred by OSF Healthcare System and Subsidiaries (OSF) under awards received from the federal government and other pass-through entities for the year ended September 30, 2024, and should be read in conjunction with the OSF consolidated financial statements. For purposes of the Schedule, federal awards include all grants, contracts, loans, and loan guarantee agreements entered into directly between OSF and agencies and departments of the federal government and other pass-through entities. For the year ended September 30, 2024, OSF had no expenditures in the form of noncash assistance and had no federally provided insurance in effect. Expenditures for federal award programs are recognized on the accrual basis of accounting. Expenditures consist of direct and indirect costs. Direct costs are those that can be easily identified with an individual Federally sponsored project; whereas, indirect costs cannot be easily identified with an individual sponsored project. Indirect costs are the costs of services and resources that benefit many sponsored projects as well as non-sponsored projects and activities. The information in this 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). De Minimis Rate Used: Y Rate Explanation: Calculation of a negotiated rate is impractical. For ALN 97.036, OSF records expenditures for these grants when both FEMA has approved the subgrant application and OSF has incurred eligible expenses.

Finding Details

documentation of competitive bids for federal awards.
documentation of competitive bids for federal awards.