Audit 396648

FY End
2025-06-30
Total Expended
$9.89M
Findings
4
Programs
22
Organization: Hospital Sisters Health System (IL)
Year: 2025 Accepted: 2026-03-30
Auditor: KPMG LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1204972 2025-001 Material Weakness Yes N
1204973 2025-001 Material Weakness Yes N
1204974 2025-001 Material Weakness Yes N
1204975 2025-001 Material Weakness Yes N

Programs

ALN Program Spent Major Findings
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $4.51M Yes 0
84.268 FEDERAL DIRECT STUDENT LOANS $914,271 Yes 1
10.855 DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS $497,313 Yes 0
84.063 FEDERAL PELL GRANT PROGRAM $359,821 Yes 1
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $354,447 Yes 0
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $248,834 Yes 0
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $245,135 Yes 0
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $12,337 Yes 0
93.395 CANCER TREATMENT RESEARCH $12,000 Yes 0
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $10,000 Yes 0
84.007 FEDERAL SUPPLEMENTAL EDUCATIONAL OPPORTUNITY GRANTS $9,344 Yes 1
84.033 FEDERAL WORK-STUDY PROGRAM $5,546 Yes 1
93.394 CANCER DETECTION AND DIAGNOSIS RESEARCH $3,000 Yes 0
93.658 FOSTER CARE TITLE IV-E $2,194 Yes 0
93.778 MEDICAL ASSISTANCE PROGRAM $1,168 Yes 0
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $1,159 Yes 0
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $927 Yes 0
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $588 Yes 0
93.667 SOCIAL SERVICES BLOCK GRANT $538 Yes 0
93.399 CANCER CONTROL $500 Yes 0
93.645 STEPHANIE TUBBS JONES CHILD WELFARE SERVICES PROGRAM $88 Yes 0
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $67 Yes 0

Contacts

Name Title Type
QPCQDKA2MMJ7 Robin Barber Auditee
2174929184 Casey Byers Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal and state awards (the Schedule) summarizes the federal and state awards expended by Hospital Sisters Health System and Subsidiaries (HSHS) for the year ended June 30, 2025. For purposes of the Schedule, federal and state awards include all grants, contracts, loans, and loan guarantee agreements entered into directly between HSHS and agencies and departments of the federal government and the State of Wisconsin. For the year ended June 30, 2025, HSHS had no expenditures in the form of noncash assistance, and no federally provided insurance in effect. Expenditures for federal and state 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 federal or state sponsored program. The salary of a social worker or a sponsored program and the materials consumed by the program are examples of direct costs. Unlike direct costs, indirect costs cannot easily be identified with an individual federal or state sponsored program. Indirect costs are the costs of services and resources that benefit many sponsored programs, as well as non-sponsored projects and activities. Indirect costs consist of expenses incurred for such items as administration, plant maintenance, and building and equipment depreciation. programs. The rate is the result of a number of cost allocation procedures that HSHS uses to allocate its indirect costs to both sponsored and non-sponsored activities. The costs allocated to sponsored programs are divided by the direct costs of sponsored programs to arrive at a rate. The U.S. Department of Health and Human Services (DHHS) must approve the rate before HSHS can use it to charge indirect costs to federal or state sponsored programs. HSHS has elected to use de minimis indirect cost rate allowed under Uniform Guidance, except for St. Vincent Hospital, which utilizes a separate negotiated rate. This negotiated rate was used until February 10, 2025 when new guidance was received to reduce to the de minimis rate.
HSHS is responsible only for the performance of certain administrative duties with respect to the Federal Family Education Loan programs, and accordingly, these loans are not included in its consolidated financial statements, and it is not practical to determine the balance of loans outstanding to students and former students of HSHS under these programs at June 30, 2025.
The eligible expenditures reported under Assistance Listing Number 97.036 on the Schedule reflect expenditures incurred in years prior to 2025. The total amount of expenditures related to prior years is $4,513,013.

Finding Details

Institutions are required to report enrollment information under the Pell Grant and the Direct Loan programs via the NSLDS (OMB No. 1845-0035) (Pell, 34 CFR 690.83(b)(2); Direct Loan, 34 CFR 685.309; Perkins 34 CFR 674.19(f)). The NSLDS Enrollment Reporting Guide provides the requirements and guidance for reporting enrollment details using the NSLDS Enrollment Reporting Process within 60 days of an enrollment status change. Three of five samples selected for testing were not submitted to NSLDS within 60 days of the enrollment status change. Management implemented a new enrollment reporting workflow in fall, 2024. The implementation resulted in a timing gap during which enrollment status changes were not submitted timely. Inaccurate reporting of status changes could result in student financial aid being awarded when the student is not eligible due to their enrollment status. The sample was not intended to be, and was not, a statistically valid sample. Management should implement consistent and regular review of student enrollment changes to ensure timely reporting.