Finding 39686 (2022-008)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-07-10

AI Summary

  • Core Issue: The Cook County Department of Public Health failed to meet FFATA reporting requirements for subawards, impacting compliance with federal regulations.
  • Impacted Requirements: Reporting of executive compensation and subawards over $30,000 was not completed, hindering the grantor's ability to monitor program activities.
  • Recommended Follow-Up: Ensure timely identification of subrecipients and improve communication between program and finance teams to facilitate accurate and timely FFATA submissions.

Finding Text

Reporting Federal Department ? U.S. Department of Health and Human Services Federal Award Identification Number and Year: NH75OT000024 and 2021 COVID-19 - Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises, Federal Assistance Listing # 93.391 County Department ? Department of Public Health Finding 2022 ? 008 CRITERIA Per the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), Notice of Funding Opportunity (NOFO) number CDC-RFA-OT21-2103, entitled, ?National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities?, dated May 3, 2021, Section 4. Federal Funding Accountability and Transparency Act of 2006 (FFATA), states ?Compliance with this law is primarily the responsibility of the Federal agency. However, two elements of the law require information to be collected and reported by applicants: 1) information on executive compensation when not already reported through the SAM, and 2) similar information on all sub-awards/subcontracts/consortiums over $25,000.? The Federal Funding Accountability and Transparency Act (FFATA) Subaward Reporting System (FSRS) website states, ?FSRS is the reporting tool Federal prime awardees (i.e. prime contractors and prime grants recipients) use to capture and report subaward and executive compensation data regarding their first-tier subawards to meet the FFATA reporting requirements. Prime contract awardees will report against sub-contracts awarded, and prime grant awardees will report against sub-grants awarded.? In addition, ?Prime Grant Recipients awarded a new Federal grant greater than or equal to $30,000 as of October 1, 2010 are subject to FFATA sub-award reporting requirements as outlined in the Office of Management and Budgets guidance issued August 27, 2010. The prime awardee is required to file a FFATA sub-award report by the end of the month following the month in which the prime recipient awards any sub-grant greater than or equal to $30,000.? In accordance with 2 CFR Part 170, Reporting Subaward and Executive Compensation Information, Appendix A, Award Term, b. 1. Reporting total compensation of recipient executives for non-Federal entities, states, ?You must report total compensation for each of your five most highly compensated executives for the preceding completed fiscal year, if - i. The total Federal funding authorized to date under this Federal award equals or exceeds $30,000 as defined in 2 CFR 170.320; ii. in the preceding fiscal year, you received? (A) 80 percent or more of your annual gross revenues from Federal procurement contracts (and subcontracts) and Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards), and (B) $25,000,000 or more in annual gross revenues from Federal procurement contracts (and subcontracts) and Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards); and, iii. The public does not have access to information about the compensation of the executives through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. SECTION III: FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS (Continued) Reporting Federal Department ? U.S. Department of Health and Human Services Federal Award Identification Number and Year: NH75OT000024 and 2021 COVID-19 - Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises, Federal Assistance Listing # 93.391 County Department ? Department of Public Health Finding 2022 ? 008 (Continued) CRITERIA (Continued) 2. Where and when to report. You must report executive total compensation described in paragraph b.1. of this award term: i. As part of your registration profile at https://www.sam.gov. ii. By the end of the month following the month in which this award is made, and annually thereafter.? CONDITION During the current audit period, the Cook County Department of Public Health (DPH) did not comply with its FFATA reporting requirements as outlined in its notice of award and federal regulations. CAUSE Based on discussions with management, the cause of this finding resulted from having subrecipients in the grant application identified as vendors. As a result, staff classified the associated costs as professional services instead of grant disbursements which is used to identify subrecipient(s) on the grant. Also, the Program Lead informed Finance late which did not allow sufficient time to mobilize CCH staff to prepare and submit the FFATA reporting. EFFECT Failure to prepare and submit required reports is a violation of federal regulations and impairs the grantor agency?s ability to adequately monitor the program activities/federally funded program. QUESTIONED COSTS None. CONTEXT Based on our review of the fiscal year 2022 grant disbursements, we noted a total of 13 subrecipients had expenditures greater than $30,000. We selected 4 subgrantee (subrecipients) for review and noted that DPH did not submit any reporting information as required under the FFATA Subaward Reporting, in the FSRS system. SECTION III: FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS (Continued) Reporting Federal Department ? U.S. Department of Health and Human Services Federal Award Identification Number and Year: NH75OT000024 and 2021 COVID-19 - Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises, Federal Assistance Listing # 93.391 County Department ? Department of Public Health Finding 2022 ? 008 (Continued) IDENTIFICATION OF REPEATED FINDINGS None. RECOMMENDATION We recommend that DPH develop and implement procedures to ensure required reports are prepared, reviewed, and submitted in a timely manner and in compliance with its grant agreement and federal regulations. Also, sub-grant agreements and related expenditures incurred should be reviewed to ensure the appropriate determination, classification, and reporting of subrecipients. VIEWS OF RESPONSIBLE OFFICIALS AND PLANNED CORRECTIVE ACTIONS The County agrees with the finding and recommendation. The County?s corrective action plan is on page 64.

Corrective Action Plan

Finding #2022-008: not complying with the Federal Funding Accountability and Transparency Act (FFATA) as required in the Health Equity Grant, Award # 11442, CFDA # 93.391, Notice of Award and Federal Regulations. Cause: The cause of this finding resulted from having subrecipients in the grant application identified as vendors. As a result, staff classified the associated costs as Professional Services instead of Grant Disbursements which is used to identify subrecipient(s) on the Grant. The Program Lead informed Finance late which did not allow sufficient time to mobilize CCH staff to prepare and submit the FFATA reporting. Correction Action: The CCH Director of Grant Accounting will ensure that the FFATA reporting is submitted for all subawards more than the $30K as required by Federal Regulations. Program staff will be retrained to classify subrecipients properly and re-prioritize within the Finance Department?s established procedures. Anticipated completion of the corrective action will be December 31, 2023.

Categories

Procurement, Suspension & Debarment Subrecipient Monitoring

Other Findings in this Audit

  • 39681 2022-001
    Significant Deficiency
  • 39682 2022-002
    Significant Deficiency
  • 39683 2022-003
    Significant Deficiency
  • 39684 2022-003
    Significant Deficiency
  • 39685 2022-007
    Significant Deficiency
  • 39687 2022-009
    Significant Deficiency
  • 39688 2022-010
    Significant Deficiency Repeat
  • 39689 2022-005
    Significant Deficiency
  • 39690 2022-006
    Significant Deficiency Repeat
  • 39691 2022-004
    Significant Deficiency
  • 616123 2022-001
    Significant Deficiency
  • 616124 2022-002
    Significant Deficiency
  • 616125 2022-003
    Significant Deficiency
  • 616126 2022-003
    Significant Deficiency
  • 616127 2022-007
    Significant Deficiency
  • 616128 2022-008
    Significant Deficiency
  • 616129 2022-009
    Significant Deficiency
  • 616130 2022-010
    Significant Deficiency Repeat
  • 616131 2022-005
    Significant Deficiency
  • 616132 2022-006
    Significant Deficiency Repeat
  • 616133 2022-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $166.10M
93.498 Provider Relief Fund $31.16M
97.067 Homeland Security Grant Program $19.96M
95.001 High Intensity Drug Trafficking Areas Program $17.79M
14.218 Community Development Block Grants/entitlement Grants $13.52M
93.563 Child Support Enforcement $8.36M
20.205 Highway Planning and Construction $8.11M
14.239 Home Investment Partnerships Program $6.01M
93.268 Immunization Cooperative Agreements $5.31M
14.231 Emergency Solutions Grant Program $5.13M
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $4.55M
21.023 Emergency Rental Assistance Program $2.50M
14.269 Hurricane Sandy Community Development Block Grant Disaster Recovery Grants (cdbg-Dr) $2.07M
16.575 Crime Victim Assistance $1.57M
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $1.42M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $1.35M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $931,606
93.069 Public Health Emergency Preparedness $887,672
93.788 Opioid Str $831,960
93.959 Block Grants for Prevention and Treatment of Substance Abuse $792,572
93.136 Injury Prevention and Control Research and State and Community Based Programs $752,205
16.738 Edward Byrne Memorial Justice Assistance Grant Program $696,342
66.001 Air Pollution Control Program Support $686,074
16.543 Missing Children's Assistance $657,103
93.926 Healthy Start Initiative $642,438
16.588 Violence Against Women Formula Grants $548,463
97.042 Emergency Management Performance Grants $546,515
93.495 Community Health Workers for Public Health Response and Resilient $524,460
21.016 Equitable Sharing $522,217
21.027 Coronavirus State and Local Fiscal Recovery Funds $495,607
93.884 Grants for Primary Care Training and Enhancement $429,240
10.555 National School Lunch Program $367,132
16.034 Coronavirus Emergency Supplemental Funding Program $366,158
16.827 Justice Reinvestment Initiative $332,345
90.404 2018 Hava Election Security Grants $305,823
93.247 Advanced Nursing Education Grant Program $305,068
14.905 Lead Hazard Reduction Demonstration Grant Program $303,865
16.590 Grants to Encourage Arrest Policies and Enforcement of Protection Orders Program $301,984
16.820 Postconviction Testing of Dna Evidence to Exonerate the Innocent $271,707
16.585 Drug Court Discretionary Grant Program $270,194
16.922 Equitable Sharing Program $257,715
16.320 Services for Trafficking Victims $248,536
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $212,094
16.582 Crime Victim Assistance/discretionary Grants $208,836
16.838 Comprehensive Opioid Abuse Site-Based Program $193,851
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Purpose Activities Relating to the Clean Air Act $182,908
10.553 School Breakfast Program $170,457
16.825 Smart Prosecution Initiative $170,290
20.530 Public Transportation Innovation $164,297
93.226 Research on Healthcare Costs, Quality and Outcomes $143,304
16.560 National Institute of Justice Research, Evaluation, and Development Project Grants $141,026
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $134,043
66.818 Brownfields Assessment and Cleanup Cooperative Agreements $128,386
93.586 State Court Improvement Program $121,220
16.752 Economic High-Tech and Cyber Crime Prevention $111,583
16.836 Indigent Defense $108,212
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $103,931
16.593 Residential Substance Abuse Treatment for State Prisoners $87,018
16.540 Juvenile Justice and Delinquency Prevention_allocation to States $86,632
20.600 State and Community Highway Safety $75,060
12.617 Economic Adjustment Assistance for State Governments $63,905
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $61,381
93.855 Allergy, Immunology and Transplantation Research $57,033
93.217 Family Planning_services $56,907
93.669 Child Abuse and Neglect State Grants $55,296
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $55,000
16.021 Justice Systems Response to Families $53,487
93.253 Poison Center Support and Enhancement Grant $40,520
93.439 State Physical Activity and Nutrition (span $34,000
11.307 Economic Adjustment Assistance $33,508
16.754 Harold Rogers Prescription Drug Monitoring Program $32,962
17.285 Apprenticeship USA Grants $26,312
16.742 Paul Coverdell Forensic Sciences Improvement Grant Program $20,000
66.032 State Indoor Radon Grants $5,007
66.605 Performance Partnership Grants $1,388
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $477
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $100
93.110 Maternal and Child Health Federal Consolidated Programs $-455
16.812 Second Chance Act Reentry Initiative $-25,834
21.019 Coronavirus Relief Fund $-87,542
93.667 Social Services Block Grant $-248,432