IOWA HEALTH SYSTEM AND SUBSIDIARIES DBA UNITYPOINT HEALTH

EIN: 421435199

UEI: TCJNFRS9J765

Data as of August 21, 2026

9
Audit Years
10
Total Findings
2
Repeat Findings

FY 2023-12-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on September 27, 2024. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by March 27, 2025, which was (512 days ago).

What is a management decision? →
2023-001
Activities Allowed or Unallowed / Cash Management / Reporting
REPEAT
Condition

Controls related to ensuring the required indirect costs, cash draw requests, and reporting are appropriately reviewed and submitted timely were not operating effectively.

Corrective Action Plan

Personnel Responsible for Corrective Action: Tony Bennett, Director of Centralized Accounting Operations; Ryan Willhite, Director Internal Audit Anticipated Completion Date: December 31, 2024 Corrective Action Plan: Responsible Directors along with Jessica Shafer, Accounting Manager, will implement additional controls around verification that the review and approval of allowed expenses, cash drawn downs and required reporting is being documented.

Prior Finding References

2022-001

About Activities Allowed or Unallowed, Cash Management, Reporting →

FY 2022-12-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on September 29, 2023. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by March 29, 2024, which was (875 days ago).

What is a management decision? →
2022-001
Reporting
Condition

See Schedule of Findings and Questioned Costs for chart/table.

Corrective Action Plan

Personnel Responsible for Corrective Action: Director of Centralized Accounting Operations, Director Internal AuditAnticipated Completion Date:12/31/23Corrective Action Plan:UPH will review and update finance policies applicable to Grants and GrantAccounting to include expectations for tracking, timely reporting, documentationof review and approval of grant reporting

About Reporting →
2022-002
Cash Management
QUESTIONED COSTS
Condition

See Schedule of Findings and Questioned Costs for chart/table.

Corrective Action Plan

Personnel Responsible for Corrective Action: Regional Grant ManagersAnticipated Completion Date:12/31/23Corrective Action Plan:UPH will implement consistent reconciliation practices for comparing grant disbursements to grant expenses recorded on the SEFA.

About Cash Management →

FY 2020-12-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 29, 2022. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by September 29, 2022, which was (1422 days ago).

What is a management decision? →
2020-001
Reporting
MATERIAL WEAKNESS
Condition

Finding 2020-001: Material Weakness ? Preparation of the Schedule of Expenditures of Federal Awards See Schedule of Findings and Questioned Costs for chart/table. Criteria: CFR 200.510 (b) notes the auditee must prepare a schedule of expenditures of Federal awards (SEFA) for the period covered by the auditee?s financial statements which must include the total Federal awards expended as determined in accordance with CFR 200.502. Condition Found: During our test work, KPMG identified federal expenditures which were not included, inappropriately included or in incorrectly categorized within the SEFA. In addition, KPMG identified expenditures which were double counted as the sub-recipient entity was another UnityPoint Health System entity. This has been corrected in the final SEFA. Cause: There is a lack of oversight and review of SEFA preparation. Effect: It took management several attempts to ensure the SEFA was accurate and complete. Questioned Costs: None Recommendation: Management should provide sufficient training and staffing to ensure adequate oversight of the preparation of the SEFA.

Corrective Action Plan

Reference Number Corrective Action Plan 2020-001 Personnel Responsible for Corrective Action: Jessica Shafer, Regional Grant Managers Anticipated Completion Date:09/30/22 Corrective Action Plan: UPH will evaluate the SEFA preparation process, controls, and staffing at the affiliate and corporate level to ensure the accuracy of the reporting balances are consistent with uniform guidance policies and procedures. Identified issues will be resolved.

About Reporting →
2020-002
Activities Allowed or Unallowed / Cost Allowability
MATERIAL WEAKNESSQUESTIONED COSTS
Condition

Finding 2020-002: Material Weakness ? Review of Activities Allowed / Allowable Costs See Schedule of Findings and Questioned Costs for chart/table. Criteria: The requirements for activities allowed or unallowed are contained in program legislation, federal awarding agency regulations, and the terms and conditions of the award. Condition Found: During our test work, KPMG tested direct and payroll costs for 136 items. Of those, management was not able to provide evidence of review and approval of the cost for 56 selections to ensure they were allowable. The sample was not intended to be, and was not, a statistically valid sample. Cause: Management did not have the controls in place to ensure the review and approval of costs were documented and maintained. Effect: Expenditures recorded to the grant may have been higher than the amount of allowable costs. Questioned Costs: ? Known questioned costs $207,253 ? Likely questioned costs $669,855 Recommendation: Management should have a consistent policy from site to site to require review, approval, and maintain documentation evidencing the review and approval of expenditures to ensure they are allowable under the respective grant.

Corrective Action Plan

Reference Number Corrective Action Plan 2020-002 Personnel Responsible for Corrective Action: Jessica Shafer, Regional Grant Managers Anticipated Completion Date: 09/30/22 Corrective Action Plan: UPH is going to investigate and evaluate the audit results to find the root cause. After the conclusion of such, consistent policies and controls will put in place to ensure uniform guidance compliance moving forward. Consistent documentation across the organization will be the goal moving forward

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles →
2020-003
Reporting
Condition

Finding 2020-003: Significant Deficiency ? Timely Submission of Required Reporting See Schedule of Findings and Questioned Costs for chart/table. Criteria: The requirements for reporting are contained in program legislation, federal awarding agency regulations, and the terms and conditions of the award. Condition Found: During our test work, KPMG tested a selection of 48 required reports. Of those, 12 were not submitted within the required timelines of the respective grant. The sample was not intended to be, and was not, a statistically valid sample. Cause: Controls related to ensuring timely submission of grants were not operating effectively. Effect: Reporting submission was not timely. Questioned Costs: None Recommendation: Management should have a consistent policy from site to site to require review, approve, and submit grants in accordance with required timelines of the respective grant agreements.

Corrective Action Plan

Reference Number Corrective Action Plan 2020-003 Personnel Responsible for Corrective Action: Jessica Shafer, Regional Grant Managers Anticipated Completion Date: 09/30/22 Corrective Action Plan: Management will review the current policies around grant reporting at each of the affiliates. Based on internal review, best practice standards related documentation and timely processing will be implemented. Consistent policies moving forward will ensure uniform guidance compliance.

About Reporting →

FY 2016-12-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on April 30, 2017. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by October 30, 2017, which was (3217 days ago).

What is a management decision? →
2016-001
Reporting
MATERIAL WEAKNESS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Reporting →
2016-002
Special Tests & Provisions
MATERIAL WEAKNESSQUESTIONED COSTS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Special Tests and Provisions →
2016-003
Special Tests & Provisions
MATERIAL WEAKNESSQUESTIONED COSTS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Special Tests and Provisions →
2016-004
Special Tests & Provisions
REPEATMATERIAL WEAKNESS
Condition

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2015-001

About Special Tests and Provisions →

Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.

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