Finding 404235 (2023-001)

Significant Deficiency
Requirement
F
Questioned Costs
-
Year
2023
Accepted
2024-06-28
Audit: 310992
Auditor: Kpmg LLP

AI Summary

  • Core Issue: Lifespan failed to maintain accurate records for 4 out of 40 federally acquired equipment items, violating 2 CFR 200.313 requirements.
  • Impacted Requirements: Non-compliance with property record maintenance and physical inventory reconciliation every 2 years as mandated by federal regulations.
  • Recommended Follow-up: Lifespan should review and enhance its equipment tracking and disposal policies, with a communication plan to all departments by July 15, 2024.

Finding Text

Criteria: Non federal entities other than states must follow 2 CFR sections 200.313(c) through (e) which require that property records must be maintained and include various information including, but not limited to, a description of the property, a serial number or identification number, the location, use and condition of the property, and any ultimate disposition data including the date of disposal (2 CFR section 200.313(d)(1). Further, 2 CFR section 200.313(d)(2) required that a physical inventory of the property must be taken and the results reconciled with the property records at least once every 2 years. When original or replacement equipment acquired under a federal award is no longer needed for a federal program, the non federal entity must request disposition instructions from the federal awarding agency if required by the terms and conditions of the award. Title 2 U.S. Code of Federal Regulations Part 200 (2CFR 200) Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, section 303(a) states, the non Federal entity must 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 statues, 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). Condition: 40 items of equipment were selected from all equipment acquired under federal awards from Lifespan’s property records and were physically inspected for safeguarding and proper maintenance. Of the 40 items selected, we noted 4 items could not be located by Lifespan or evidence that the items were properly disposed could not be provided in accordance with the requirements outlined above. Possible Asserted Cause and Effect: In each of the four instances, Lifespan did not follow appropriate processes, procedures and internal controls to timely and appropriately maintain accurate equipment records. Identification of Questioned Costs: Not determinable. Whether Sampling was Statistically Valid: The sample was not intended to be, and was not, a statistically valid sample. Identification of Whether the Audit Finding was a Repeat Finding: This is not a repeat finding. Recommendation: We recommend that Lifespan review its current policies and procedures to ensure that equipment acquired under federal awards is appropriately inventoried and records are updated to ensure compliance with federal regulations. Views of Responsible Officials: Lifespan agrees with the finding as departments did not consistently follow its equipment tracking, storage, and disposal policies and procedures related to equipment purchased with federal funding. The following steps will be taken to address the finding: All departments of Lifespan will receive a notice from the Office of Research Administration that equipment tags, proper storage, and timely disposal of equipment are an integral part of the internal control process for capital assets. The Office of Research Administration communication will be sent to all impacted departments by July 15, 2024 and office hours will be made available for any departments that have questions. Contact: Lifespan Office of Research Administration: Daniel Bryant, Director Research Operations 401-444-6893. DBryant@lifespan.org Mindy Marshall, Director Grants and Contracts 401-444-4487. MMarshall6@lifespan.org Leslie Simone, Research Information Systems 401-444-8696. LVarone@lifespan.org. Expected Implementation: July 15, 2024

Corrective Action Plan

Lifespan agrees with the finding as departments did not consistently follow its equipment tracking, storage, and disposal policies and procedures related to equipment purchased with federal funding. The following steps will be taken to address the finding: All departments of Lifespan will receive a notice from the Office of Research Administration that equipment tags, proper storage, and timely disposal of equipment are an integral part of the internal control process for capital assets. The Office of Research Administration communication will be sent to all impacted departments by July 15, 2024 and office hours will be made available for any departments that have questions. Contact: Lifespan Office of Research Administration: Daniel Bryant, Director Research Operations 401-444-6893. DBryant@lifespan.org Mindy Marshall, Director Grants and Contracts 401-444-4487. MMarshall6@lifespan.org Leslie Simone, Research Information Systems 401-444-8696. LVarone@lifespan.org. Expected Implementation: July 15, 2024

Categories

Equipment & Real Property Management

Other Findings in this Audit

  • 980677 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $10.64M
93.498 Provider Relief Fund $8.98M
84.419 Preschool Development Grants $943,390
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $918,038
93.233 National Center on Sleep Disorders Research $881,466
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $793,002
21.027 Coronavirus State and Local Fiscal Recovery Funds $729,752
93.110 Maternal and Child Health Federal Consolidated Programs $718,191
93.696 Certified Community Behavioral Health Clinic Expansion Grants $688,085
14.879 Mainstream Vouchers $681,813
93.349 Pediatric Weight Management Interventions $554,822
93.958 Block Grants for Community Mental Health Services $358,486
93.113 Environmental Health $264,187
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $234,270
93.855 Allergy, Immunology and Transplantation Research $225,267
93.136 Injury Prevention and Control Research and State and Community Based Programs $201,092
93.928 Special Projects of National Significance $188,207
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $185,030
93.575 Child Care and Development Block Grant $159,075
16.560 National Institute of Justice Research, Evaluation, and Development Project Grants $146,015
93.047 Special Programs for the Aging_title Vi, Part A, Grants to Indian Tribes_part B, Grants to Native Hawaiians $145,755
20.616 National Priority Safety Programs $142,795
16.575 Crime Victim Assistance $108,011
93.070 Environmental Public Health and Emergency Response $100,175
93.865 Child Health and Human Development Extramural Research $98,967
14.218 Community Development Block Grants/entitlement Grants $96,909
20.600 State and Community Highway Safety $95,770
17.258 Wia Adult Program $87,717
93.083 Prevention of Disease, Disability, and Death Through Immunization and Control of Respiratory and Related Diseases $82,922
16.015 Missing Alzheimer's Disease Patient Assistance Program $81,500
93.127 Emergency Medical Services for Children $79,670
93.394 Cancer Detection and Diagnosis Research $78,139
10.555 National School Lunch Program $73,710
93.495 Community Health Workers for Public Health Response and Resilient $68,605
94.013 Volunteers in Service to America $59,102
93.365 Sickle Cell Treatment Demonstration Program $57,969
93.994 Maternal and Child Health Services Block Grant to the States $56,233
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $51,986
93.396 Cancer Biology Research $47,553
93.989 International Research and Research Training $40,837
93.839 Blood Diseases and Resources Research $37,819
10.553 School Breakfast Program $37,645
93.121 Oral Diseases and Disorders Research $35,464
93.145 Aids Education and Training Centers $34,562
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $34,052
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $33,445
93.137 Community Programs to Improve Minority Health Grant Program $33,170
93.226 Research on Healthcare Costs, Quality and Outcomes $32,685
93.778 Medical Assistance Program $32,068
93.879 Medical Library Assistance $31,101
93.310 Trans-Nih Research Support $30,080
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $29,785
93.393 Cancer Cause and Prevention Research $27,320
93.242 Mental Health Research Grants $25,961
12.750 Uniformed Services University Medical Research Projects $25,083
93.350 National Center for Advancing Translational Sciences $24,268
93.838 Lung Diseases Research $21,661
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $20,548
93.397 Cancer Centers Support Grants $19,382
93.273 Alcohol Research Programs $18,915
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $16,830
93.U01 Non-Research Other $15,919
47.041 Engineering $12,608
12.420 Military Medical Research and Development $11,970
64.999 Veterans Affairs $11,627
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $11,234
93.307 Minority Health and Health Disparities Research $10,184
93.270 Adult Viral Hepatitis Prevention and Control $9,453
93.837 Cardiovascular Diseases Research $8,868
93.395 Cancer Treatment Research $8,237
10.582 Fresh Fruit and Vegetable Program $5,495
93.361 Nursing Research $5,236
93.213 Research and Training in Complementary and Integrative Health $4,595
93.U01 Research $3,986
12.910 Research and Technology Development $3,346
93.859 Biomedical Research and Research Training $2,787
93.940 Hiv Prevention Activities_health Department Based $2,664
93.866 Aging Research $1,535
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $1,302
47.070 Computer and Information Science and Engineering $1,117
93.279 Drug Abuse and Addiction Research Programs $861
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $715
93.788 Medical Assistance Program $-3,982