Finding 1238959 (2025-001)

Material Weakness Repeat Finding
Requirement
ELN
Questioned Costs
-
Year
2025
Accepted
2026-09-30
Audit: 413807
Organization: Providence St. Joseph Health (WA)
Auditor: KPMG LLP

AI Summary

  • Answer: Officials acknowledge the findings and express a commitment to address the issues raised.
  • Trend: There is a growing recognition among officials of the need for improved compliance and oversight.
  • List: Follow-up actions include regular updates on progress, training sessions for staff, and enhanced monitoring procedures.

Finding Text

Views of responsible officials

Corrective Action Plan

This finding remained in fiscal year 2025 because corrective actions developed in response to the fiscal year 2024 finding were not discovered and fully implemented until Q4 2025. The Nursing School has implemented 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 were fully implemented as of December 31, 2025.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 1238958 2025-001
    Material Weakness Repeat
  • 1238960 2025-002
    Material Weakness Repeat
  • 1238961 2025-002
    Material Weakness Repeat
  • 1238962 2025-003
    Material Weakness Repeat
  • 1238963 2025-003
    Material Weakness Repeat
  • 1238964 2025-004
    Material Weakness Repeat
  • 1238965 2025-004
    Material Weakness Repeat
  • 1238966 2025-004
    Material Weakness Repeat
  • 1238967 2025-004
    Material Weakness Repeat
  • 1238968 2025-004
    Material Weakness Repeat
  • 1238969 2025-004
    Material Weakness Repeat
  • 1238970 2025-004
    Material Weakness Repeat
  • 1238971 2025-004
    Material Weakness Repeat
  • 1238972 2025-004
    Material Weakness Repeat
  • 1238973 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 PROVIDER RELIEF FUND AND AMERICAN RESCUE PLAN (ARP) RURAL DISTRIBUTION $10.28M
84.268 FEDERAL DIRECT STUDENT LOANS $1.59M
93.817 HOSPITAL PREPAREDNESS PROGRAM (HPP) EBOLA PREPAREDNESS AND RESPONSE ACTIVITIES $1.44M
84.063 FEDERAL PELL GRANT PROGRAM $1.08M
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $1.06M
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $658,726
93.052 NATIONAL FAMILY CAREGIVER SUPPORT, TITLE III, PART E $604,342
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $560,645
93.396 CANCER BIOLOGY RESEARCH $511,208
93.870 MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT $467,434
93.493 CONGRESSIONAL DIRECTIVES $313,890
16.053 SEXUAL ASSAULT FORENSIC EXAMINATIONS $273,202
16.738 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT PROGRAM $166,615
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $154,430
17.285 REGISTERED APPRENTICESHIP $152,639
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $144,924
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $130,549
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $123,474
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $111,376
93.398 CANCER RESEARCH MANPOWER $108,533
16.758 IMPROVING THE INVESTIGATION AND PROSECUTION OF CHILD ABUSE AND THE REGIONAL AND LOCAL CHILDREN'S ADVOCACY CENTERS $98,772
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $87,462
97.008 NON-PROFIT SECURITY PROGRAM $85,214
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $82,234
93.083 PREVENTION OF DISEASE, DISABILITY, AND DEATH THROUGH IMMUNIZATION AND CONTROL OF RESPIRATORY AND RELATED DISEASES $81,928
10.855 DISTANCE LEARNING AND TELEMEDICINE GRANTS $78,626
93.350 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES $76,339
93.917 HIV CARE FORMULA GRANTS $68,732
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $68,389
16.575 CRIME VICTIM ASSISTANCE $61,163
93.946 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS $54,000
93.497 FAMILY VIOLENCE PREVENTION AND SERVICES/ SEXUAL ASSAULT/RAPE CRISIS SERVICES AND SUPPORTS $47,513
84.181 SPECIAL EDUCATION-GRANTS FOR INFANTS AND FAMILIES $40,490
93.825 NATIONAL EBOLA TRAINING AND EDUCATION CENTER (NETEC) $39,002
16.588 VIOLENCE AGAINST WOMEN FORMULA GRANTS $35,099
93.399 CANCER CONTROL $34,500
93.788 OPIOID STR $31,776
93.080 BLOOD DISORDER PROGRAM: PREVENTION, SURVEILLANCE, AND RESEARCH $30,208
16.560 NATIONAL INSTITUTE OF JUSTICE RESEARCH, EVALUATION, AND DEVELOPMENT PROJECT GRANTS $28,746
93.395 CANCER TREATMENT RESEARCH $27,500
93.310 TRANS-NIH RESEARCH SUPPORT $24,963
93.353 21ST CENTURY CURES ACT - BEAU BIDEN CANCER MOONSHOT $22,539
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $21,995
10.331 GUS SCHUMACHER NUTRITION INCENTIVE PROGRAM $17,858
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $16,080
64.034 VA GRANTS FOR ADAPTIVE SPORTS PROGRAMS FOR DISABLED VETERANS AND DISABLED MEMBERS OF THE ARMED FORCES $14,609
93.397 CANCER CENTERS SUPPORT GRANTS $14,195
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $13,832
93.241 STATE RURAL HOSPITAL FLEXIBILITY PROGRAM $13,000
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $11,250
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $10,926
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $8,000
93.838 LUNG DISEASES RESEARCH $6,999
93.394 CANCER DETECTION AND DIAGNOSIS RESEARCH $6,698
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $6,688
93.945 ASSISTANCE PROGRAMS FOR CHRONIC DISEASE PREVENTION AND CONTROL $6,341
97.024 EMERGENCY FOOD AND SHELTER NATIONAL BOARD PROGRAM $6,015
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $5,000
93.837 CARDIOVASCULAR DISEASES RESEARCH $4,211
10.558 CHILD AND ADULT CARE FOOD PROGRAM $3,168
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $2,250
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $2,220
16.045 COMMUNITY-BASED VIOLENCE INTERVENTION AND PREVENTION INITIATIVE $2,010
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $1,317
93.840 TRANSLATION AND IMPLEMENTATION SCIENCE RESEARCH FOR HEART, LUNG, BLOOD DISEASES, AND SLEEP DISORDERS $1,000
93.866 AGING RESEARCH $1,000
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $41