Finding 538848 (2024-001)

Material Weakness
Requirement
ABHN
Questioned Costs
$1
Year
2024
Accepted
2025-03-28
Audit: 349566
Organization: Luminis Health, Inc. (MD)
Auditor: Kpmg LLP

AI Summary

  • Core Issue: The Company needs to ensure that only allowable expenses are reported to the awarding agency and that a duplication of benefits analysis is conducted before grant obligations.
  • Impacted Requirements: Compliance with FEMA's updated guidance on duplication of benefits, which now mandates analysis for all submitted costs.
  • Recommended Follow-Up: Strengthen controls around expense reporting and conduct thorough duplication of benefits analyses to align with FEMA requirements before future grant submissions.

Finding Text

Recommendation We recommend that the Company maintain controls to ensure that the expenses reported to the awarding agency only include allowable amounts and that a duplication of benefits analysis is performed prior to the grants being obligated, if applicable. View of Responsible Officials Management acknowledges the finding and has an established duplication of benefits review process to ensure that only allowable costs are reported to the awarding agency. The Company notes that the initial duplication of benefits guidance was released at the same time as the submission of the costs related to this grant. Our understanding was that such funds were obligated prior to FEMA’s duplication of benefits analysis review due to the initial documentation provided. FEMA subsequently released clarified guidance in December 2023 and determined that it would require a duplication of benefits analysis for all of the costs submitted. We submitted our duplication of benefit analysis based on an analysis that we believed was reasonable, but it was ultimately determined by FEMA that the initial analysis needed to be revised. As a result, in December 2024, we agreed to reduce our project requests, which resulted in the de-obligation of certain costs related to this specific grant/project.

Corrective Action Plan

In December 2024, Luminis Health, Inc. accepted FEMA’s finding and did not pursue a revision of their duplication of benefits. As a result, $493,606 of costs previously obligated under the award have been de-obligated as they were not allowable costs due to the duplication of benefits finding. The Company has implemented controls to ensure that the expenses reported to the awarding agency only include allowable amounts and that a duplication of benefits analysis is performed prior to the grants being obligated with FEMA. The corrective action has been implemented and completed prior to the release of the audit report for June 30, 2024.

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1115290 2024-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $809,344
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $340,477
12.750 Uniformed Services University Medical Research Projects $1,197
93.394 Cancer Detection and Diagnosis Research $1,057