Finding 39424 (2022-001)

-
Requirement
ABH
Questioned Costs
$1
Year
2022
Accepted
2023-06-27
Audit: 36845
Organization: Ochsner Clinic Foundation (LA)

AI Summary

  • Core Issue: Expenditures reimbursed by FEMA were not properly reduced by applicable credits, leading to an overstatement of $99,285.
  • Impacted Requirements: Compliance with 2 CFR, Part 200 regarding allowable costs and applicable credits was not met, resulting in questioned costs.
  • Recommended Follow-Up: Management should refund the questioned amount to FEMA and ensure future project worksheets account for all applicable credits.

Finding Text

Finding 2022-001: Noncompliance over activities allowed or unallowed, allowable costs/cost principles, and period of performance related to amounts reimbursed for project worksheets. Identification of the federal program: Assistance Listing Number 97.036: ? Disaster Grants ? Public Assistance (Presidentially Declared Disasters) ? U.S. Department of Homeland Security ? Federal award identification number: o Application titles: ? 662759 ? Emergency Work Group #2 ? 662754 ? Emergency Work Group #2 o Application numbers: ? PA-06-LA-4611-PW-01437 ? PA-06-LA-4611-PW-01457 ? Federal award year: o August 29, 2021 to October 10, 2021 o October 11, 2021 to April 17, 2022 ? Pass-through entity ? State of Louisiana Governor?s Office of Homeland Security and Emergency Preparedness Criteria or specific requirement (including statutory, regulatory or other citation): 2 CFR, Part 200, Section 200.84 ? Questioned costs states a questioned cost as either (a) which resulted from a violation or possible violation of a statute, regulation, or the terms and conditions of a Federal award, including for funds used to match Federal funds; (b) where the costs, at the time of the audit, are not supported by adequate documentation; or (c) where the costs incurred appear unreasonable and do not reflect the actions a prudent person would take in the circumstances. 2 CFR, Part 200, Section 200.406 ? Applicable credits states (a) applicable credits refer to those receipts or reduction-of-expenditure-type transactions that offset or reduce expense items allocable to the Federal award as direct or indirect costs. Examples of such transactions are: purchase discounts, rebates or allowances, recoveries or indemnities on losses, insurance refunds or rebates, and adjustments of overpayments or erroneous charges. To the extent that such credits accruing to or received by the non-Federal entity relate to allowable costs, they must be credited to the Federal award either as a cost reduction or cash refund, as appropriate. The Office of Management and Budget Compliance Supplement states the Federal Emergency Management Agency (FEMA) evaluates the eligibility of all costs claimed by the applicant. Not all costs incurred as a result of the incident are eligible. Costs must be: reduced by all applicable credits. Condition: During our testing over expenditures reimbursed by FEMA, we observed reported expenditures in the project worksheets were not reduced by all applicable credits resulting in an overstatement of the amount reimbursed by FEMA. Cause: Certain expenditures in the project worksheets submitted to FEMA for reimbursement were not reduced by all applicable credits. Effect or potential effect: Management was reimbursement by FEMA for expenditures that were not reduced by all applicable credits. Questioned costs: $99,285 ? Assistance Listing Number 97.036 ? Federal award identification number: o Application titles: ? 662759 ? Emergency Work Group #2 ? 662754 ? Emergency Work Group #2 o Application numbers: ? PA-06-LA-4611-PW-01437 ? PA-06-LA-4611-PW-01457 Questioned costs were computed by calculating the difference between the impacted expenditures submitted to FEMA in the amount of $923,105 and the expenditures value after reducing for all applicable credits in the amount of $823,820 resulting in $99,285. Context: During our testing over activities allowed or unallowed, allowable costs/cost principles, and period of performance, we obtained a listing of expenditures submitted for reimbursement to FEMA for the impacted project worksheets and observed 130 expenditures in the listing for a total value of $923,105 (total value factoring in the cost share was $888,900). We selected a sample of 21 for testing over activities allowed or unallowed and allowable costs/cost principals and a sample of 24 for testing over period of performance. There were certain expenditures identified in the sample selected that were not reduced for all applicable credits (i.e., the vendor provided a credit back to the entity for a previously paid invoice). Management evaluated the entire population of expenditures, and it was identified that $99,285 was the difference between the submitted expenditures value to FEMA and the expenditures value after reducing for all applicable credits. Identification as a repeat finding, if applicable: No. Recommendation: We recommend that management refund the questioned costs to FEMA and ensure future project worksheets are reduced for all applicable credits. Views of responsible officials: Ochsner will reach out to FEMA/GOHSEP to self-report the issue and ask that these PWs be moved to closeout (this can be done because both PWs have been paid in full). Ochsner will also work with FEMA/GOHSEP to refund the total overpayment of $99,285 ? either via direct payment or reduction of future reimbursement under Ochsner?s other outstanding PWs with FEMA for COVID-19 and Hurricane Ida. For future FEMA claims, Ochsner will continue to work to ensure that PWs are reduced for all applicable credits using the most accurate information available ? either at the time the PWs are submitted or during closeout.

Corrective Action Plan

Finding 2022-001: Disaster Grants ? Public Assistance (Presidentially Declared Disasters) (Assistance Listing #97.036) Noncompliance over activities allowed or unallowed, allowable costs/cost principles, and period of performance related to amounts reimbursed for project worksheets. During the course of the Ochsner Clinic Foundation Uniform Guidance (UG) Audit for the Year Ended December 31, 2022, EY identified the following finding, as reported in the Schedule of Findings and Questioned Costs: Finding 2022-001 - Noncompliance over activities allowed or unallowed, allowable costs/cost principles, and period of performance related to amounts reimbursed for project worksheets. This finding is associated with application numbers PA-06-LA-4611-PW-01437 and PA-06-LA-4611-PW-01457. Both of these Project Worksheets (PWs) are for external security services that Ochsner procured in the aftermath of Hurricane Ida. These PWs included a population of 130 expenditures (invoices) for a total value of $923,105 (total value factoring in the cost share was $888,900). FEMA obligated these PWs and payment was remitted to Ochsner (via GOHSEP) for the full cost share amount of $888,900. As part of their testing over activities allowed or unallowed, allowable costs/cost principles, and period of performance, EY selected a sample of 45 items from this population ? 21 for testing over activities allowed or unallowed and allowable costs/cost principals and 24 for testing over period of performance. Through their testing, EY identified certain expenditures in the sample that were not reduced for all applicable credits (i.e., the vendor provided a credit back to Ochsner for a previously paid invoice). As a result of these items identified in the sample, Management evaluated the entire population of expenditures, and identified $99,285 as the difference between the submitted expenditures value to FEMA and the expenditures value after reducing for all applicable vendor credits. Ochsner did not identify these discrepancies when the PWs were filed with FEMA because the vendor invoices were used as the basis for the estimate of the claims, which is consistent with FEMA?s requirements. These vendor invoices reflected the full amounts billed by the vendor and did not reflect any credits that ultimately resulted in lesser amounts being remitted to the vendor at time of payment. The discrepancies that EY identified during the UG audit would have been identified, as is usually done, by either Ochsner or by FEMA / GOHSEP during the normal closeout process for these PWs, as discussed within the Public Assistance Program and Policy Guide (Version 4, Effective June 1, 2020) - Chapter 12: Final Reconciliation and Closeout. As part of this standard process, Ochsner will be required to provide proof of payment to FEMA / GOHSEP as part of the closeout process, at which time these discrepancies would have been identified. In order to cure this finding, Ochsner will reach out to FEMA / GOHSEP to self-report the issue and ask that these PWs be moved to closeout (this can be done because both PWs have been paid in full). Ochsner will also work with FEMA / GOHSEP to refund the total overpayment of $99,285 ? either via direct payment or reduction of future reimbursement under Ochsner?s other outstanding PWs with FEMA for COVID-19 and Hurricane Ida. For future FEMA claims, Ochsner will continue to work to ensure that PWs are reduced for all applicable credits using the most accurate information available ? either at the time the PWs are submitted or during closeout. Responsible Official: Scott Whitfield, Ochsner Assistant Vice President - Treasury Anticipated Completion Date: December 31, 2023

Categories

Questioned Costs Allowable Costs / Cost Principles Matching / Level of Effort / Earmarking

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
97.036 Covid-19 - Disaster Grants - Public Assistance (presidentially Declared Disasters) $82.07M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $65.36M
93.498 Covid-19 - Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $19.02M
32.006 Covid-19 - Covid-19 Telehealth Program $1.18M
93.732 Mental and Behavioral Health Education and Training Grants $926,604
93.461 Covid-19 - Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $845,641
93.697 Covid-19 - Covid-19 Testing and Mitigation for Rural Health Clinics $755,709
93.969 Pphf Geriatric Education Centers $444,671
93.279 Drug Abuse and Addiction Research Programs $206,202
93.399 Cancer Control $174,665
93.838 Lung Diseases Research $135,021
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $81,000
93.865 Child Health and Human Development Extramural Research $64,942
93.945 Assistance Programs for Chronic Disease Prevention and Control $57,270
93.866 Aging Research $52,492
93.361 Nursing Research $46,536
93.307 Minority Health and Health Disparities Research $26,509
93.837 Cardiovascular Diseases Research $26,072
93.350 National Center for Advancing Translational Sciences $20,000
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $19,302
93.859 Biomedical Research and Research Training $18,429
93.397 Cancer Centers Support Grants $17,615
12.420 Military Medical Research and Development $10,000
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $9,506
10.874 Delta Health Care Services Grant Program $7,815
93.213 Research and Training in Complementary and Integrative Health $4,908
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $1,395
93.310 Trans-Nih Research Support $1,210
93.855 Allergy and Infectious Diseases Research $852