Finding 20110 (2022-002)

Significant Deficiency
Requirement
B
Questioned Costs
$1
Year
2022
Accepted
2023-10-01
Audit: 20475
Organization: Adventist Health System/west (CA)

AI Summary

  • Core Issue: The entity miscalculated indirect costs by using total grant expenditures instead of the correct modified total direct costs (MTDC), leading to excess charges.
  • Impacted Requirements: This finding violates Title 2, Subtitle A, Chapter II Part 200 regulations on internal controls and indirect cost calculations.
  • Recommended Follow-Up: Management should establish effective internal controls to ensure the de minimis rate is applied correctly to MTDC and provide training for the grants management team.

Finding Text

Finding 2022-002 Internal control deficiency and noncompliance over calculation of indirect costs Identification of the Federal Program: Assistance Listing Number 93.697: ? COVID-19 ? COVID-19 Testing and Mitigation for Rural Health Clinics ? U.S. Department of Health and Human Services ? Federal award identification number ? Not Applicable ? Federal award year ? January 27, 2020, to December 31, 2022 Criteria or specific requirement (including statutory, regulatory or other citation): Title 2, Subtitle A Chapter II Part 200 Subpart D 200.303 Internal controls. The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in ?Standards for Internal Control in the Federal Government? issued by the Comptroller General of the United States or the ?Internal Control Integrated Framework?, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Title 2, Subtitle A, Chapter II Part 200 Subpart E 200.414 Direct and Indirect Costs. In addition to the procedures outlined in the appendices in paragraph (e) of this section, any non-Federal entity that does not have a current negotiated (including provisional) rate, except for those non-Federal entities described in appendix VII to this part, paragraph D.1.b, may elect to charge a de minimis rate of 10% of modified total direct costs (MTDC) which may be used indefinitely. No documentation is required to justify the 10% de minimis indirect cost rate. As described in ?200.403, costs must be consistently charged as either indirect or direct costs but may not be double charged or inconsistently charged as both. If chosen, this methodology once elected must be used consistently for all Federal awards until such time as a non-Federal entity chooses to negotiate for a rate, which the non-Federal entity may apply to do at any time. Per Title 2, Subtitle A, Chapter II Part 200 Subpart A 200.1 Definitions: ?Modified Total Direct Cost (MTDC) means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $25,000 of each subaward (regardless of the period of performance of the subawards under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward in excess of $25,000. Other items may only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs, and with the approval of the cognizant agency for indirect costs.? Condition: During our testing over indirect costs, we observed that the entity used a cost base of Total Grant Expenditures to which they applied the de minimis cost rate. In addition, items that should be excluded from the calculation, per the MTDC definition above, were inappropriately included in the cost base. This led to indirect costs in excess of that allowable per Title 2, Subtitle A, Chapter II Part 200 Subpart E 200.414 Direct and Indirect Costs. Cause: Management did not have effective internal controls in place to ensure that indirect costs were calculated accurately. Effect or potential effect Total indirect costs charged to the program were in excess of the amount allowable using the correct cost base and the 10% de minimis rate. Questioned costs: Questioned costs amount to $149,545 for 93.697, which is calculated as the amount of indirect costs in excess of 10% of MTDC. Context: During our testing over indirect costs, we noted that the entity used total grant funds available (as opposed to total direct costs) as a cost base to which they applied the de minimis 10% rate to calculate indirect costs. In addition, a portion of the overstatement of indirect costs resulted from the existence of equipment and other costs charged to the grant that are not considered part of MTDC as defined above Identification as a repeat finding, if applicable: No. Recommendation: We recommend that management develop and implement effective internal controls to ensure that the de minimis cost rate is applied to the appropriate cost base (MTDC) across all markets and programs. Views of responsible officials: Adventist Health grants management team will be trained on the correct indirect cost calculation and requirements. Review of the indirect calculation will be included in the Fund Transfer Request (FTR) review meetings. This will allow for proper application and reporting of the de minimis indirect cost rate.

Corrective Action Plan

Finding 2022-002 - Internal control deficiency and noncompliance over calculation of indirect costs The grants management team will be trained on the correct indirect cost calculation and requirements. Review of indirect calculation will be included in the Fund Transfer Request (FTR) review meetings. Contact person: Administrative Director, Grants ? Erasmo ?Tony? Cortez. Expected Completion Date: October 2023.

Categories

Questioned Costs Internal Control / Segregation of Duties Subrecipient Monitoring Period of Performance Reporting Equipment & Real Property Management Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 20109 2022-001
    Material Weakness Repeat
  • 20111 2022-003
    Material Weakness
  • 20112 2022-003
    Material Weakness
  • 596551 2022-001
    Material Weakness Repeat
  • 596552 2022-002
    Significant Deficiency
  • 596553 2022-003
    Material Weakness
  • 596554 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
97.036 Covid 19 - Disaster Grants - Public Assistance (presidentially Declared Disasters) $71.18M
93.697 Covid-19 Testing and Mitigation for Rural Health Clinics $6.50M
93.912 Covid 19 - Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $3.61M
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $1.56M
97.039 Hazard Mitigation Grant $1.17M
93.461 Covid-19 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $1.15M
93.011 Covid-19 - National Organizations of State and Local Officials $997,947
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $408,485
93.155 Rural Health Research Centers $300,918
93.155 Covid-19 - Rural Health Research Centers $160,984
93.889 National Bioterrorism Hospital Preparedness Program $111,193
14.231 Covid-19 - Emergency Solutions Grant Program $107,684
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $65,004
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $23,892
93.301 Small Rural Hospital Improvement Grant Program $11,161
93.268 Covid-19 - Immunization Cooperative Agreements $5,395
14.218 Community Development Block Grants/entitlement Grants $4,156