Finding 1141812 (2024-001)

Significant Deficiency
Requirement
I
Questioned Costs
$1
Year
2024
Accepted
2025-06-18
Audit: 359210
Organization: Seattle Children's Hospital (WA)
Auditor: Kpmg LLP

AI Summary

  • Core Issue: Two out of 40 procurement transactions lacked required price quotations, totaling $22,675, violating procurement policies.
  • Impacted Requirements: Non-compliance with 2 CFR 200.320(a)(2)(i) regarding simplified acquisition procedures.
  • Recommended Follow-up: Implement a control for reviewing cost transfers to ensure adherence to procurement policies and provide training on new procedures.

Finding Text

Program Information: Cluster: Research and Development Cluster Federal Program: Child Health and Human Development Extramural Research ALN: 93.865 Federal Agency: United States Department of Health and Human Services Pass-through entity: N/A Grant Name(s): Influence of Maternal Virome and HIV Status on Infant Gut Virome, Growth, and Immunity; Influence of HIV Infection on Vaginal Virome and Risk of Preterm Birth in Pregnant South African Women Grant ID Number Federal Award Year 5R01HD102239-04 9/21/2020 – 8/30/2025 5R01HD106821-04 9/9/2021 – 7/31/2026 Criteria or requirement: Per 2 CFR 200.320(a)(2)(i): Simplified acquisition procedures. The aggregate dollar amount of the procurement transaction is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If simplified acquisition procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources. Unless specified by the Federal agency, the recipient or subrecipient may exercise judgment in determining what number is adequate. 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: For 2 out of 40 procurement selections tested, totaling $22,675, the entity did not obtain price or rate quotations as required by its procurement policies. Both selections, related to the same purchase invoice, were above the micro-purchase threshold and were related to cost transfers to federal awards. Cause and possible asserted effect: The entity did not have a control in place to review cost transfers to federal awards to ensure the entity followed the appropriate procurement policies for these costs. Without adequate controls over cost transfers, there is an increased risk of non-compliance with procurement policies. Identification of questioned costs and how they were computed: Known questioned costs identified as part of this finding were $22,675. Sample Statistically Valid: The sample was not intended to be, and was not, a statistically valid sample. Repeat finding from prior year: No Recommendation: We recommend that management design and implement a control to review cost transfers to federal awards to ensure that the entity follows its procurement policies. Views of Responsible Officials: Management will design and implement a control to review cost transfers from non-federal awards to federal awards to ensure we follow our procurement policies. This will be achieved by adding a new step to the non-payroll cost transfer form that requires the requestor to include a copy of the Procurement authorization form if the procurement policies apply. The Procurement authorization form documents the process, rationale, and justification for procurements. If the purchase being transferred did not go through the appropriate procurement procedures at the time of purchase, then the transfer from the non-federal award to the federal award will not be allowed. Management will also provide additional training around procurement and our related policies and ensure staff involved in this area are aware of the new step embedded in the non-payroll cost transfer form.

Categories

Questioned Costs Procurement, Suspension & Debarment Subrecipient Monitoring

Other Findings in this Audit

  • 565370 2024-001
    Significant Deficiency
  • 565371 2024-001
    Significant Deficiency
  • 1141813 2024-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $22.02M
93.493 Congressional Directives $855,721
93.307 Minority Health and Health Disparities Research $846,513
93.867 Vision Research $605,614
93.RD National Institute of Allergy and Infectious Diseases $514,342
93.136 Injury Prevention and Control Research and State and Community Based Programs $496,827
93.RD Centers for Disease Control and Prevention $441,600
47.070 Computer and Information Science and Engineering $391,875
93.185 Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects $390,140
93.396 Cancer Biology Research $345,553
47.074 Biological Sciences $201,295
93.855 Allergy and Infectious Diseases Research $201,125
93.839 Blood Diseases and Resources Research $147,188
93.110 Maternal and Child Health Federal Consolidated Programs $140,216
93.RD Department of Health and Human Services Office of the Assistant Secretary for Prepardness and Response $137,641
93.866 Aging Research $117,721
93.399 Cancer Control $105,280
21.027 Coronavirus State and Local Fiscal Recovery Funds $100,000
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $99,773
93.113 Environmental Health $87,081
93.173 Research Related to Deafness and Communication Disorders $86,979
93.398 Cancer Research Manpower $81,188
93.994 Maternal and Child Health Services Block Grant to the States $74,711
93.RD Health Resources and Services Administration $57,314
93.121 Oral Diseases and Disorders Research $57,266
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $54,087
93.242 Mental Health Research Grants $46,419
93.233 National Center on Sleep Disorders Research $46,210
93.RD National Cancer Institute $43,073
93.393 Cancer Cause and Prevention Research $41,554
84.305A Education Research Grants Program $34,755
93.RD National Heart, Lung, and Blood Institute $31,871
93.315 Rare Disorders: Research, Surveillance, Health Promotion, and Education $31,418
93.838 Lung Diseases Research $31,339
93.395 Cancer Treatment Research $31,215
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $30,895
93.351 Research Infrastructure Programs $28,204
93.350 National Center for Advancing Translational Sciences $26,369
93.495 Community Health Workers for Public Health Response and Resilient $26,057
93.268 Immunization Cooperative Agreements $24,193
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $21,529
93.273 Alcohol Research Programs $18,315
10.310 Agriculture and Food Research Initiative (afri) $16,882
93.397 Cancer Centers Support Grants $15,490
93.127 Emergency Medical Services for Children $15,010
93.172 Human Genome Research $14,360
93.226 Research on Healthcare Costs, Quality and Outcomes $13,559
93.859 Biomedical Research and Research Training $11,955
93.266 Health Systems Strengthening and Hiv/aids Prevention, Care and Treatment Under the President's Emergency Plan for Aids Relief $11,777
93.778 Medical Assistance Program $10,731
93.RD Department of Health and Human Services $9,442
17.289 Community Project Funding/congressionally Directed Spending $5,801
93.U02 Department of Energy $5,447
93.738 Pphf: Racial and Ethnic Approaches to Community Health Program Financed Solely by Public Prevention and Health Funds $5,404
93.RD Department of Veteran Affairs $4,284
93.394 Cancer Detection and Diagnosis Research $4,128
93.RD Defense Threat Reduction Agency $2,897
98.001 Usaid Foreign Assistance for Programs Overseas $2,886
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $2,708
93.304 Racial and Ethnic Approaches to Community Health $2,195
93.213 Research and Training in Complementary and Integrative Health $2,088
93.945 Assistance Programs for Chronic Disease Prevention and Control $2,068
93.877 Autism Collaboration, Accountability, Research, Education, and Support $1,967
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $1,803
93.365 Sickle Cell Treatment Demonstration Program $1,679
93.279 Drug Use and Addiction Research Programs $828
93.988 Cooperative Agreements for Diabetes Control Programs $769
12.420 Military Medical Research and Development $363
93.310 Trans-Nih Research Support $-8
93.RD Department of Transportation $-21
93.865 Child Health and Human Development Extramural Research $-212
93.361 Nursing Research $-499
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $-4,149
93.837 Cardiovascular Diseases Research $-4,152
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $-6,287
93.103 Food and Drug Administration Research $-7,421
93.225 National Research Service Awards Health Services Research Training $-12,011
93.RD National Institutes of Health Clinical Center $-21,569