OMB Circular A-133 lays out the reporting requirements for organizations that receive more than $300,000 in
"federal awards." These reports are available from the federal government.
Liz Keating (Northwestern Univ.) has conducted research comparing the results of the audits with IRS Form 990 data.
Below are some key passages from A-133:
Circular No. A-133 - Revised June 24, 1997
Audits of States, Local Governments, and Non-Profit Organizations
(Accompanying Federal Register Materials -- Audits of States, Local Governments, and Non-Profit Organizations June
30, 1997)
...
Non-Federal entities that expend $300,000 or more in a year in Federal awards shall have a single or program-
specific audit conducted for that year in accordance with the provisions of this part. Guidance on determining
Federal awards expended is provided in sec.___.205
- sec. 200
Do Medicare and Medicaid receipts count toward the $300,000 threshold? NO (generally)
_.105:
Federal award means Federal financial assistance and Federal cost-reimbursement contracts that non-Federal entities
receive directly from Federal awarding agencies or indirectly from pass-through entities. It does not include
procurement contracts, under grants or contracts, used to buy goods or services from vendors. Any audits of such
vendors shall be covered by the terms and conditions of the contract. Contracts to operate Federal Government
owned, contractor operated facilities (GOCOs) are excluded from the requirements of this part
__.205 Basis for determining Federal awards expended.
(h) Medicare. Medicare payments to a non-Federal entity for providing patient care services to Medicare eligible
individuals are not considered Federal awards expended under this part.
(i) Medicaid. Medicaid payments to a subrecipient for providing patient care services to Medicaid eligible
individuals are not considered Federal awards expended under this part unless a State requires the funds to be
treated as Federal awards expended because reimbursement is on a cost-reimbursement basis.
KEY WORDS: DATABASES, DATA SOURCES