Finding 518008 (2024-003)

-
Requirement
C
Questioned Costs
$1
Year
2024
Accepted
2025-01-07

AI Summary

  • Core Issue: The Company received $215,192 in federal funds before incurring the related expenses, violating reimbursement requirements.
  • Impacted Requirements: Non-compliance with 2 CFR 200.305 and 200.334, which mandate timely liquidation of obligations and proper invoicing practices.
  • Recommended Follow-Up: The Company should return the advance funds and improve internal controls to ensure compliance with federal reimbursement rules.

Finding Text

Cash Management Grantor: Department of Health and Human Services Pass Through Entity: Advanced Regenerative Manufacturing Institute, Inc. Award Name: Hospital Preparedness Program (HPP) Ebola Preparedness and Response Activities Award Number: IDSEP22005-003 Assistance Listing Number: 93.817 Award Year: June 1, 2023-September 30, 2023 Criteria In accordance with 2 CFR 200.305 (b)(3), reimbursement is the preferred method when the requirements in paragraph (b) cannot be met, when the Federal awarding agency sets a specific condition per 2 CFR 200.208, or when the non-Federal entity requests payment by reimbursement. In accordance with 2 CFR 200.334 (c) and (e), a subrecipient must liquidate all financial obligations incurred under a subaward no later than 90 calendar days after the conclusion of the period of performance of the subaward (or an earlier date as agreed upon by the pass-through entity and subrecipient). The subrecipient must promptly refund any unobligated funds that the pass-through entity paid and that are not authorized to be retained. Condition In testing the period of performance compliance requirement in accordance with the OMB Compliance Supplement, we requested support for the expenditures on the FY2024 Schedule of Federal Awards, as they were outside of the period of performance of the subaward, which ended September 30, 2023. The Company issued an invoice to Advanced Regenerative Manufacturing Institute, the Prime awardee, for $215,192 on September 14, 2023, but did not incur those expenses until after the period of performance of the subaward. Therefore, the Company requested and received the funds in advance of incurring the expenses. Further, the Company did not liquidate its obligations under the subaward within the required 90 calendar days after the conclusion of the performance of the subaward, as expenditures were recorded through August 2024. There were no terms in the award that allowed retention of unused funds. Cause The grant personnel were not aware of the invoicing requirements under the reimbursement method and invoiced the Prime awardee in advance of incurring the associated costs. Effect Federal funds were obtained in advance of incurring costs and outside of the period of performance of the subaward. Questioned Costs $215,192 Recommendation We recommend that the Company return the advance funds received to the Prime. Further, the Company should consider the need for clarifying and/or enhancing existing internal control procedures to ensure expenditures are paid in compliance with Federal reimbursement requirements and that requests for reimbursement are reviewed and validated against supporting documentation to identify any discrepancies prior to requesting reimbursement. Management’s Views and Corrective Action Plan Management’s Views and Corrective Action Plan are included at the end of this report after the summary schedule of prior audit findings and status.

Corrective Action Plan

Cash Management Management agrees with the finding and the auditor's recommendation. There was confusion at the time of this agreement as the nature of the work was in line with providing institutional services rather than a federal grant agreement. This led to a misunderstanding of cash management requirements due to the nature of the award. Mass General Brigham (MGB) has removed the $215K of questioned costs from the Schedule of Expenditures of Federal Awards (SEFA). The funding will be returned to Advanced Regenerative Manufacturing Institute, Inc. in January 2025. Additionally, management will review the limited instances where departments have been previously approved to request federal cash. This review is to confirm that an exception to the standard practice of managing this through the central Research Finance team is appropriate. Based on results of this review, to be completed by March 2025, management will determine criteria and prior approval requirements for departments to request federal cash if MGB concludes this practice will continue on a limited exception basis. The review will be conducted with oversight by the MGB Vice President of Research Management and Research Finance and the MGB Research Controller.

Categories

Questioned Costs Subrecipient Monitoring Cash Management Period of Performance

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
84.268 Federal Direct Student Loans $39.94M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $39.40M
93.838 Lung Diseases Research $6.69M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $5.15M
93.351 Research Infrastructure Programs $4.83M
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $4.33M
93.242 Covid-19 Mental Health Research Grants $2.73M
93.286 Covid-19 Discovery and Applied Research for Technological Innovations to Improve Human Health $2.49M
93.788 Opioid Str $1.86M
93.173 Research Related to Deafness and Communication Disorders $1.84M
93.867 Vision Research $1.77M
93.859 Biomedical Research and Research Training $1.58M
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $1.54M
93.213 Research and Training in Complementary and Integrative Health $1.43M
93.273 Alcohol Research Programs $1.37M
93.233 National Center on Sleep Disorders Research $1.24M
93.940 Hiv Prevention Activities Health Department Based $1.22M
93.172 Human Genome Research $1.18M
93.817 Covid-19 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.07M
93.859 Covid-19 Biomedical Research and Research Training $1.04M
47.076 Stem Education (formerly Education and Human Resources) $896,964
12.420 Military Medical Research and Development $774,604
93.084 Prevention of Disease, Disability, and Death by Infectious Diseases $752,076
93.113 Environmental Health $607,506
93.917 Hiv Care Formula Grants $603,859
12.750 Covid-19 Uniformed Services University Medical Research Projects $587,414
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $585,532
93.279 Covid-19 Drug Abuse and Addiction Research Programs $583,667
17.268 H-1b Job Training Grants $568,118
93.121 Oral Diseases and Disorders Research $547,562
93.307 Minority Health and Health Disparities Research $503,415
93.839 Covid-19 Blood Diseases and Resources Research $487,604
93.307 Covid-19 Minority Health and Health Disparities Research $484,752
93.914 Hiv Emergency Relief Project Grants $469,666
93.RD Covid-19 Biomedical Advanced Research and Development Authority $437,812
93.349 Packaging and Spreading Proven Pediatric Weight Management Interventions for Use by Low-Income Families $407,576
93.395 Cancer Treatment Research $381,714
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $380,530
93.226 Research on Healthcare Costs, Quality and Outcomes $359,495
93.393 Cancer Cause and Prevention Research $340,295
93.732 Covid-19 Mental and Behavioral Health Education and Training Grants $334,517
93.855 Covid-19 Allergy and Infectious Diseases Research $327,461
12.431 Basic Scientific Research $323,987
93.493 Congressional Directives $300,354
14.241 Housing Opportunities for Persons with Aids $299,093
64.054 Research and Development $291,255
81.135 Advanced Research Projects Agency - Energy $272,301
93.U01 U.s. Department of Justice Contracts $256,974
93.959 Block Grants for Prevention and Treatment of Substance Abuse $251,576
47.075 Social, Behavioral, and Economic Sciences $250,610
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $241,821
93.136 Injury Prevention and Control Research and State and Community Based Programs $237,444
93.172 Covid-19 Human Genome Research $233,078
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $227,035
12.351 Scientific Research - Combating Weapons of Mass Destruction $225,283
12.800 Air Force Defense Research Sciences Program $222,073
93.113 Covid-19 Environmental Health $221,261
93.RD U.s. Department of State Contracts $217,588
93.RD U.s. Department of Energy Contracts $216,128
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $215,629
81.049 Office of Science Financial Assistance Program $214,212
16.842 Opioid Affected Youth Initiative $209,033
12.300 Basic and Applied Scientific Research $208,291
93.879 Covid-19 Medical Library Assistance $198,655
93.495 Covid-19 Community Health Workers for Public Health Response and Resilient $192,516
93.084 Covid-19 Prevention of Disease, Disability, and Death by Infectious Diseases $183,831
93.RD Federal Communications Commission Contracts $171,801
93.U02 Substance Abuse and Mental Health Services Administration Contracts $170,878
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $166,827
93.368 21st Century Cures Act - Precision Medicine Initiative $165,633
93.310 Covid-19 Trans-Nih Research Support $158,404
10.001 Agricultural Research Basic and Applied Research $153,514
47.084 Nsf Technology, Innovation, and Partnerships $152,779
20.614 National Highway Traffic Safety Administration (nhtsa) Discretionary Safety Grants and Cooperative Agreements $148,634
93.RD Covid-19 Centers for Diseases Control and Prevention Contracts $147,232
93.604 Assistance for Torture Victims $143,142
93.865 Covid-19 Child Health and Human Development Extramural Research $135,266
93.173 Covid-19 Research Related to Deafness and Communication Disorders $127,901
93.397 Cancer Centers Support Grants $116,277
93.276 Drug-Free Communities Support Program Grants $115,577
12.750 Uniformed Services University Medical Research Projects $111,986
93.184 Disabilities Prevention $107,552
93.839 Blood Diseases and Resources Research $107,253
19.345 International Programs to Support Democracy, Human Rights and Labor $102,051
93.RD Centers for Diseases Control and Prevention Contracts $101,439
93.941 Hiv Demonstration, Research, Public and Professional Education Projects $101,344
93.250 Geriatric Academic Career Awards Department of Health and Human Services $101,250
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $98,045
93.825 Covid-19 National Ebola Training and Education Center (netec) $97,709
93.273 Covid-19 Alcohol Research Programs $97,200
93.RD U.s. Food & Drug Administration Contracts $95,743
93.RD Federal Aviation Administration Contracts $92,662
93.226 Covid-19 Research on Healthcare Costs, Quality and Outcomes $92,445
93.393 Covid-19 Cancer Cause and Prevention Research $89,637
93.110 Maternal and Child Health Federal Consolidated Programs $87,720
93.262 Occupational Safety and Health Program $86,565
93.686 Covid-19 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B $79,936
93.326 Strengthening Public Health Through Surveillance, Epidemiologic Research, Disease Detection and Prevention $78,357
93.738 Pphf: Racial and Ethnic Approaches to Community Health Program Financed Solely by Public Prevention and Health Funds $78,151
93.U03 Centers for Diseases Control and Prevention Contracts $73,401
93.186 National Research Service Award in Primary Care Medicine $73,273
16.575 Crime Victim Assistance $66,146
93.837 Cardiovascular Diseases Research $64,823
93.RD U.s. Department of Justice Contracts $63,804
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $57,907
47.049 Mathematical and Physical Sciences $57,716
93.235 Title V State Sexual Risk Avoidance Education (title V State Srae) Program $57,388
93.879 Medical Library Assistance $56,836
93.865 Child Health and Human Development Extramural Research $56,307
93.242 Mental Health Research Grants $54,840
93.RD Covid-19 National Institutes of Health Contracts $54,429
93.398 Cancer Research Manpower $51,865
47.074 Biological Sciences $51,686
93.RD Consumer Product Safety Commission Contracts $51,394
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $50,841
93.867 Covid-19 Vision Research $48,793
93.853 Covid-19 Extramural Research Programs in the Neurosciences and Neurological Disorders $48,266
93.978 Sexually Transmitted Diseases (std) Provider Education Grants $47,396
93.310 Trans-Nih Research Support $45,869
93.RD Covid-19 U.s. Food & Drug Administration Contracts $45,590
93.928 Special Projects of National Significance $44,561
93.264 Nurse Faculty Loan Program (nflp) $43,601
93.384 Advanced Research Projects Agency for Health (arpa-H) $42,969
93.838 Covid-19 Lung Diseases Research $42,629
93.361 Covid-19 Nursing Research $42,448
93.398 Covid-19 Cancer Research Manpower $41,418
93.RD National Aeronautics and Space Administration Contracts $39,915
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $35,868
93.135 Centers for Research and Demonstration for Health Promotion and Disease Prevention $34,560
93.143 Niehs Superfund Hazardous Substances_basic Research and Education $31,300
93.RD Biomedical Advanced Research and Development Authority $29,862
93.989 International Research and Research Training $29,272
93.048 Special Programs for the Aging, Title Iv, and Title Ii, Discretionary Projects $29,271
14.267 Continuum of Care Program $28,683
93.RD National Institutes of Health Contracts $28,531
93.846 Covid-19 Arthritis, Musculoskeletal and Skin Diseases Research $28,393
93.394 Covid-19 Cancer Detection and Diagnosis Research $26,857
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $25,764
93.185 Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects $25,000
93.855 Allergy and Infectious Diseases Research $23,700
47.083 Integrative Activities $22,765
93.044 Special Programs for the Aging, Title Iii, Part B, Grants for Supportive Services and Senior Centers $22,728
12.420 Covid-19 Military Medical Research and Development $22,620
93.394 Cancer Detection and Diagnosis Research $22,588
93.RD U.s. Department of Transportation Contracts $19,560
93.860 Covid-19 Emerging Infections Sentinel Networks $19,179
93.732 Mental and Behavioral Health Education and Training Grants $15,876
11.609 Measurement and Engineering Research and Standards $15,732
93.318 Covid-19 Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity and Security $14,583
43.001 Science $14,176
93.359 Nurse Education, Practice Quality and Retention Grants $13,333
93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance $13,215
93.301 Small Rural Hospital Improvement Grant Program $12,912
16.582 Crime Victim Assistance/discretionary Grants $12,900
93.RD Agency for Healthcare Research and Quality Contracts $12,471
93.738 Covid-19 Pphf: Racial and Ethnic Approaches to Community Health Program Financed Solely by Public Prevention and Health Funds $11,436
93.067 Global Aids $11,344
93.433 Acl National Institute on Disability, Independent Living, and Rehabilitation Research $10,812
10.569 Emergency Food Assistance Program (food Commodities) $10,192
47.075 Covid-19 Social, Behavioral, and Economic Sciences $9,096
93.077 Family Smoking Prevention and Tobacco Control Act Regulatory Research $9,001
11.307 Economic Adjustment Assistance $8,852
93.RD Department of Defense Contracts $7,035
93.145 Hiv-Related Training and Technical Assistance $6,877
93.847 Covid-19 Diabetes, Digestive, and Kidney Diseases Extramural Research $6,817
93.361 Nursing Research $6,680
47.079 Office of International Science and Engineering $6,480
93.RD Department of Veterans Affairs Contracts $5,319
93.052 National Family Caregiver Support, Title Iii, Part E $4,000
93.399 Cancer Control $3,021
93.866 Covid-19 Aging Research $2,909
93.686 Ending the Hiv Epidemic: A Plan for America — Ryan White Hiv/aids Program Parts A and B $800
21.019 Covid-19 Coronavirus Relief Fund $669
47.070 Computer and Information Science and Engineering $403
93.866 Aging Research $0
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $0
93.389 National Center for Research Resources $0
93.129 Technical and Non-Financial Assistance to Health Centers $-61
93.103 Food and Drug Administration Research $-91
93.RD Covid-19 Department of Defense Contracts $-509
47.041 Engineering $-563
93.279 Drug Abuse and Addiction Research Programs $-624
93.211 Telehealth Programs $-717
43.003 Exploration $-835
10.331 Covid-19 Food Insecurity Nutrition Incentive Grants Program $-859
93.121 Covid-19 Oral Diseases and Disorders Research $-1,233
19.040 Public Diplomacy Programs $-1,661
93.837 Covid-19 Cardiovascular Diseases Research $-1,788
93.266 Health Systems Strengthening and Hiv/aids Prevention, Care and Treatment Under the President's Emergency Plan for Aids Relief $-2,678
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $-4,197
12.910 Research and Technology Development $-6,345
98.006 Foreign Assistance to American Schools and Hospitals Abroad (asha) $-8,454
93.396 Cancer Biology Research $-8,686
98.001 Usaid Foreign Assistance for Programs Overseas $-10,345
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $-16,685
16.320 Services for Trafficking Victims $-17,297
84.411 Education Innovation and Research (formerly Investing in Innovation (i3) Fund) $-22,320
93.350 Covid-19 National Center for Advancing Translational Sciences $-22,499
93.958 Block Grants for Community Mental Health Services $-60,766
93.326 Covid-19 Strengthening Public Health Through Surveillance, Epidemiologic Research, Disease Detection and Prevention $-73,205
93.350 National Center for Advancing Translational Sciences $-276,949