Finding 541826 (2024-002)

-
Requirement
B
Questioned Costs
$1
Year
2024
Accepted
2025-03-31

AI Summary

  • Core Issue: JHHS charged fringe benefits at a rate of 29%, exceeding the agreed-upon rate of 27% for the Healthy Start Initiative.
  • Impacted Requirements: This violates 2 CFR 200.431(c), which allows fringe benefits only if they are reasonable and within the negotiated rate.
  • Recommended Follow-Up: JHHS should implement a process to ensure compliance with the agreed-upon fringe rate and seek prior approval for any modifications.

Finding Text

2024-002: Healthy Start Fringe Rate Grantor: Department of Health and Human Services Program Title: Healthy Start Initiative Award Name: Healthy Start Initiative‐Eliminating Racial/Ethnic Disparities Award Number: H4927805 Assistance Listing Title: Healthy Start Initiative Assistance Listing Number: 93.926 Award Year: April 1, 2023 – August 31, 2024 Passthrough Entity: None Criteria Per 2 CFR 200.431(c), the cost of fringe benefits are allowable provided that the benefits are reasonable. Condition Per the Johns Hopkins All Children's Hospital, Inc. Hospital Rate Agreement dated 12/23/2022, the agreedupon fringe rate was 27% for the period 7/1/2022 to 6/30/2026. JHHS charged costs for fringe benefits to the award at the rate of 29% during the 2024 fiscal year. Cause Since the Notice of Award #4H49MC27805-10-05 stated that up to 25% of the total approved budget may be reallocated within the approved categories without prior approval, management believed they were allowed to charge fringe costs at a rate higher than the agreed-upon negotiated rate if the difference in cost did not exceed 25% of the budget. Effect JHHS charged $5,906 of additional fringe costs to the award in excess of the agreed-upon negotiated rate. Questioned Costs The $5,906 of additional fringe charged to this award in excess of agreed-upon fringe rate is a questioned cost. Recommendation JHHS should establish a process to ensure that the appropriate or agreed-upon negotiated fringe rate is being used, unless the award agreement allows for any modification of the negotiated rate or prior agency approval is obtained. Management’s Views and Corrective Action Plan Refer to Management’s View’s and Corrective Action Plan at the end of the report.

Corrective Action Plan

Finding 2024-002: Healthy Start Fringe Rate Grantor: Department of Health and Human Services Program Title: Healthy Start Initiative Award Name: Healthy Start Initiative‐Eliminating Racial/Ethnic Disparities Award Number: H4927805 Assistance Listing Title: Healthy Start Initiative Assistance Listing Number: 93.926 Award Year: April 1, 2023 – August 31, 2024 Passthrough Entity: None Management agrees with the finding and recommendation. The fringe benefits were originally budgeted at 27% on the initial grant application in 2019 which has been approved by the awarding agency. The actual fringe rate posted to each department increased to 29% in FY2024. Management utilized the 29% fringe rate to charge the award based on a provision noted on the award granting the permission to re-allocate up to 25% of the award amount in each budgeted category. Management will establish a quarterly review process owned by Finance to ensure the appropriate or agreed-upon negotiated fringe rate is being charged for all awards. Management will contact DHHS for instruction on returning the funds as the FY25 benefit calculation will be adjusted to remove $5,906 of excess benefits for the Healthy Start grant. Management will remediate this finding by June 30, 2025.

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
84.181 Special Education-Grants for Infants and Families $2.23M
93.817 Hospital Preparedness Program (hpp) Ebola Preparedness and Response Activities $1.04M
93.926 Healthy Start Initiative $1.03M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $1.01M
93.RD National Institute of Neurological Disorders & Stroke Direct Award $513,131
93.493 Consolidated Appropriations Act $321,225
93.958 Block Grants for Community Mental Health Services $287,801
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $250,000
93.865 Child Health and Human Development Extramural Research $193,807
93.994 Maternal and Child Health Services Block Grant to the States $121,735
93.839 Blood Diseases and Resources Research $114,275
93.310 Trans-Nih Research Support $104,069
93.395 Cancer Treatment Research $103,975
93.788 Opioid Str $71,989
93.969 Pphf Geriatric Education Centers $65,163
93.959 Block Grants for Prevention and Treatment of Substance Abuse $49,243
10.558 Child and Adult Care Food Program $45,056
93.889 National Bioterrorism Hospital Preparedness Program $32,629
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $30,000
93.110 Maternal and Child Health Federal Consolidated Programs $16,646
93.838 Lung Diseases Research $15,903
10.559 Summer Food Service Program for Children $7,371
93.226 Research on Healthcare Costs, Quality and Outcomes $4,444
93.855 Allergy and Infectious Diseases Research $4,000
93.837 Cardiovascular Diseases Research $225
93.461 Covid-19 Hrsa Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $-434,379