Audit 370126

FY End
2024-12-31
Total Expended
$31.37M
Findings
42
Programs
70
Organization: Providence St. Joseph Health (WA)
Year: 2024 Accepted: 2025-09-30
Auditor: Kpmg LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1158245 2024-001 Material Weakness Yes ELP
1158246 2024-001 Material Weakness Yes ELP
1158247 2024-002 Material Weakness Yes L
1158248 2024-002 Material Weakness Yes L
1158249 2024-003 Material Weakness Yes P
1158250 2024-003 Material Weakness Yes P
1158251 2024-004 Material Weakness Yes N
1158252 2024-004 Material Weakness Yes N
1158253 2024-005 Material Weakness Yes L
1158254 2024-005 Material Weakness Yes L
1158255 2024-005 Material Weakness Yes L
1158256 2024-005 Material Weakness Yes L
1158257 2024-005 Material Weakness Yes L
1158258 2024-005 Material Weakness Yes L
1158259 2024-005 Material Weakness Yes L
1158260 2024-005 Material Weakness Yes L
1158261 2024-005 Material Weakness Yes L
1158262 2024-005 Material Weakness Yes L
1158263 2024-005 Material Weakness Yes L
1158264 2024-005 Material Weakness Yes L
1158265 2024-005 Material Weakness Yes L
1158266 2024-005 Material Weakness Yes L
1158267 2024-005 Material Weakness Yes L
1158268 2024-005 Material Weakness Yes L
1158269 2024-005 Material Weakness Yes L
1158270 2024-005 Material Weakness Yes L
1158271 2024-005 Material Weakness Yes L
1158272 2024-005 Material Weakness Yes L
1158273 2024-005 Material Weakness Yes L
1158274 2024-005 Material Weakness Yes L
1158275 2024-005 Material Weakness Yes L
1158276 2024-005 Material Weakness Yes L
1158277 2024-005 Material Weakness Yes L
1158278 2024-005 Material Weakness Yes L
1158279 2024-005 Material Weakness Yes L
1158280 2024-005 Material Weakness Yes L
1158281 2024-005 Material Weakness Yes L
1158282 2024-005 Material Weakness Yes L
1158283 2024-005 Material Weakness Yes L
1158284 2024-005 Material Weakness Yes L
1158285 2024-005 Material Weakness Yes L
1158286 2024-005 Material Weakness Yes L

Programs

ALN Program Spent Major Findings
14.251 Economic Development Initiative, Community Project Funding, and Miscellaneous Grants $5.11M Yes 0
84.268 Federal Direct Student Loans $1.69M Yes 4
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.24M Yes 1
84.063 Federal Pell Grant Program $1.04M Yes 4
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $965,406 Yes 1
14.867 Indian Housing Block Grants $805,338 Yes 0
93.493 Congressional Directives $731,821 Yes 0
93.052 National Family Caregiver Support, Title Iii, Part E $487,158 Yes 1
93.884 Primary Care Training and Enhancement $330,389 Yes 0
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $250,000 Yes 0
93.558 Temporary Assistance for Needy Families $232,276 Yes 0
93.838 Lung Diseases Research $183,500 Yes 0
93.398 Cancer Research Manpower $181,359 Yes 0
16.053 Sexual Assault Forensic Examinations $173,948 Yes 0
16.758 Improving the Investigation and Prosecution of Child Abuse and the Regional and Local Children's Advocacy Centers $168,990 Yes 0
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $166,830 Yes 0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $164,531 Yes 0
93.242 Mental Health Research Grants $151,755 Yes 0
16.560 National Institute of Justice Research, Evaluation, and Development Project Grants $150,503 Yes 0
93.083 Prevention of Disease, Disability, and Death Through Immunization and Control of Respiratory and Related Diseases $150,253 Yes 0
93.575 Child Care and Development Block Grant $135,414 Yes 0
93.350 National Center for Advancing Translational Sciences $129,088 Yes 0
16.738 Edward Byrne Memorial Justice Assistance Grant Program $119,013 Yes 0
93.394 Cancer Detection and Diagnosis Research $117,698 Yes 0
93.310 Trans-Nih Research Support $100,000 Yes 0
16.017 Sexual Assault Services Formula Program $99,151 Yes 0
14.275 Housing Trust Fund $97,703 Yes 0
93.279 Drug Use and Addiction Research Programs $87,792 Yes 0
93.732 Mental and Behavioral Health Education and Training Grants $73,787 Yes 0
93.226 Research on Healthcare Costs, Quality and Outcomes $65,946 Yes 0
93.825 National Ebola Training and Education Center (netec) $61,927 Yes 0
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $58,780 Yes 0
16.588 Violence Against Women Formula Grants $51,688 Yes 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $50,001 Yes 1
93.RD1 None $49,722 Yes 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $46,987 Yes 0
93.917 Hiv Care Formula Grants $46,387 Yes 0
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $46,361 Yes 0
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $43,697 Yes 0
97.008 Non-Profit Security Program $40,365 Yes 1
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $32,841 Yes 0
84.181 Special Education-Grants for Infants and Families $32,000 Yes 0
12.420 Military Medical Research and Development $30,428 Yes 0
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $27,297 Yes 0
93.137 Community Programs to Improve Minority Health $25,498 Yes 0
93.395 Cancer Treatment Research $19,600 Yes 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $15,723 Yes 0
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $13,753 Yes 0
93.U01 None $13,497 Yes 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $13,490 Yes 0
93.889 National Bioterrorism Hospital Preparedness Program $10,028 Yes 0
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $8,811 Yes 0
93.855 Allergy and Infectious Diseases Research $8,248 Yes 0
93.839 Blood Diseases and Resources Research $8,000 Yes 0
10.331 Gus Schumacher Nutrition Incentive Program $7,708 Yes 0
93.866 Aging Research $7,150 Yes 0
93.301 Small Rural Hospital Improvement Grant Program $6,626 Yes 0
93.U02 None $5,000 Yes 0
16.575 Crime Victim Assistance $4,253 Yes 1
14.241 Housing Opportunities for Persons with Aids $3,600 Yes 0
93.865 Child Health and Human Development Extramural Research $3,400 Yes 0
93.399 Cancer Control $3,000 Yes 0
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $2,000 Yes 0
93.307 Minority Health and Health Disparities Research $1,899 Yes 0
93.103 Food and Drug Administration Research $1,776 Yes 0
17.285 Registered Apprenticeship $1,489 Yes 0
10.217 Higher Education - Institution Challenge Grants Program $1,294 Yes 0
93.397 Cancer Centers Support Grants $1,238 Yes 0
93.110 Maternal and Child Health Federal Consolidated Programs $168 Yes 0
10.649 Pandemic Ebt Administrative Costs $-1,020 Yes 0

Contacts

Name Title Type
M5KMR3DZJQR6 My Ngoc Doan Auditee
2066606788 Paige Hagen Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the SEFA) includes the federal award activity of Providence St. Joseph Health (the Health System) under programs of the federal government for the year ended December 31, 2024, except for the University of Providence (formerly the University of Great Falls), the Institute for Systems Biology, and Providence Health System Housing entities, which collectively spent $81,520,706 in federal expenditures during the year. The information in the SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200 (2 CFR 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the SEFA presents only a selected portion of the operations of the Health System, it is not intended to and does not present the combined balance sheet, results of operations, changes in net assets, or cash flows of the Health System.
Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized using cost accounting principles contained in the Uniform Guidance, Cost Principles of Non Profit Organizations (2 CFR part 230). Under these cost principles, certain types of expenditures are not allowed or are limited as to reimbursement. Negative amounts shown on the SEFA represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. The Health System has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. For the year ended December 31, 2024, the Health System had no expenditures in the form of noncash assistance and had no federally provided insurance in effect.
During the fiscal year ended December 31, 2024, the Health System processed the following amount of new loans under the Federal Family Education Loan Program (which includes Stafford Loan and PLUS Loan) and the Direct Loan Program. Since these loan programs are administered by outside financial institutions, new loans made during the year ended December 31, 2024 relating to these programs are considered current year federal expenditures, whereas the outstanding loans balances are not. The new loans made during the year ended December 31, 2024, are reported on the SEFA.

Finding Details

Federal Program: Student Financial Assistance Cluster, ALN No. 84.063 and 84.268 Federal Agency: U.S Department of Education Federal Award Year: July 1, 2023 – June 30, 2024 and July 1, 2024 - June 30, 2025 Criteria or Requirement: Per Title 2, U.S. Code of Federal Regulations Part 200 (2 CFR 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, (Subpart D, Section 200.303), the nonfederal entity must establish and maintain effective internal controls 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. 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: The Health System, specifically the Covenant School of Nursing and Radiography (the Nursing School), did not follow requirements relative to the Student Financial Assistance program during the year ended December 31, 2024. During our testing, the Nursing School was unable to provide documentation supporting that various eligibility, reporting, special test and provision requirements were completed in accordance with Federal requirements. The Nursing School’s risk assessment and monitoring control activities were not designed at an appropriate level of precision to ensure adequate segregation of duties or evidence of controls operation related to the following direct and material compliance areas: eligibility, reporting, and special tests and provisions including enrollment reporting, return of title IV funds, Gramm-Leach-Bliley Act – student information security, and incentive compensation. The Federal expenditures under the Student Financial Assistance cluster were $2,728,263 during the year ended December 31, 2024. Cause and possible asserted effect: The Nursing School does not have appropriate segregation of duties and documentation of key control activities and their related precision levels related to the Student Financial Assistance cluster. Without appropriate controls in place, the Health System could incur unallowable expenditures or result in noncompliance with the requirements. Identification of questioned costs and how they were computed: None Whether the sampling was a statistically valid sample: The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number: No. This finding was not a finding in the immediate prior year audit. Recommendations: For eligibility, reporting, and special tests and provisions including enrollment reporting, return of title IV funds, Gramm-Leach-Bliley Act – student information security, and incentive compensation, we recommend that management design and implement internal control procedures at the Nursing School to support the compliance requirements for the program including adequate segregation of duties, reviews at a sufficient level of precision to identify noncompliance, and proper evidence of control operation. Views of responsible officals: Management concurs with KPMG’s assessment that the risk assessment and monitoring control activities were not sufficiently designed to ensure adequate segregation of duties or to provide evidence of control operation. These gaps were primarily due to limited staffing and processes that have not evolved to meet all compliance requirements. Management will implement new control policies and procedures that ensure proper segregation of duties and introduce review mechanisms at a sufficient level of precision to detect and prevent noncompliance. These policies and procedures will be implemented by December 31, 2025.
Federal Program: Student Financial Assistance Cluster, ALN No. 84.063 and 84.268 Federal Agency: U.S Department of Education Federal Award Year: July 1, 2023 – June 30, 2024 and July 1, 2024 - June 30, 2025 Criteria or Requirement: Per Title 34, U.S. Code of Federal Regulations Part 690 (34 CFR 690), Federal Pell Grant Program, (Subtitle B, Chapter VI, Subpart G, Section 690.83(b)(1)), and Part 685 (34 CFR 685) William D. Ford Federal Direct Loan Program, (Subtitle B, Chapter VI, 685.301(a)(iii)) the nonfederal entity must report the anticipated and actual disbursement dates. Per Title 34, U.S. Code of Federal Regulations Part 668 (34 CFR 668), Student Assistance General Provisions, (Subtitle B, Chapter VI, Part 668.408 (a)(2), an institution offering any group of substantially similar programs, defined as all programs in the same four-digit CIP code at an institution, with 30 or more completers in total over the four most recent award years must report to the Department—the date the student initially enrolled in the program, the student’s total cost of attendance. 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: We tested a sample of 55 disbursements and originations for the Common Origination and Disbursement (COD) reporting. For 45 of the disbursements tested, the reported disbursement date was not the actual date disbursed. For 45 of the originations selected, the academic year or enrollment date was not reported correctly. For two of the originations, the cost of attendance was not calculated or reported correctly. Cause and possible asserted effect: The Nursing School does not have an adequate process or controls in place to ensure accurate COD reporting as it relates to the disbursement date, academic year, or cost of attendance. Identification of questioned costs and how they were computed: None Whether the sampling was a statistically valid sample: The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number: No. This finding was not a finding in the immediate prior year audit. Recommendations: We recommend that the Nursing School review and enhance its current policies and procedures to ensure that all required reporting elements including the enrollment dates, disbursement dates and cost of attendance are reviewed at an appropriate level of precision, reported to COD timely and that all elements match the Nursing School’s records. al control procedures at the Nursing School to support the compliance requirements for the program including adequate segregation of duties, reviews at a sufficient level of precision to identify noncompliance, and proper evidence of control operation. Views of responsible officals: Management acknowledges the findings related to Common Origination and Disbursement (COD) reporting as identified. These discrepancies were primarily due to limitations in our current review procedures. We are revising our internal policies and procedures to include detailed guidance on verifying and documenting disbursement and enrollment dates, academic year parameters, and cost of attendance calculations prior to COD submission. This will include additional layers of review to ensure timely and accurate reporting. These policies and procedures will be implemented by December 31, 2025.
Federal Program: Student Financial Assistance Cluster, ALN No. 84.063 and 84.268 Federal Agency: U.S Department of Education Federal Award Year: July 1, 2023 – June 30, 2024 and July 1, 2024 - June 30, 2025 Criteria or Requirement: The Gramm-Leach-Bliley Act (Pub. L. No. 106-102) (GLBA) requires financial institutions to explain their information-sharing practices to their customers and to safeguard sensitive data (16 CFR 314). At a minimum, the institution’s written information security program must address the implementation of the minimum safeguards identified in 16 CFR 314.4(c)(1) through (8). 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: While the Health System has policies in place, as it relates to the student system (Empower) used by the Nursing School, the Health System did not have a written information security program to address the eight minimum safeguards identified in 16.CFR 314.4(c)(1) – (8). Cause and possible asserted effect: The Health System did not have policies or procedures indicating its compliance with certain aspects of GLBA. As a result, the Health System did not comply with GLBA written requirements. Identification of questioned costs and how they were computed: None Whether the sampling was a statistically valid sample: The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number: No. This finding was not a finding in the immediate prior year audit. Recommendations: We recommend that management update their information technology policies and procedures to address the guidelines outlined by the GLBA. Views of responsible officals: Management acknowledges the findings related to compliance with GLBA requirements. The missing elements were primarily due to existing policies and procedures not specifically covering the information technology system utilized by the School of Nursing. Management will update their information technology policies and procedures to ensure full compliance with the 7 required elements outlined by the GLBA. This will include updating risk assessment procedures, designing safeguards based on risk assessments procedures, monitoring these safeguards, and documenting the results. These policy and procedure updates will be implemented by December 31, 2025.
Federal Program: Student Financial Assistance Cluster, ALN No. 84.063 and 84.268 Federal Agency: U.S Department of Education Federal Award Year: July 1, 2023 – June 30, 2024 and July 1, 2024 - June 30, 2025 Criteria or Requirement: Per Title 34, U.S. Code of Federal Regulations Part 668 (34 CFR 668), Student Assistance General Provisions, (Subtitle B, Chapter VI, Part 668.408 (a)(3)(i)), an institution offering any group of substantially similar programs, defined as all programs in the same four-digit CIP code at an institution, with 30 or more completers in total over the four most recent award years must report to the Department—if the student completed or withdrew from the program during the award year– the date the student completed or withdrew from the program. 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: The Nursing School did not have controls appropriately designed to ensure timely or accurate reporting of student status changes to COD Specifically, during our testing, we selected a sample of 40 student changes for enrollment reporting. For eight of the selected students, the reported date of the change did not match the Nursing School's records or the change was reported outside the 60-day requirement. Cause and possible asserted effect: The Nursing School does not have an adequate process or controls in place to ensure accurate and timely enrollment reporting. Identification of questioned costs and how they were computed: None Whether the sampling was a statistically valid sample: The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number: No. This finding was not a finding in the immediate prior year audit. Recommendations: We recommend the Nursing School review and enhance its current policies and procedures to ensure all student changes are reviewed at an appropriate level of precision, reported to COD within the required 60-day time frame, and the changes, including the effective dates, match the Nursing School’s records. Views of responsible officals: Management acknowledges the audit finding regarding deficiencies in the reporting of student status changes to COD. These discrepancies were primarily due to limitations in our staffing and review procedures. We are revising our enrollment reporting policies to clearly define roles, responsibilities, and timelines for processing student status changes. This includes an additional layer of review to verify the accuracy of effective dates prior to COD submission. These additional policies and procedures will be implemented by December 31, 2025.
Federal Program: Crime Victim Assistance – ALN 16.575, National Family Caregiver Support, Title III, Part E – ALN 93.052, Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Heath or Healthcare Crises – ALN 93.391, Hospital Preparedness Program (HPP) Ebola Preparedness and Response Activities – ALN 93.817, Block Grants for Prevention and Treatment of Substance Abuse – ALN 93.959, Non-Profit Security Program – ALN 97.008 Federal Agency: U.S. Department of Justice, U.S Department of Health and Human Services, U.S. Department of Homeland Security Federal Award Year: Various Criteria or Requirement: Per 2 CFR 200.328, The recipient or subrecipient must submit financial reports as required by the Federal award. Reports submitted annually by the recipient or subrecipient must be due no later than 90 calendar days after the reporting period. Reports submitted quarterly or semiannually must be due no later than 30 calendar days after the reporting period. Per 2 CFR 200.329, The recipient or subrecipient must submit performance reports as required by the Federal award. Intervals must be no less frequent than annually nor more frequent than quarterly except if specific conditions are applied (See § 200.208). Reports submitted annually by the recipient or subrecipient must be due no later than 90 calendar days after the reporting period. Reports submitted quarterly or semiannually must be due no later than 30 calendar days after the reporting period. A subrecipient must submit a final performance report to a pass-through entity no later than 90 calendar days after the conclusion of the period of performance. Per the 2024 Compliance Supplement, non-federal entities may be required to submit special reports as required by the terms and conditions of the federal award. Per 2 CFR 200.303, the non-federal entity must establish and maintain effective internal controls 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. 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: Of 20 financial reports tested, 9 were either not submitted timely or documentation was not available to substantiate when the report was submitted. Of 23 performance reports tested, 12 were either not submitted timely or documentation was not available to substantiate when the report was submitted. Of 9 special reports tested, 6 were either not submitted timely or documentation was not available to substantiate when the report was submitted. Cause and possible asserted effect: The Health System does not have an effective process and control to ensure timely submission of required reports per the terms and conditions of federal awards and applicable regulations and retainage of evidence of control operation (i.e. evidence of report submission). Identification of questioned costs and how they were computed: None Whether the sampling was a statistically valid sample: The sample was not intended to be, and was not, a statistically valid sample. Identification of whether the audit finding is a repeat of a finding in the immediately prior audit and if so, the applicable prior year finding number: No. This finding was not a finding in the immediate prior year audit. Recommendations: We recommend that the Health System review and enhance its current procedures to ensure that all required reporting applicable to federal awards is accurately identified, submission deadlines are met, and documentation of submissions is properly retained. Views of responsible officals: Management acknowledges the audit finding regarding timely submission of reports and retaining documentation of submissions. We will implement a new combined monitoring and record retention internal control process for financial, performance, and special reporting requirements, to ensure timely submission and retention of supporting documentation for required sponsor reporting. This process will be implemented by December 31, 2025.