Finding 997805 (2022-001)

-
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 312296
Organization: Novant Health, Inc. (NC)

AI Summary

  • Core Issue: A first tier subaward of $128,218 to Duke University was not reported in the FSRS system as required by FFATA.
  • Impacted Requirements: FFATA mandates that prime grant recipients report all subawards over $30,000 within a month of issuance.
  • Recommended Follow-Up: Implement a contract summarization control to ensure all reporting requirements are identified and reviewed before contract execution.

Finding Text

2022-001: First tier subawards were not reported on the Federal Funding Accountability and Transparency Act Subaward Reporting System (?FSRS?)Cluster: Not applicableFederal Granting Agency: Health Resources and Services Administration (?HRSA?)Award Name: Coordinated Services and Access to Research for Women, Infants, Children, and Youth (?Ryan White Part D Program?)Award #: 7 H12HA45378-01-00; 2 H12HA45378-02-00Assistance Listing #: 93.153Award Year: Fiscal year 2022Pass-through entity: N/ACondition:As part of PwC?s testing over the reporting requirements related to the Ryan White Part D Program, we identified a first tier subaward to Duke University in the amount of $128,218 during fiscal year 2022, and this subaward was not reported within the FSRS system, as required.Criteria:The Federal Funding Accountability and Transparency Act (?FFATA?) of 2006 requires full disclosure of all entities and organizations receiving federal funds, including grants, contracts, loans, and other assistance and payments. 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 in the FSRS system 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.Cause:Management did not perform a thorough review of the contract, which noted the FSRS reporting requirement related to subawards that was relevant to the Company and as such, they failed to file the required notification of subaward within the FSRS system for Duke University, a first tier subrecipient under the Ryan White Part D Program.Effect:The appropriate report was not filed and as such, the FSRS system did not appropriately include the first tier subaward from Novant Health to Duke University under the Ryan White Part D Program for fiscal year 2022.Recommendation:We recommend the Company implement a contract summarization control whereby the grant accountant (or designee) summarize all relevant aspects of the contract(s) for the fiscal year. This summary should then be reviewed by the grant/program coordinator prior to the start of the contract to ensure that all relevant requirements are included within the summary and to discuss with the appropriate individuals the plan to execute on each requirement.Management?s Views and Corrective Action Plan:Management?s views and corrective action plan is included at the end of this report after the summary schedule of prior audit findings and status.

Categories

Subrecipient Monitoring

Other Findings in this Audit

  • 421362 2022-001
    -
  • 421363 2022-001
    -
  • 421364 2022-002
    Significant Deficiency
  • 421365 2022-002
    Significant Deficiency
  • 421366 2022-002
    Significant Deficiency
  • 421367 2022-003
    Significant Deficiency
  • 421368 2022-003
    Significant Deficiency
  • 421369 2022-003
    Significant Deficiency
  • 997804 2022-001
    -
  • 997806 2022-002
    Significant Deficiency
  • 997807 2022-002
    Significant Deficiency
  • 997808 2022-002
    Significant Deficiency
  • 997809 2022-003
    Significant Deficiency
  • 997810 2022-003
    Significant Deficiency
  • 997811 2022-003
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $20.79M
93.461 Covid-19 Testing for the Uninsured $4.10M
32.006 Covid-19 Telehealth Program $1.12M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $313,575
93.889 National Bioterrorism Hospital Preparedness Program $260,655
93.778 Medical Assistance Program $211,892
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $131,539
93.155 Rural Health Research Centers $126,120
93.917 Hiv Care Formula Grants $111,074
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $88,295
93.110 Maternal and Child Health Federal Consolidated Programs $83,324
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $41,152
93.810 Paul Coverdell National Acute Stroke Program National Center for Chronic Disease Prevention and Health Promotion $35,175
93.226 Research on Healthcare Costs, Quality and Outcomes $17,308
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $15,661
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $12,308
93.865 Child Health and Human Development Extramural Research $4,309
93.470 Alzheimer's Disease Program Initiative (adpi) $3,391
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $2,426
93.969 Pphf Geriatric Education Centers $850