Finding 1171967 (2025-001)

Material Weakness Repeat Finding
Requirement
B
Questioned Costs
-
Year
2025
Accepted
2026-02-02

AI Summary

  • Core Issue: Three out of 39 effort reports were not certified within the required 90 days, violating hospital policy.
  • Impacted Requirements: Compliance with 2 CFR part 200.430 regarding timely certification of compensation charges.
  • Recommended Follow-Up: Enhance training and awareness for staff on effort reporting deadlines to ensure timely certification.

Finding Text

Finding 2025-001: Direct Costs – Compensation Grantor: Department of Health and Human Services Award Name: High Impact HIV Prevention and Surveillance Programs; Research and Development Assistance Listing Number: 93.940; 93.838 Assistance Listing Title: HIV Prevention Activities Health Department Based; Lung Diseases Research Award Year: 07/1/2024 – 06/30/2025 Award Number: CP4043 and CP5043 (2220536); OT2HL161847-01 Pass-through: Not applicable Criteria 2 CFR part 200.430 addresses compensation charges. The regulations note that compensation charges should be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable, and properly allocated and comply with the established accounting policies and practices of the nonFederal entity. Children’s Hospital of Philadelphia has implemented an employee time reporting system in which effort is reviewed to ensure the effort charged to the grant is accurate and is based on the actual effort devoted to the various functional and programmatic activities to which the salary and wage costs are charged. Additionally, in order to ensure the effort charged to grants is appropriate, the Hospital has a policy in place that defines the period by which the effort certification process should be complete. Per Hospital policy, the effort reports are required to be completed and certified within 90 days of the reporting period end date, which occurs every quarter. Condition Out of 39 effort reports selected for compensation testing, 3 effort reports were not certified within 90 days of the effort reporting period in accordance with Children’s Hospital of Philadelphia policy. Although the effort reports were not certified timely, there were no questioned costs related to the costs charged. Cause The delay in certification was primarily due to personnel not consistently adhering to the established effort reporting framework. There was a lack of awareness regarding deadlines. Questioned Costs There were no questioned costs related to this finding as payroll charges were allowable. Effect Effort reports may contain inaccuracies that remain uncorrected for a period of time if effort related to grants is not certified in a timely manner.. Repeat finding in the Prior Year No Recommendation We recommend the Hospital continue to enhance the execution of the effort reporting policy to ensure all effort reports are certified in a timely manner. As part of these enhancements, we recommend additional training for the individuals in the effort reporting process, including notifications of effort reporting deadlines.

Corrective Action Plan

2025-001 – Direct Costs-Compensation Grantor: Centers for Disease Control and Prevention - Aids Activity and Coordinating Office (AACO), National Institute of Health Award Name: High Impact HIV Prevention and Surveillance Programs, Research and Development Assistance Listing Number: 93.940, 93.838 Assistance Listing Title: HIV Prevention Activities Health Department Based, Lung Diseases Award Year: July 1, 2024 to June 30, 2025 Award Numbers: CP4043 and CP5043 (2220536), 1OT2HL161847-01 Management’s Views and Corrective Action Plan Management acknowledges the finding related to delayed effort report certification. We recognize the importance of timely and accurate effort reporting as well as ensuring compliance with federal and institutional requirements. Children’s Hospital of Philadelphia Research Institute has implemented a new Effort Compensation Compliance system for effective July 1, 2025. This new system will enhance monitoring of timely effort certifications through automated reminders and greater transparency. With this implementation, training and reference materials will be provided to all personnel involved in effort reporting to ensure they understand the importance of timely certification and the potential impact of delays on grant compliance.

Categories

Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1171961 2025-001
    Material Weakness Repeat
  • 1171962 2025-001
    Material Weakness Repeat
  • 1171963 2025-001
    Material Weakness Repeat
  • 1171964 2025-001
    Material Weakness Repeat
  • 1171965 2025-001
    Material Weakness Repeat
  • 1171966 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $3.93M
93.600 HEAD START $2.22M
93.310 TRANS-NIH RESEARCH SUPPORT $1.63M
84.305 EDUCATION RESEARCH, DEVELOPMENT AND DISSEMINATION $920,248
93.397 CANCER CENTERS SUPPORT GRANTS $757,626
20.616 NATIONAL PRIORITY SAFETY PROGRAMS $732,780
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $711,544
93.253 POISON CENTER SUPPORT AND ENHANCEMENT GRANT $645,364
93.103 FOOD AND DRUG ADMINISTRATION_RESEARCH $499,081
93.225 NATIONAL RESEARCH SERVICE AWARDS_HEALTH SERVICES RESEARCH TRAINING $460,280
93.939 HIV PREVENTION ACTIVITIES_NON-GOVERNMENTAL ORGANIZATION BASED $393,475
93.398 CANCER RESEARCH MANPOWER $354,436
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING $264,966
93.RD DEVELOPMENT AND APPLICATION OF A NATIONAL PEDIATRIC SEPSIS EVENT SURVEILLANCE DEFINITION $211,458
93.127 EMERGENCY MEDICAL SERVICES FOR CHILDREN $202,930
93.RD PEDIATRIC HIGH-RISK CANCER PRECLINICAL MODEL RESOURCE $199,940
20.600 STATE AND COMMUNITY HIGHWAY SAFETY $192,233
93.217 FAMILY PLANNING_SERVICES $174,124
93.318 PROTECTING AND IMPROVING HEALTH GLOBALLY: BUILDING AND STRENGTHENING PUBLIC HEALTH IMPACT, SYSTEMS, CAPACITY AND SECURITY $167,501
93.273 ALCOHOL RESEARCH PROGRAMS $166,194
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $166,146
93.361 NURSING RESEARCH $158,842
12.431 BASIC SCIENTIFIC RESEARCH $149,694
93.353 21ST CENTURY CURES ACT - BEAU BIDEN CANCER MOONSHOT $148,811
93.087 ENHANCE SAFETY OF CHILDREN AFFECTED BY SUBSTANCE ABUSE $141,346
16.575 CRIME VICTIM ASSISTANCE $139,767
93.233 NATIONAL CENTER ON SLEEP DISORDERS RESEARCH $139,057
93.242 MENTAL HEALTH RESEARCH GRANTS $137,403
93.RD INDIAN HEALTH SERVICES $136,290
93.350 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES $135,010
93.859 BIOMEDICAL RESEARCH AND RESEARCH TRAINING $118,321
93.153 COORDINATED SERVICES AND ACCESS TO RESEARCH FOR WOMEN, INFANTS, CHILDREN, AND YOUTH $97,601
16.839 STOP SCHOOL VIOLENCE $95,247
93.879 MEDICAL LIBRARY ASSISTANCE $91,373
93.940 HIV PREVENTION ACTIVITIES_HEALTH DEPARTMENT BASED $89,880
93.080 BLOOD DISORDER PROGRAM: PREVENTION, SURVEILLANCE, AND RESEARCH $84,901
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $79,659
93.RD NIAID CENTERS OF EXCELLENCE FOR INFLUENZA RESEARCH AND RESPONSE $75,328
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $72,806
93.RD SAFETY AND HEALTHCARE EPIDEMIOLOGY PREVENTION RES DEVELOPMENT PROGRAM $71,652
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $68,791
93.917 HIV CARE FORMULA GRANTS $64,633
20.614 NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION (NHTSA) DISCRETIONARY SAFETY GRANTS $63,611
93.121 ORAL DISEASES AND DISORDERS RESEARCH $63,482
93.396 CANCER BIOLOGY RESEARCH $62,762
93.395 CANCER TREATMENT RESEARCH $60,563
93.173 RESEARCH RELATED TO DEAFNESS AND COMMUNICATION DISORDERS $58,762
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $56,229
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $54,200
93.914 HIV EMERGENCY RELIEF PROJECT GRANTS $53,509
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $52,939
10.028 WILDLIFE SERVICES $44,348
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA — RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B (B) $43,733
93.867 VISION RESEARCH $42,438
93.RD EXTRACT EHR DATA COLLECTION WITH NCI VIA IMS $41,870
93.RD (PTN) CORE FUNCTION ACTIVITIES $40,325
93.855 ALLERGY, IMMUNOLOGY AND TRANSPLANTATION RESEARCH $39,776
93.297 TEENAGE PREGNANCY PREVENTION PROGRAM $39,574
93.279 DRUG ABUSE AND ADDICTION RESEARCH PROGRAMS $38,286
93.RD PEDIATRIC FEASIBILITY STUDY $36,899
93.172 HUMAN GENOME RESEARCH $35,152
93.113 ENVIRONMENTAL HEALTH $31,233
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $30,454
93.838 LUNG DISEASES RESEARCH $28,479
16.045 COMMUNITY BASED VIOLENCE INTERVENTION AND PREVENTION INITIATIVE $26,443
93.399 CANCER CONTROL $26,338
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $20,501
93.977 SEXUALLY TRANSMITTED DISEASES(STD) PREVENTION AND CONTROL GRANTS $20,501
93.RD ACTIVE RISK IDENTIFICATION AND ANALYSIS $17,967
93.143 NIEHS SUPERFUND HAZARDOUS SUBSTANCES_BASIC RESEARCH AND EDUCATION $17,317
93.837 CARDIOVASCULAR DISEASES RESEARCH $16,616
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $16,547
93.070 ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE $15,409
93.866 AGING RESEARCH $15,192
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $15,142
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $15,000
93.394 CANCER DETECTION AND DIAGNOSIS RESEARCH $14,059
47.074 BIOLOGICAL SCIENCES $13,269
47.041 ENGINEERING $12,976
93.286 DISCOVERY AND APPLIED RESEARCH FOR TECHNOLOGICAL INNOVATIONS TO IMPROVE HUMAN HEALTH $10,899
93.877 AUTISM COLLABORATION, ACCOUNTABILITY, RESEARCH, EDUCATION, AND SUPPORT $10,863
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $8,434
93.073 BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES - PREVENTION AND SURVEILLANCE $7,923
93.421 STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES THROUGH NATIONAL PARTNERSHIPS TO IMPROVE AND PROTECT THE NATION’S HEALTH $6,582
93.433 ACL NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING AND REHABILITATION RESEARCH $5,343
93.RD DEVELOP RECOMBINANT AV VECTORS $4,137
93.945 ASSISTANCE PROGRAMS FOR CHRONIC DISEASE PREVENTION AND CONTROL $3,339
93.941 HIV DEMONSTRATION, RESEARCH, PUBLIC AND PROFESSIONAL EDUCATION PROJECTS $3,251
94.006 AMERICORPS $2,706
93.846 ARTHRITIS, MUSCULOSKELETAL AND SKIN DISEASES RESEARCH $2,553
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $1,954
93.068 CHRONIC DIESEASES: RESEARCH, CONTROL AND PREVENTION $1,753
93.393 CANCER CAUSE AND PREVENTION RESEARCH $1,194
93.317 EMERGING INFECTIONS PROGRAMS $616
93.RD NATIONAL HUMAN GENOME INSTITUTE $12
93.084 PREVENTION OF DISEASE, DISABILITY, AND DEATH BY INFECTIOUS DISEASES $-166
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $-376
93.RD NCI CANCER DATA SERVICE $-796
93.351 RESEARCH INFRASTRUCTURE PROGRAMS $-1,327
93.RD TARGETED CLINICAL RESEARCH TO ADDRESS SELECT-VIRAL INFECTIONS $-1,847