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U.S. ENVIRONMENTAL PROTECTION AGENCY
OFFICE OF INSPECTOR GENERAL
                             Catalyst for Improving the Environment
Attestation Report
    Costs Claimed by the Alaska Native
    Tribal Health Consortium Under EPA
    Interagency Agreement DW 75-95754001

    Report No. 10-4-0241
    September 30, 2010

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Report Contributors:                         Janet Lister
                                            Darren Schorer
                                            Jessica Knight
                                            Michael Owen
Abbreviations

ANTHC      Alaska Native Tribal Health Consortium
CFR         Code of Federal Regulations
CPA         Cooperative Project Agreement
DEFIE       Division of Environmental Health and Engineering
EPA         U.S. Environmental Protection Agency
HHS         U.S. Department of Health and Human Services
IA           Interagency Agreement
IHS          Indian Health Service
OGC         Office of General Counsel
OIG         Office of Inspector General
OMB         Office of Management and Budget
PFA         Project Funding Agreement
VSW         Village  Safe Water
Cover photo:   New Stuyahok, Alaska, sewage lagoon constructed by ANTHC and partially
               funded by IA DW 75-95754001. (Photo obtained from ANTHC Website)

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                  U.S. Environmental Protection Agency
                  Office of Inspector General

                  At  a   Glance
                                                         10-4-0241
                                                  September 30, 2010

Why We Did This
Examination
The U.S. Environmental
Protection Agency's (EPA's)
Office of Inspector General
reviewed outlays reported
under Interagency Agreement
(IA) DW 75-95754001 by the
Alaska Native Tribal Health
Consortium (ANTHC). The
purpose of the audit was to
determine whether ANTHC
complied with federal
requirements applicable to
EPA funding provided by the
IA.

Background
EPA awarded the IA to the
Indian Health Service (IHS).
The IA became effective in
July 2005 and provides
sanitation facilities for native
communities in Alaska. IHS is
providing the facilities funded
by the IA through sub-
agreements with ANTHC.
The IA as amended provides
$22,226,077 in federal
assistance from EPA.
For further information,
contact our Office of
Congressional, Public Affairs
and Management at
(202)566-2391.
To view the full report,
click on the following link:
www.epa.qov/oiq/reports/2010/
20100930-10-4-0241.pdf

                                                             Catalyst for Improving the Environment
Costs Claimed by the Alaska Native
Tribal Health Consortium Under
Interagency Agreement DW 75-95754001
 What We Found
ANTHC did not meet financial management requirements specified by Title 2,
Code of Federal Regulations, Part 225. In particular, ANTHC:

    •   Claimed indirect costs without approved rates or a certified proposal,
    •   Claimed labor costs that were not allocable,
    •   Claimed equipment costs that were not allocable,
    •   Claimed freight and material costs that were not allocable, and
    •   Claimed subcontract costs that were not allocable or allowable.

Because of these issues, EPA needs to recover $1,007,690 of costs questioned
under the IA. These issues also necessitate that EPA evaluate and other federal
agencies and the State  of Alaska consider evaluating costs claimed by ANTHC
under other funding agreements.
 What We Recommend
We recommend that EPA Region 10's Regional Administrator: (1) disallow
$1,493,893 in questioned costs, (2) recover $1,007,690 in questioned costs,
(3) require IHS to direct ANTHC to establish controls to ensure costs claimed
under the IA meet federal financial criteria, (4) designate ANTHC as a "high-risk"
recipient and require special conditions that establish additional oversight and
monitoring, and (5) evaluate costs claimed by ANTHC under other open funding
agreements to ensure costs meet federal criteria.

Region 10, IHS, and ANTHC disagreed with the findings and recommendations.
However, ANTHC provided a proposed management improvement plan with its
comments on the draft report to address some of the issues identified during our
examination. The recommendations are undecided pending resolution.

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                     UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                                    WASHINGTON, D.C. 20460

                                                                       THE INSPECTOR GENERAL
                                  September 3 0,2010

MEMORANDUM

SUBJECT:   Costs Claimed by the Alaska Native Tribal Health Consortium Under
             EPA Interagency Agreement DW 75-95754001
             Report No. 10-4-0241
FROM:      Arthur A. Elkins, Jr.
             Inspector General
TO:         Dennis McLerran
             Regional Administrator, Region 10
This is our report on the subject audit conducted by the Office of Inspector General (OIG) of the
U.S. Environmental Protection Agency (EPA).  This report contains findings that describe the
problems the OIG has indentified and corrective actions the OIG recommends. This report
represents the opinion of the OIG and does not necessarily represent the final EPA position.
EPA managers in accordance with established audit resolution procedures will make final
determination on matters in this report.

The estimated cost of this report - calculated by multiplying the project's staff days by the
applicable daily full cost billing rates in effect at the time - is $750,973.

Action Required

In accordance with EPA Manual 2750, Chapter 3, Section 6(f), you are required to provide us
your proposed management decision for resolution of the findings contained in this report before
you formally complete resolution with the recipient. As part of the audit resolution process, your
proposed decision is due in 120 days, or on January 27, 2011.  To expedite the resolution
process, please e-mail an electronic version of your proposed management decision to
adachi.robert@epa.gov. Your response will be  posted on the OIG's public Website, along with
our comments on your response. Your response should be provided in an Adobe PDF file that
complies with the  accessibility requirements of section 508 of the Rehabilitation Act of 1973, as
amended. If your  response contains data that you do not want to be released to the public, you
should identify the data for redaction. You should include a corrective actions plan for agreed-
upon actions, including milestone dates.

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We have no objection to the further release of this report to the public.  This report will be
available at http://www.epa.gov/oig. If you or your staff have any questions regarding this
report, please contact Robert Adachi at (415) 947-4537 or adachi.robert@epa.gov, or Michael
Owen at (206) 553-2542 or owen.michael@epa.gov.

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Costs Claimed by the Alaska Native Tribal Health Consortium                     10-4-0241
Under EPA Interagency Agreement DW 75-95754001
                      Table of Contents
   Introduction	     1

        Purpose	     1
        Background	     1

   Independent Attestation Report	     2

   Results of Examination	     5

        Indirect Costs Claimed Without Approved Rates or Certified Proposal	     6
        Labor Costs Not Allocable to IA	     7
        Equipment Costs Not Allocable to IA	     7
        Freight Costs Not Allocable to IA	     8
        Material Costs Not Allocable to IA	     8
        Subcontract Costs Not Allocable to IA or Allowable	     9
        Primary Causes for Questioned Costs	    10
        Conclusion	    12
        Recommendations	    13
        Region 10 and Recipient Comments	    13
        OIG Response	    14

   Status of Recommendations and Potential Monetary Benefits	    16
Appendices
   A    Region 10's Comments on the Draft Report
        and OIG's Evaluation	    17

   B    Indian Health Service's Comments on the Draft Report
        and OIG's Evaluation	    43

   C    Alaska Native Tribal Health Consortium's Comments
        on the Draft Report and OIG's Evaluation	    53

   D    Distribution	    82

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                                                                            10-4-0241
                                 Introduction
Purpose

The Office of Inspector General (OIG) reviewed outlays reported for projects included under
U.S. Environmental Protection Agency (EPA) Interagency Agreement (IA) DW 75-95754001 by
the Alaska Native Tribal Health Consortium (ANTHC). The general objective of this audit was
to determine whether ANTHC complied in all material respects with federal requirements
applicable to EPA funding provided by the IA. To meet the objective, the audit addressed the
following questions:

   •  Are costs claimed by ANTHC for projects funded through IA DW 75-95754001
      reasonable, allocable, and allowable?

   •  Are ANTHC accounting and billing practices for funding through IA DW 75-95754001
      in accordance with Title 2, Code of Federal Regulations (CFR), Part 225 (Office of
      Management and Budget Circular A-87)?

Background

EPA Region 10 awarded IA DW-75-95754001 to the Indian Health Service (fflS) with an
effective date of July 14, 2005.  The IA was awarded under Section 518 (c) of the Clean Water
Act of 1987, as amended by Public Law 100-4, to provide sanitation facilities for native
communities in Alaska. UTS is providing the facilities funded by the IA through sub-agreements
with ANTHC. Under the sub-agreements, ANTHC's Division of Environmental Health and
Engineering (DEHE) is managing the construction of the sanitation facilities.  The lA's budget
period started September 1, 2005,  and ends June 30, 2016. The IA has been amended four times
and provides $22,226,077 in EPA funding and $12,488,734 in IHS funding (or $34,714,811) for
33 facilities projects.

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                                                                            10-4-0241
                   Independent Attestation  Report
As part of our oversight of IA awards by EPA, we have examined ANTHC's compliance with
the requirements of Title 2 CFR Part 225 (Cost Principles for State, Local, Indian Tribal
Governments) applicable to the outlays for IA DW 75-95754001.  By accepting the funding
provided through the IA, ANTHC has responsibility for complying with these requirements. Our
responsibility is to express an opinion on ANTHC's compliance based on our examination.

Our examination was conducted in accordance with generally accepted government auditing
standards issued by the Comptroller General of the United States.  Our review was also
conducted in accordance with attestation standards established by the American Institute of
Certified Public Accountants and, accordingly, included examining, on a test basis, evidence
supporting management's assertion and performing such other procedures as we considered
necessary in the circumstances. We believe that our examination provides a reasonable basis for
our opinion.

We made site visits to EPA Region 10's offices in Seattle, Washington, and Anchorage, Alaska,
and performed the following steps:

   •  Reviewed EPA IA DW 75-95754001 awarded to IHS and its modifications to determine
      criteria relevant to the examination.
   •  Reviewed all payments made under the IA to determine whether there were any
      indicators of irregularities.
   •  Reviewed progress reports for projects funded by the IA.
   •  Conducted interviews with EPA's proj ect officer for the IA to gather information
      concerning ANTHC's performance under the IA.

We made site visits to IHS' office in Anchorage, Alaska, and performed the following steps:

   •  Reviewed records showing payments made to ANTHC under the IA.
   •  Interviewed IHS managers to gain an understanding  of their oversight and monitoring
      activities for project work and payments funded under the IA.

We made site visits to the ANTHC's DEHE office in Anchorage, Alaska, and performed the
following steps:

   •  Reviewed requests for reimbursement to IHS under the IA.
   •  Selected a judgmental sample of costs reported in ANTHC's accounting system as
      incurred under the IA for the period ending January 29, 2009. Of the 33 projects funded
      by the IA, we selected cost transactions for the six projects with the highest recorded
      costs.  The recorded costs for the six projects represented 74 percent of the $9,878,940 in
      total recorded costs.  We judgmentally selected transactions for each major cost type
      from the six projects to obtain an understanding of accounting and billing practices and to
      determine whether costs were reasonable, allocable,  and allowable.  Our judgmental

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                                                                               10-4-0241


       sample represented $3,424,611 of the $9,878,940 (or approximately 35 percent) in total
       costs reported under the IA.  Because we judgmentally selected the transactions, we did
       not project our results to the total recorded costs.
   •   Reviewed support for the judgmental sample of $3,424,611 in costs reported under the
       IA, including ANTHC's electronic accounting records, invoices, cancelled checks, and
       contracts.
   •   Conducted interviews of ANTHC personnel to gain an understanding of the
       organization's accounting system, internal controls, and costs reported under the IA.

We also made site visits to the State of Alaska Village Safe Water (VSW) program in
Anchorage, Alaska, and performed the following steps:

   •   Interviewed State of Alaska management and staff to gain an understanding of costs
       incurred under the IA for project work managed by the state.
   •   Reviewed support for a judgmental sample of $686,821 in costs incurred by VSW for
       projects funded through the IA and reported in ANTHC's accounting system as
       subcontract costs.  The $686,821 sample was part of the $3,424,611 total judgmental
       sample of costs reported in ANTHC's accounting system as incurred under the IA. The
       support for the costs included invoices and contracts.

We conducted our audit work between February 2009 and January 2010. Our examination
disclosed noncompliance and internal control weaknesses with financial management. In
particular, the ANTHC:

   •   Claimed indirect costs without approved rates or a certified cost proposal,
   •   Claimed labor costs that were not allocable,
   •   Claimed equipment costs that were not allocable,
   •   Claimed freight and material costs that were not allocable, and
   •   Claimed subcontract costs that were not allocable or allowable.

As a result, we have questioned costs of $1,493,893 and recommend EPA recover $1,007,690 of
these costs.

ANTHC is an inter-tribal consortium as defined by section 501(a)(5) of the Indian Self
Determination and Education Assistance Act, Public Law 93-638, as amended. ANTHC is also
a non-profit corporation and was formed for the purpose of providing all statewide health
services to Alaska Native Americans.  The IA was awarded under Section 518 (c) of the Clean
Water Act of 1987.  Section 518 (c) limits the funding for the IA to federally recognized Native
American tribes. Therefore, ANTHC qualifies for the funding as a federally recognized tribal
organization.  As a tribal recipient of federal funding under the IA, ANTHC is obligated to
comply with Title 2 CFR Part 225.

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                                                                             10-4-0241
In our opinion, because of the effect of the issues described above, ANTHC has not complied
with federal requirements for the period ending January 29, 2009.
Robert K. Adachi
Director for Forensic Audits

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                                                                            10-4-0241
                         Results of Examination
ANTHC did not meet financial management requirements specified by Title 2 CFR Part 225.  In
particular, ANTHC:

   •   Claimed indirect costs without approved rates or a certified proposal,
   •   Claimed labor costs that were not allocable,
   •   Claimed equipment costs that were not allocable,
   •   Claimed freight and material costs that were not allocable, and
   »   Claimed subcontract costs that were  not allocable or allowable.

Because of these issues, EPA needs to recover $1,007,690 of $1,493,893 in costs questioned
under the IA.  The questioned costs identified during the audit were primarily caused by a
mi scommuni cation between ANTHC and the U.S. Department of Health and Human Services
(HHS)  on the application of approved indirect rates and ANTHC's unfamiliarity with or
misinterpretation of:

   •   Federal indirect cost rate requirements,
   •   Basic criteria specified by federal cost principles, and
   •   Federal criteria for charging equipment costs.

Based on the findings above, ANTHC does  not meet the minimum requirements for a financial
management system and should be designated as a "high-risk" recipient in the Integrated Grants
Management System. Also, special conditions should be imposed on all current and future
awards of EPA funds to ANTHC.

Table 1 on the following page is a summary of the questioned costs.

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                                                                               10-4-0241
       Table 1:  Summary of Questioned Costs
Cost Category
Indirect
Labor
Equipment
Freight
Material
Subcontract
Total Costs Questioned
Amount Owed to EPA
Questioned
Costs Incurred
351,072
155,017
326,531
4,999
337,075
319,199
$1,493,893

Questioned
Costs Claimed
181,494
125,953
182,893
4,235
285,581
227,534
$1,007,690
$1,007,690
Note
1
2
3
4
5
6
7

       Sources:  Costs recorded in ANTHC's accounting system as of January 29, 2009.
       Costs questioned were based on OIG analysis of the costs.
Note 1:   See discussion under "Indirect Costs Claimed without Approved Rates or Certified Proposal"
         section below.

Note 2:   See discussion under "Labor Costs Not Allocable to IA" section below.

Note 3:   See discussion under "Equipment Costs Not Allocable to IA" section below.

Note 4:   See discussion under "Freight Costs Not Allocable to IA" section below.

Note 5:   See discussion under "Material Costs Not Allocable to IA" section below.

Note 6:   See discussion under "Subcontract Costs Not Allocable to IA or Allowable" below.

Note 7:   Total Questioned Costs Claimed represent questioned costs that have been reimbursed to
         ANTHC under the IA.

Indirect Costs Claimed Without Approved  Rates or Certified Proposal

ANTHC incurred indirect costs of $351,072 under the IA that did not meet the requirements of
Title 2 CFR Part 225.  Title 2 CFR Part 225, Appendix E, Sections D and E require an
organization claiming indirect costs under a federal award to either: (1) submit an indirect cost
rate proposal for negotiation and approval to the cognizant federal agency or (2) maintain a
certified proposal and supporting documentation on file for audit. During fiscal years 2008 and
2009, ANTHC incurred $77,231 in indirect costs for its corporate office and allocated these costs
to projects funded by the IA and managed by its DEHE. However, ANTHC only had approved
indirect cost rates for fiscal years 2006 and 2007 that were applicable for indirect costs incurred
by the corporate office for construction projects. ANTHC also did not have approved indirect
cost rates or a certified indirect cost rate proposal on file to support $273,841 in indirect costs for
DEHE allocated during fiscal years 2007 through 2009 to projects funded by the IA. As a result,
we question the $351,072 of indirect costs incurred under the IA as not allocable. Of the
$351,072, ANTHC claimed $181,494 for reimbursement under the IA.

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                                                                             10-4-0241
Labor Costs Not Allocable to IA

ANTHC incurred labor costs of $155,017 under the IA that did not meet the requirements of
Title 2 CFR Part 225. The $155,017 consisted of $128,925 in labor costs transferred to a project
funded by the IA and $26,092 of indirect costs. Title 2 CFR Part 225, Appendix A, Section
C. 1 .b, states that a cost must be allocable to the award in order to be allowable. Title 2 CFR Part
225, Appendix A,  Section C.3.C requires that any cost allocable to a particular award or other
cost objective may not be shifted to other federal awards to overcome funding deficiencies or to
avoid restrictions imposed by law or by terms of the award.

ANTHC incurred labor costs of $128,925 that were transferred from a project that is not funded
by the IA. ANTHC transferred $128,925 in costs from one phase of a sewer project for the City
of Fort Yukon that was funded by an EPA infrastructure grant to another phase of the project that
was funded by the IA. At the time of the transfer, ANTHC had exceeded the funding limit for
the infrastructure grant.  ANTHC could not demonstrate that the transferred costs benefited the
IA. Therefore, we question the $128,925 in labor costs as not allocable to the IA. ANTHC
claimed $109,229  of the $128,925 in questioned costs for reimbursement under the IA.

ANTHC also incurred indirect costs of $26,092 that were coded as labor costs for DEHE in the
accounting system. As discussed earlier in the report, ANTHC did not have the required
approved indirect cost rate agreements  or a certified indirect cost rate proposal on file to support
the costs incurred by DEHE. As a result, we question the $26,092 as an unallowable cost.  Of
the $26,092, ANTHC claimed $16,724 for reimbursement under the IA.

Equipment Costs  Not Allocable  to IA

ANTHC incurred equipment costs of $326,531 under the IA that were either not allocable or
allowable. These costs are summarized in Table 2 and discussed in detail below.

      Table 2: Equipment Costs Not Allocable or Allowable
Description
Equipment Cost Transfer Not Allocable to IA
Indirect Costs Classified as Equipment Costs Not Allocable to IA
Equipment Purchase Not Allocable to IA
Total Equipment Costs
Cost
$ 74,833
24,481
227,217
$326,531
       Source: Costs recorded in ANTHC's accounting system and OIG analysis of the costs.

Equipment Cost Transfer Not Allocable to IA

ANTHC transferred a $74,833 equipment cost that was not allocable to a project funded by the
IA for the City of Saint Michael.  The transferred cost was incurred for a water truck and
originally charged in the accounting system to another project for the City 2 years before the IA
was awarded. However, the cost was transferred to a newer project funded by the IA requiring a
septic tank pumper truck. ANTHC management stated that the transfer was a mistake and
agreed  to reverse the entry in the accounting system. Therefore, we question the $74,833  as not
allocable to the IA.  ANTHC claimed 100 percent of the questioned cost for reimbursement
under the IA.

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                                                                            10-4-0241
Indirect Costs Classified as Equipment Costs Not Allocable to IA

ANTHC also incurred equipment rental fees of $24,481 under the IA that were indirect costs for
DEHE. These indirect costs were included as an overhead component of ANTHC's equipment
rental fee methodology that was implemented in October 2007.  As discussed earlier in the
report, ANTHC did not have the required approved indirect cost rate agreements or a certified
indirect cost rate proposal on file to support the costs incurred by DEHE. Therefore, we could
not verify the cost as allocable to the IA. As a result, we question the $24,481 in costs as not
allocable to the IA.  Of the $24,481, ANTHC claimed $14,749 for reimbursement under the IA.

Equipment Purchase Not Allocable

ANTHC also purchased equipment with a cost of $227,217 that was not fully allocable to the IA.
ANTHC's justification for the purchase identified that the equipment was intended to be funded
by a 2005 water and sewer project for the City of Fort Yukon. This project was funded through
two federal  sources.  Approximately 49 percent of the project was funded by IHS and the
remaining 51 percent through the IA. However, ANTHC allocated 100 percent of the equipment
costs to a 2007 sewer project funded by EPA under the IA for the City of Fort Yukon. Because
the justification for the equipment purchase did not support that the cost was allocable to the
2007 EPA-funded work, we question the $227,217.  ANTHC claimed $93,311  of the $227,217
in questioned costs for reimbursement under the IA.

Freight Costs Not Allocable to IA

ANTHC transferred $4,999 in freight costs that were not allocable to a project funded by the IA.
ANTHC transferred $4,999 in freight costs from  a safe drinking water project for the City of
Hughes to the lA-funded part of a water and sewer project for the City of Fort Yukon. ANTHC
management stated that the transfer was made in error and it agreed to reverse the entry in the
accounting system.  Therefore, we  question the $4,999 freight costs incurred under the IA.
ANTHC claimed $4,235 of the $4,999 for reimbursement under the IA.

Material Costs Not Allocable  to IA

ANTHC transferred $337,075 in material costs that were not allocable to the IA. ANTHC
initially charged the material costs to a phase of a City of Fort Yukon sewer project that was not
funded by the IA. After completion of this phase, ANTHC transferred 100 percent of the
material costs to a newer phase of the project that was funded by the IA. However, ANTHC's
documentation supporting the costs did  not demonstrate that the transferred costs benefitted the
IA. As a result, we question the $337,075 in material costs incurred under the IA.  Of the
$337,075 in questioned costs, ANTHC claimed $285,581 for  reimbursement under the IA.

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                                                                              10-4-0241
Subcontract Costs Not Allocable to IA or Allowable

ANTHC incurred subcontract costs of $319,199 under the IA that were either not allocable or
allowable. These costs are summarized in Table 3 and discussed in detail below.

       Table 3: Subcontract Costs Not Allocable or Allowable
Description
Subcontract Costs Transfers Not Allocable to IA
Subcontract Costs for Equipment Rental Fees Not Allowable
Total Questioned Subcontract Costs
Cost
$130,622
188,577
$319,199
       Source: Costs recorded in ANTHC's accounting system and OIG analysis of the costs.

Subcontract Costs Transfers Not Allocable to IA

ANTHC made two transfers of subcontract costs totaling $130,622 that were not allocable to the
IA. The cost transfers were from two projects supported by State of Alaska and EPA funding
unrelated to the IA to two projects funded by the IA. One transfer removed $120,000 of
subcontract costs originally incurred under a 2003 sewer project for the City of Fort Yukon to a
newer sewer project for the City. This transfer was based on a lump-sum amount rather than
specific cost transactions. ANTHC also transferred $10,622 in subcontract costs from an older
sewer project for the City of Saint Michael to a newer sewer project  for the City based on cost-
overruns on the older project.  The supporting documentation for both transfers did not provide
an explanation and justification for the transfers.  Therefore, we could not verify whether the
transferred subcontract costs actually benefitted the two projects funded by the IA, and we
question the $130,622. ANTHC claimed $112,290 of the $130,622 in questioned costs for
reimbursement under the IA.

Unallowable Subcontract Costs for ANTHC-Owned Equipment

ANTHC incurred $188,577 in subcontract costs that were not allowable under the IA. These
subcontract costs represented  usage fees for ANTHC-owned equipment used for projects funded
by the IA. Title 2 CFR Part 225, Appendix B, Sections 11 and 25, specifies that allowable
equipment costs consist of depreciation based on acquisition cost and necessary maintenance and
repair costs. ANTHC determined the equipment usage costs based on a methodology that
charged 50 percent of the applicable rates listed in the Rental Rate Blue Book.  However,
ANTHC was unable to provide complete cost documentation  showing that the equipment fees
incurred under the IA did not  exceed the allowable depreciation, maintenance, and repair costs as
specified by Title 2 CFR Part  225. ANTHC was able to provide satisfactory depreciation
documentation for the equipment, but was unable to provide documentation showing actual
maintenance and repair costs incurred for the  equipment. ANTHC was unable to provide the
documentation because it pools the maintenance and repair costs rather than accounting for the
costs by individual equipment item.  Title 2 CFR Part 225, Appendix A, Section F.I, defines
indirect costs as those that have been incurred for common or joint purpose benefitting more than
one cost objective and are not readily assignable to the cost objectives specifically benefitted.
Because the pooled costs cannot be readily identified to a specific item of equipment, the costs
are considered indirect costs under Title 2 CFR Part 225. As discussed earlier in the report,
ANTHC did not have the required approved indirect cost rate agreements or a certified indirect

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                                                                              10-4-0241
cost rate proposal on file to support the costs incurred by DEHE. We question $188,577 incurred
under the IA as unallowable because ANTHC was unable to demonstrate that the costs met the
equipment and indirect cost requirements of Title 2 CFR Part 225.  Of the $188,577, ANTHC
claimed $115,244 for reimbursement under the IA.

Primary Causes for Questioned Costs

The questioned costs identified during the audit were primarily caused by a miscommunication
between ANTHC and HHS on the application of approved indirect rates and ANTHC's incorrect
interpretation of federal indirect cost rate requirements, ANTHC's incorrect interpretation of the
basic criteria specified by federal cost principles, and ANTHC's unfamiliarity with federal
criteria for charging equipment costs.

Indirect Rates Were Not Clearly Communicated by Cognizant Agency and
ANTHC Misinterpreted Federal Requirements

ANTHC claimed indirect costs on construction projects that were not allocable to the IA as a
result of two primary issues. First, ANTHC management and staff from HHS, the cognizant
federal agency responsible for approving ANTHC's indirect rates, did not clearly communicate
about the applicability of the approved rates. Second, ANTHC management misinterpreted
Region 10's guidance and Title 2 CFR Part 225 requirements for indirect costs.

ANTHC incurred $77,231 in questioned costs based on indirect rate cost proposals approved by
HHS. However, the indirect cost rates did not apply to ANTHC construction projects for fiscal
years 2008 and 2009.  The approved rates covered indirect costs incurred by ANTHC's corporate
office for the support of hospital and non-hospital operations.  Although ANTHC's indirect cost
proposals submitted to HHS included indirect costs incurred for the support of construction
projects, HHS excluded these costs from the approved rates for fiscal years 2008 and 2009.
According to ANTHC management, they believed from discussions with the HHS staff involved
in the approval process that the approved rates for non-hospital operations were allowable rates
for  claiming the corporate office's indirect costs incurred for supporting construction projects.

ANTHC also  incurred $273,841 in questioned indirect costs based on an allocation methodology
that was developed by DEHE, but was not certified, fully documented, and maintained on file as
required by Title 2 CFR Part 225, Appendix E.  As discussed earlier in the report, ANTHC also
incurred costs under the Labor category that we questioned because they were indirect costs and
not based on approved indirect cost rates or a certified indirect cost rate proposal. These other
indirect costs  totaled $26,092. Our discussion with ANTHC management and review of
supporting documentation disclosed that they did not pursue obtaining approved rates for these
costs based on general guidance from Region 10 staff.  Region 10 staff advised ANTHC
management in August 2008 that an allocation plan was an acceptable substitute for approved
indirect costs  rates under federal regulations. Region 10's guidance was based on Title 2 CFR
Part 225.  Despite the Region's guidance, ANTHC did not maintain a certified indirect cost rate
proposal or allocation plan on file supporting DEHE's indirect costs incurred under the IA.
Therefore, our review indicated that ANTHC management had misinterpreted Region  10's
guidance and  Title 2 CFR Part 225 requirements for indirect costs.
                                          10

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                                                                              10-4-0241
ANTHC Misinterpreted Basic Federal Cost Principles

ANTHC management's incorrect interpretation of the basic cost principles specified by Title 2
CFR Part 225 led to $903,671 of the $1,493,893 in total questioned costs. We questioned
$676,454 of the $903,671 because ANTHC transferred costs from projects supported through
other agreements and EPA and State of Alaska funding sources. ANTHC incurred these costs
under the Labor, Equipment, Freight, Materials and Subcontracts categories.  As discussed
earlier in the report, supporting documentation for these transferred costs did not show that they
were allocable to the projects funded under the IA.  We also questioned $227,217 incurred for an
equipment purchase because the justification did not show that the cost was allocable to the IA.

During discussions with ANTHC about the costs incurred under the IA, ANTHC management
explained that ANTHC constructs large projects at Alaskan Native villages through a series of
smaller projects or phases that are funded by several sources.  The management said that pulling
funding from several sources to pay for a large project makes it difficult to track costs by funding
source.  According to the management, the transfers were made because costs were managed and
tracked as large projects and not by funding source.  They said they did not believe that the lack
of tracking by individual village project phase and funding source was a problem as long as the
scopes of work for projects funded by the IA and other sources are completed. The management
also said that they believed that ANTHC  had met federal financial management requirements.
Therefore, our discussions with ANTHC  management disclosed that they had misinterpreted
basic federal cost principles. One of these principles is specified by Title 2 CFR Part 225,
Appendix A, Section C. 1 .b.  Section C. 1 .b states that a cost must be allocable to the award in
order to be allowable. To meet this criterion,  ANTHC must account for costs by each specific
project phase and funding source.

ANTHC Believed That Equipment Usage Fees Met Federal Criteria

ANTHC incurred a total of $213,058 for  equipment usage fees that were not allowable or
allocable because ANTHC management believed the costs met applicable federal cost criteria.
The $188,577 of equipment usage fees questioned as not allocable under the Subcontracts cost
category was based on the Rental Rate Blue Book rates that were discounted by 50  percent. The
management said it believed that the rates listed in the Rental Rate Blue Book were allowable
under federal awards because the Federal Highway Commission has approved the use of the
book on federally funded projects.  The management explained that ANTHC inherited this
methodology from IHS and used it for charging equipment usage fees to projects until October
2007. According to ANTHC management, the fees claimed under this methodology did not
cover all costs incurred for the  equipment. However, as discussed previously in the report,
ANTHC was unable to provide supporting cost data showing that the rental fees claimed under
the  IA met cost criteria specified by Title 2 CFR Part 225. Title 2 CFR Part 225, Appendix B,
Sections 11 and 25, limit equipment costs claimed under federal awards to depreciation based on
acquisition cost and necessary maintenance and repair costs. Title 2 CFR Part 225, Appendix E
requires, at a minimum, a certified cost proposal for indirect costs associated with equipment.
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Equipment usage costs of $24,481 were questioned as unallowable because they represented
indirect costs. ANTHC determined these costs based on a new equipment usage rate
methodology implemented in October 2007 to replace the Rental Rate Blue Book methodology.
ANTHC management believed that the new methodology met Federal criteria because it consists
of the following three components: (a) depreciation on equipment, (b) a fair and reasonable
share of idle equipment costs, and (c) a fair and reasonable share of overhead costs for the
support of equipment.  However, the new methodology does not meet the cost criteria specified
by Title 2 CFR Part 225 because the overhead component of the methodology represents indirect
costs. Therefore, the equipment overhead costs should be included as part of ANTHC's
approved indirect cost rates or certified indirect cost rate proposal as specified by Title 2 CFR
Part 225, Appendix E.

Conclusion

Based on the findings above, ANTHC does not meet the minimum requirements for a financial
management system and should be designated as a "high-risk" recipient in the Integrated Grants
Management System. Under Title 40 CFR Part 31.12(a)(l) and (a)(3), a grantee may be
considered high-risk if an awarding agency determines that a grantee has:  (a) history of
unsatisfactory performance, or (b) a management system which does not meet the management
standards set forth in the regulation. Title 40 CFR Part 31.12(a)(5) also requires that special
conditions and/or restrictions be included in awards to high-risk grantees.  Therefore, we
recommend that special conditions be imposed on all current and future direct and indirect
awards of EPA funds to ANTHC. The special conditions should include:  (a) payment on a
reimbursement basis; including payments to IHS when funding is provided indirectly to ANTHC
through an IA; (b) EPA review and approval of reimbursement requests prior to payment; and (c)
additional  project monitoring by EPA project managers.

Our evaluation of ANTHC's accounting system and internal controls also identified that EPA
and other funding agencies have no assurance that costs claimed for  projects and services are
allocable to their funding agreements with ANTHC. As discussed in the report, we questioned
$676,454 of unallocable costs that were transferred to projects funded by the IA.  We also
identified during the evaluation that ANTHC transferred $217,189 in freight costs from  a project
funded by the IA to a project funded by the State of Alaska's Village Safe Water and the U.S.
Department of Agriculture's Rural Development programs. We did  not question these costs
because they were not claimed under the EPA IA. However, the $217,189 transfer shows that
this issue is not limited to costs claimed under the IA we reviewed. Therefore, Region 10 should
evaluate costs claimed under other EPA agreements that fund construction projects managed by
ANTHC.   The U.S. Department of Housing and Urban Development, the U.S. Department  of
Agriculture, the  Denali Commission, and the State of Alaska also provide funding to ANTHC for
construction projects.  They should consider also evaluating  costs claimed by ANTHC for
construction projects funded by their agreements.
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Recommendations

We recommend that Region 10's Regional Administrator:

     1.  Disallow $1,493,893 in costs questioned under IA DW 75-95754001.

     2.  Recover $1,007,690 in questioned costs claimed under IA DW 75-95754001. If IHS
        provides documentation that meets appropriate federal financial management
        requirements and shows that some questioned costs are allocable and allowable to the
        IA, the amount to be recovered should be adjusted accordingly.

     3.  Require through an amendment to the IA that IHS direct ANTHC to establish controls
        which ensure costs claimed under the agreement meet criteria specified by Title 2 CFR
        Part 225. The controls should ensure:

          a.  Costs are tracked in the accounting system by project phase and funding source.
          b.  Billings to the Federal Government exclude unallocable and unallowable costs.
          c.  Indirect costs are claimed based on indirect cost rates approved by the cognizant
             federal agency or a certified indirect cost proposal meeting criteria specified by
             Title 2 CFR Part 225.

     4.  Designate ANTHC as a high-risk recipient in the Integrated Grants Management
        System. Also, require the following special conditions to be included for  all existing
        (through amended agreements) and  future EPA awards providing funding directly or
        indirectly to ANTHC, including funding from the American Recovery and
        Reinvestment Act:

          a.  Payment on a reimbursement basis, including payments to IHS when funding is
             provided indirectly to ANTHC through an IA.
          b.  Review and approval by EPA  project managers of reimbursement requests
             including all supporting documentation for the claims prior to payment.
          c.  Additional project monitoring by EPA project managers to ensure requests for
             reimbursement are consistent with the scopes of work and progress of projects
             associated with the claims.

     5.  Evaluate costs claimed under other open agreements that fund construction projects
        managed by ANTHC to ensure costs claimed are reasonable, allocable, and allowable.

Region  10 and Recipient Comments

The OIG received comments on the draft report from Region 10, IHS, and ANTHC. Region 10
and ANTHC also provided supplemental documentation as support for their comments.  All
three respondents disagreed with the findings and recommendations in the draft report. Although
ANTHC disagreed with the findings, it provided a proposed management improvement plan with
its comments.  The full text of the Region's, IHS's, and ANTHC's comments and the OIG's
detailed response are included in Appendices A through C to this report. The supplemental
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                                                                             10-4-0241
documentation provided by Region 10 and ANTHC is not included in the report. The
supplemental documentation is available on request, except for documentation Region 10 has
determined to be confidential and requested that it be withheld from distribution outside of EPA.

The Region disagreed with all recommendations and said that EPA has no authority to disallow
and recover the questioned costs. The Region also said the recommendation to designate
ANTHC as high-risk under Title 40 CFR Part 31 was inappropriate and overreaching.
According to the Region, the application of Title 40 CFR Part 31 is inappropriate because the
regulation applies only to grants and cooperative agreements. The Region said that the
recommendation was overreaching because it encompasses all types of funding agreements
potentially issued by a variety of programs and EPA grants management offices. The Region
also questioned whether the OIG's examination was appropriate and said that the review and
report could be perceived as inappropriate interference with the administrative oversight efforts
of FIHS. As a result, the Region suggested that the OIG reconsider publishing the report, and
instead, consider sharing any concerns arising from the examination with FIHS OIG for
consideration or action.

IHS and ANTHC also disagreed with the recommendations.  However, ANTHC said that IHS
had been reimbursed for $79,832 of the questioned costs ($4,999 for freight costs and $74,833
for equipment costs), and IHS said that the $79,832 would be reimbursed to EPA.  Although IHS
and ANTHC disagreed with the recommendations, they said that the proposed management
improvement plan included with ANTHC's comments provides assurance that ANTHC will
meet all applicable administrative and accounting requirements with respect to federal  funding.
IHS also commented that EPA should consider issuing grants directly to Native American tribes
if EPA internal review and approval for all reimbursement requests becomes a requirement.
IHS's response also included a request that the OIG seriously consider the information provided
in its and ANTHC's comments and cancel publication of the report.

OIG  Response

Our position on the recommendations remains generally unchanged. However, we  made
revisions to the report as appropriate based on Region 10's and the recipients' comments.  The
changes included revisions to Recommendations 1 and 2 because of a $39,653 reduction to the
questioned indirect costs.  We also revised Recommendation 3 by (1) removing the reference to
Title 40 CFR Part 31 because ANTHC is not obligated to comply with the regulation under the
IA; (2) adding  a certified indirect cost proposal option to part (c)  of the recommendation because
a proposal meeting the criteria specified by Title 2 CFR Part 225  is allowable; and (3) removing
part (d) of the recommendation because the misclassification errors identified during the
examination were not a material issue.

We acknowledge the Region's  comment that EPA has no authority to disallow and  recover the
questioned costs from ANTHC. However, the terms and conditions in the IA include a
requirement that IHS credit EPA for unallowable costs identified during an audit. Therefore,
Recommendations 1 and 2 are consistent with the terms and conditions specified by the IA. The
recommendation for the high-risk designation is based on the material financial management
issues associated with ANTHC's accounting system for DEHE discussed in the report and the
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EPA funding ANTHC receives directly through grants.  For example, ANTHC received over
$1.7 million through three EPA grant awards during Fiscal Year 2009. These grants were still
active as of March 2010. Because ANTHC is a recipient of EPA funding through grant
instruments, EPA may designate ANTHC as "high risk" under Title 40 CFR Part 31.12 based on
the issues we identified during the examination as recommended in the report.  The special
conditions we recommend are intended to establish controls that provide assurance that costs
reimbursed with EPA funds meet federal cost principles.

With regard to the Region's comment questioning the appropriateness of the examination, the
Inspector General Act of 1978 provides OIG with the authority to audit EPA funded programs.
During the planning phase of the audit, we discussed the proposed examination with HHS OIG
regional management. HHS OIG regional management did not express any concerns over our
proposed examination of the costs claimed under the IA. Therefore, the attestation report is not
inappropriate interference with the oversight efforts of HHS OIG.

IHS has agreed to reimburse EPA $79,832 of the questioned costs; therefore, it should proceed
with the reimbursement.  We acknowledge ANTHC's proposed management improvement plan.
However, the proposed plan does not provide assurance that the issues identified during the audit
will be satisfactorily resolved for two primary reasons. First, ANTHC has not indicated that it is
fully committed to addressing the findings in the report. More specifically, ANTHC states in the
plan: "ANTHC believes that the OIG Draft Audit Report's proposed findings are largely without
merit or foundation." Second, the supplemental documents submitted by ANTHC to support its
comments on the findings indicate that ANTHC continues to incorrectly apply the federal cost
principles specified by Title 2 CFR Part 225. With regard to IHS's comment that "EPA should
consider issuing grants directly to Indian Tribes," we recommend that EPA consider the
suggestion if IHS is unwilling to concur with the reimbursement process established by
Recommendation 4(b).

The recommendations are undecided pending resolution.
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                      Status  of Recommendations  and
                            Potential Monetary Benefits
                                    RECOMMENDATIONS
                                   POTENTIAL MONETARY
                                    BENEFITS (in SOOOs)
Rec.
No.
1
2
Page
No.
13
13
Subject
Disallow $1,493,893 in costs questioned under IA
DW 75-95754001.
Recover $1 ,007,690 in questioned costs claimed
under IA DW 75-95754001 . If IMS provides
Status1
U
U
Action Official
Region 10
Regional Administrator
Region 10
Regional Administrator
Planned
Completion
Date

                                                                                                  Claimed
                                                                                                  Amount
                                              Agreed To
                                               Amount
            documentation that meets appropriate federal
            financial management requirements and shows that
            some questioned costs are allocable and allowable to
            the IA, the amount to be recovered should be
            adjusted accordingly.

       13   Require through an amendment to the IA that IMS
            direct ANTHC to establish controls which ensure
            costs claimed under the agreement meet criteria
            specified by Title 2 CFR Part 225. The controls
            should ensure:
              a.  Costs are tracked in the accounting system by
                 project phase and funding source.
              b.  Billings to the Federal Government exclude
                 unallocable and unallowable costs.
              c.  Indirect costs are claimed based on indirect
                 cost rates approved by the cognizant federal
                 agency or a certified indirect cost proposal
                 meeting criteria specified by Title 2 CFR
                 Part 225.

       13   Designate ANTHC as a high-risk recipient in the
            Integrated Grants Management System. Also, require
            the following special conditions to be included for all
            existing (through amended agreements) and future
            EPA awards providing funding directly or indirectly to
            ANTHC, including funding from the American
            Recovery and Reinvestment Act:
              a.  Payment on a reimbursement basis, including
                 payments to IHS when funding is provided
                 indirectly to ANTHC through an IA.
              b.  Review and approval by EPA project managers
                 of reimbursement requests  including all
                 supporting documentation for the claims prior to
                 payment.
              c.  Additional project monitoring by the EPA project
                 managers to ensure requests for
                 reimbursement are consistent with the scopes
                 of work and progress of projects associated
                 with the claims.

       13   Evaluate costs claimed under other open agreements
            that fund construction projects managed by ANTHC to
            ensure costs claimed are reasonable, allocable, and
            allowable.
     Region 10
Regional Administrator
     Region 10
Regional Administrator
     Region 10
Regional Administrator
0 = recommendation is open with agreed-to corrective actions pending
C = recommendation is closed with all agreed-to actions completed
U = recommendation is undecided with resolution efforts in progress
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                                                                      Appendix A


         Region 10's Comments on the Draft Report
                         and OIG's Evaluation

The response from Region 10 is provided verbatim. OIG responses to those comments have
been inserted in text boxes.
                UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                                    REGION 10
                             1200 Sixth Avenue, Suite 900
                               Seattle, WA 98101-3140
                                                                     OFFICE OF
                                                                MANAGEMENT PROGRAMS
February 23, 2010

MEMORANDUM

SUBJECT:   Attestation Report: Review of costs claimed by the Alaska Native Health
             Consortium (ANTHC), under EPA Interagency Agreement (IA) DW 75-
             95754001.

FROM:      Mike Bussell, Director, Office of Water and Watersheds;
             Julie Hagensen, Director, Office of Management Programs

TO:          Robert Adachi, Director, Office of Forensic Audits, EPA OIG
      Thank you for the opportunity to provide our response to findings and recommendations
presented in the Attestation Report: Review of costs claimed by the Alaska Native Health Consortium
(ANTHC), under EPA Interagency Agreement (IA) DW 75-95754001. Our detailed response is
attached, along with relevant supporting documentation.

      As discussed in our response, the Region fundamentally disagrees with the OIG's belief that EPA
has privity with the Alaska Tribal Native Health Consortium (ANTHC) as a sub-recipient of funds
provided to the Indian Health Service (IHS) via  the referenced Interagency Agreement. Specifically, we
disagree with the OIG's contention, as set out in the second bulleted point on page 1 of the Attestation
Report, that ANTHC's accounting and billing practices are subject to EPA's regulations under Title 40
CFR Part 31, which incorporate the cost principles set out in Title 2 CFR Part 225 (OMB Circular A-87),
and thus subject to oversight and review by EPA.  Even if the sub-award vehicle utilized by IHS to pass
EPA funds to ANTHC was an assistance agreement, issued under equivalent Department of Health and
Human Services (HHS) regulations, we are of the opinion that EPA would have no authority. Given that
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                                                                             10-4-0241
the agreement between IHS and ANTHC is in the form of Project Funding Agreement (PFA), issued
pursuant to Section 7(a) (3) of Public Law 86-121 (42 U.S.C. 2004a, 73 Stat. 267), and such agreements
were determined in 1992 by the Director, Division of Grants and Contracts, Public Health Service to be
unconstrained by FIHS regulations, this removes ANTHC even further from the authority of EPA grant
regulations. As an agency within HHS, we hold that IHS alone is responsible for ensuring the compliance
of its sub-recipient, ANTHC, with any requirements related to that PFA.

       We find additional pertinent support for our position in opinion issued in 2006 by EPA's
Office of General Counsel (OGC) (attached) which determined that ANTHC is required to comply
with the terms and conditions of its agreement with IHS, which awards funds to ANTHC. The OGC
opinion further finds that, because of the intervening award made by IHS,  EPA is not the
appropriate federal entity to seek reimbursement of funds from ANTHC. Janet Kasper, EPA OIG
Director of Assistance Agreement Audits, concurred with the OGC determination.
     OIG RESPONSE 1 We agree that EPA's primary contractual relationship is
     between EPA and IHS under the IA and have revised the report as appropriate.
     For PFAs between fflS and ANTHC that are partially or fully funded by EPA
     through the IA, ANTHC is a sub-recipient of EPA funding. Because EPA is the
     primary funding Agency under the IA, the recommendations in the report are
     directed to the Regional Administrator for Region 10 to disallow and recover
     questioned costs from IHS and to establish additional controls over EPA funding
     provided directly or indirectly to ANTHC.

     We agree that the ANTHC is not obligated to comply with Title 40 CFR Part 31
     under the IA. We have made changes to the report as appropriate. Although,
     ANTHC is not required to comply with Title 40 CFR Part 31 under the IA, Title 2
     CFR Part 225 applies to the EPA funding provided through the IA. The IA was
     awarded under Section 518(c) of the Clean Water Act, which limits the funding for
     the IA to federally recognized Native American tribes. As a tribal recipient of federal
     funding under the IA, ANTHC is obligated to comply with Title 2 CFR Part 225. We
     also note that the PFAs supplement the Compact among the Alaska Native Tribes,
     ANTHC, and HHS.  The PFAs clearly state that the provisions of the Compact
     apply to the projects funded under the agreements.  The provisions of the Compact
     include a requirement that ANTHC and the other co-signers apply cost principles
     under the applicable Office of Management and Budget (OMB) Circular.
     Consistent with the provisions  of the Compact, ANTHC recognizes the
     applicability of OMB cost principles in their response to the draft audit report and
     in their internal guidance for Cooperative Project Agreements.

     The OGC opinion references recovery of funds from ANTHC.  However, our
     recommendations are directed to recovering funds from IHS and not from
     ANTHC.
     In light of the above, we question whether it was appropriate for the OIG to undertake the
review resulting in the Attestation Report now under consideration.  However, because we take
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                                                                              10-4-0241
seriously the efforts of the OIG, understand that the review was undertaken under the presumed
authority to do so, and we are committed to meeting our obligations to the OIG, we are providing
a full response to the findings and recommendations arising from the review. In regards to the
OIG's claims that specific costs are not reasonable, allocable or allowable, we are in agreement
in some instances, but in most we offer information to show that those claims are unfounded.  In
other instances, we show that changes have been made to address the concerns raised by the
OIG.
     OIG RESPONSE 2 As discussed in OIG RESPONSE 1, the EPA funding
     provided through the IA is subject to the federal cost principles specified by Title 2
     CFR Part 225. The Inspector General Act of 1978 provides the EPA OIG with the
     authority to audit EPA-funded programs and to keep the EPA Administrator as well
     as Congress fully informed about problems and deficiencies relating to
     administration of such programs and the necessity for corrective action. Our
     position remains unchanged on the questioned costs, except we have reduced the
     questioned indirect costs by $39,653.  We reduced the questioned indirect costs
     based on further review of ANTHC's certified indirect cost proposal dated
     November 20, 2007.
       Finally, we are concerned that this Attestation Report and the review upon which it is
based could be perceived as inappropriate interference with the administrative oversight efforts
of HHS. We suggest that the OIG reconsider publishing this report and, instead consider sharing
any concerns arising from the review with  its counterparts at HHS for their consideration or
action.
     OIG RESPONSE 3 Our position remains unchanged. The scope of the
     examination and attestation report address costs claimed and reimbursed to ANTHC
     through the IA. The scope of the examination and attestation report do not address
     MS' oversight activities under the IA.  During the planning phase of the audit, we
     discussed the proposed examination with HHS OIG regional management. HHS
     OIG regional management did not express any concerns over our proposed
     examination of the costs claimed under the IA. Therefore, the attestation report is
     not inappropriate interference with the oversight efforts of HHS.
       Once again, we appreciate receiving this draft report and being provided the opportunity
to offer a response to it.

Enclosures
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                                                                           10-4-0241
cc:    Michael Owen, OIG
      Jan Lister, OIG
      Armina Nolan, Manager, GAU/IASSC-West
      Paula vanHaagen, OWW
      Dennis Wagner, OWW, AOO-Anchorage
      Bob Phillips, Audit Followup Coordinator/Liaison
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                                                                              10-4-0241
       Region 10's response to the Attestation Report for Project No. 2008-507 is based
on two fundamental objections concerning the EPA Office of the Inspector General's
(OIG) review of costs claimed by the Alaska Native Health Consortium (ANTHC), under
EPA Interagency Agreement (IA) DW 75-95754001.

1. OIG Has Not Successfully Established EPA Privity With the Alaska Native
   Tribal Health Consortium

   In conducting this review, the OIG sought to determine if ANTHC was in compliance with
the requirements  Title 40 CFR Part 31, including the cost principles under Title 2 CFR part 225
(OMB Circular A-87) included by reference at Title 40 CFR Part 31.22.  As a rationale for
doing so, the OIG claims the applicability of that regulatory authority to the disbursement of
funds provided through an Interagency Agreement with the Indian Health Service (IHS), a
federal agency falling under the jurisdiction of the Department of Health and Human Services
(HHS), which in turn provides a portion of those funds to ANTHC.  The OIG cites ANTHC
management's incorrect interpretation of the cost principles specified by Title 2 CFR Part 225
as a cause for designating as unallowable the bulk of the questioned costs from this review

   Region 10 believes that the OIG has asserted an authority that does not exist in this case,
implying a privity with ANTHC that is not legally supportable.  Indeed, an opinion rendered by
an attorney from the EPA's Office of General Counsel clearly establishes that such privity does
not exist. Relevant to an earlier OIG investigation, which asserted that EPA should seek
reimbursement of excess interest earned by ANTHC on advanced EPA funds received through
the State of Alaska's Village Safe Water Program, the OGC attorney stated that the regulatory
invoked by the OIG, Title 40 CFR Part 31.21(i) was not applicable since the funding was passed
on to ANTHC by virtue of an intervening funding agreement made by IHS, under another
authority. Though that authority did require repayment of excess interest, the EPA attorney held
that because the agency did not have privity with ANTHC it was not entitled to seek repayment
from ANTHC1.

   Region 10 used this determination as a basis for its final proposed determination concerning
recommendation  #4 from OIG Audit Reports 2006-3-00167 and 2006-3-00168, deferring to IHS
the responsibility for recovery of excess interest from ANTHC. 2 On March 5, 2007, Janet
Kasper, the OIG Director of Assistance Agreement Audits, indicated her approval of this action
by accepting the Region's proposed and completed corrective actions.3

   Given the opinion rendered by EPA's Office of General Counsel, and the implicit acceptance
of its validity by the OIG in the case cited above, Region 10 believes EPA's lack of privity
applies to the findings and recommendations concerning ANTHC in the matter at hand.  EPA
provided funds to IHS via an Interagency Agreement. HIS then provided the funds to  ANTHC
via a Project Funding Agreement (PFA), which carries its own compliance requirements.
Indeed, at no point in the disbursement of these funds is an assistance agreement subject to the
requirements of Title 40 CFR Part 31, or its HHS equivalent, employed.  Thus, even the "flow

1 Attachment #1
2 Attachments #2 and #3
3 Attachment #4
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                                                                             10-4-0241
down" principle cannot be said to apply in this case, which removes it even further from
plausible consideration under grant regulations. Thus, EPA does not have the legal authority to
recover any of the unsupported costs identified in the audit 2008-507.
   PIG RESPONSE 4 As discussed in OIG RESPONSE 1, we agree that EPA's
   primary contractual relationship is between EPA and IHS under the IA.  For PFAs
   between IHS and ANTHC that are partially or fully funded by EPA through the
   IA, ANTHC is a sub-recipient of EPA funding.  Although we agree that the
   ANTHC is not required to comply with 40 CFR Part 31, it is obligated to comply
   with Title 2 CFR Part 225 as a tribal recipient of federal funding under the IA.
   Because EPA is the funding Agency under the IA, the recommendations in the
   report are directed to the Regional Administrator for Region 10 to disallow and
   recover questioned costs from IHS and to establish additional controls over EPA
   funding provided directly or indirectly to ANTHC. The recommendation to
   recover questioned costs from IHS is consistent with the terms and conditions of
   the IA. The terms and conditions include a requirement that IHS credit EPA for
   unallowable costs identified during an audit.
2. OIG Does Not Establish That EPA Can Override HHS's Indirect Cost Rate
   Determinations.

   In its Attestation Report, the OIG cites "miscommunication between ANTHC and HHS on
the application of approved indirect rates and ANTHC's incorrect interpretation of federal
indirect cost rate requirements . ..." as a primary cause for the questioned costs identified by
their review,  (p. 9). To remedy this, the OIG recommends that EPA direct ANTHC to receive
an indirect cost rate from HHS.  Region 10 believes both the rationale for the finding and the
recommended remedy are not appropriate.

       As the OIG itself discovered during the course of this investigation, HHS has denied
ANTHC an indirect rate since 2007.  An e-mail to the OIG from HHS confirms they will
continue with this determination and not approve an indirect rate or review an indirect
methodology  for the ANTHC construction program referred to as DEHE.4 Given that HHS is
both the cognizant agency and a party to the PFA with ANTHC, we believe their determination
and oversight responsibilities in this matter are primary, and do not see where EPA has standing
to override this.

       Further, we call the OIG's attention to an audit they conducted of the Financial
Management Practices of the National Rural Water Association (NRWA), which determined that
NRWA employed an inappropriate method for allocating indirect costs to an EPA assistance
agreement (see OIG Attestation Report 2007-4-00027).  During resolution of the review's
findings and recommendation, EPA established that NRWA's cognizant agency (USDA) had
' Attachment #5
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                                                                               10-4-0241
approved the method used by NRWA. In further discussions with the OIG, Janet Kasper agreed
that because USDA approved the current methodology, EPA has to abide by a cognizant
agency's past decisions with respect to indirect cost rates and indirect methods, and has no
standing to seek reimbursement for the questioned indirect costs. 5 That determination is
consistent with the wider determination concerning privity, presented above.  Simply put, just as
EPA has no authority to require another federal agency to enforce compliance with regulatory
requirements not part of its agreements with sub-awardees, it has no standing to override a
cognizant  federal agency's policies concerning the determination of indirect cost rates and the
rate agreements it approves, and cannot seek reimbursement of questioned indirect costs from
organizations which abide by its cognizant agency's determinations.

       Thus, EPA must defer to HHS's determination concerning the establishment of an
indirect cost rate for ANTHC's DEHE program. The determination of the potential
disallowability of indirect costs identified in this Attestation Report should be reversed, and the
recommendation that Region 10 recover those costs should be rescinded.
    OIG RESPONSE 5  The attestation report does not recommend that EPA direct
    ANTHC to receive an indirect cost rate from HHS.  Rather, the attestation report
    recommends Region  10 require through an amendment to the IA that IHS direct
    ANTHC to establish controls that ensure indirect costs are claimed based on
    indirect rates approved by the cognizant federal agency.

    We agree that HHS is the cognizant federal agency for negotiating and approving
    indirect cost rates for ANTHC. Title 2 CFR Part 225, Appendix E requires an
    organization claiming indirect costs under a federal award to either: (1) submit an
    indirect cost rate proposal for negotiation and approval to the cognizant federal
    agency or (2) maintain a certified proposal and supporting documentation on file for
    audit. Consistent, with Title 2 CFR Part 225, we have not questioned indirect costs
    incurred by ANTHC that are supported by rates that have been approved by HHS.
    We acknowledge that ANTHC's November 2007 certified indirect cost proposal
    submitted to HHS includes a construction indirect rate covering administrative
    costs incurred by DEHE for fiscal year 2006 that was  overlooked in  the draft
    report.  The report has been corrected to reflect the construction indirect cost rate
    for 2006. The correction resulted in a $39,653 reduction in questioned indirect
    costs. However, the rates approved by HHS and the 2007 certified proposal do not
    cover all indirect costs claimed under the IA for fiscal years 2007, 2008,  and 2009.
    The terms and conditions in the IA include a requirement that IHS credit EPA for
    unallowable costs identified during an audit as discussed in OIG RESPONSE 4.
    Therefore, we continue to question $351,072 in indirect costs incurred under the
    IA. We also continue to recommend that EPA recover the $181,494 in questioned
    indirect costs claimed for reimbursement under the IA from IHS.
1 Attachment #6
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                                                                              10-4-0241
Additional Comments:

       Region 10 also believes that the OIG did not fully account for its efforts in conducting
this review.  According to its "Independent Attestation Report" statement on pp. 2 -3 of that
report, the OIG states it made site visits to EPA Region 10's offices in Seattle, Washington, and
Anchorage, Alaska; to IHS'  office in Anchorage, Alaska; and to the ANTHC's office in
Anchorage, Alaska.  Unaccounted for is an on-site review conducted by OIG staff at the offices
of State of Alaska Village Safe Water (VSW) program, in April, 2009. We believe this review
should be accounted for in the Attestation Report, as well.

       According to VSW staff, it was understood that this review was being conducted in
connection with the inquiry into IA DW-75-95754001,  and a substantial amount of time was
spent at the VSW offices. Presumably, expenses incurred in relation to that site visit will be
included in accounting for this review. If there were findings from that review which had a
bearing on the OIG's findings, we believe they should be included in the Attestation Report. If
the VSW review yielded no  relevant findings, at a minimum the report for that review should
note there were no issues identified during the review of the VSW financial management system
in the audit.
  OIG RESPONSE 6 We acknowledge that the review at the offices of State of Alaska
  Village Safe Water program was not disclosed in the draft report. We have corrected
  this error by disclosing the site visit was included in the scope of the examination in
  the final report. No findings or recommendations were addressed to the State of
  Alaska; therefore, we did not include a discussion of the results of the review in the
  final report.
Region 10's Detailed Response to Review Findings

Questioned Costs:

The OIG's review identified questioned costs in six areas.  Region 10's responses are below.
Questioned Cost &
OIG Determination
Questioned
Cost
Region 10 Response
Indirect Costs:
Not incurred in
compliance with Title 2
CFR Part 225
$390,725
The Region does not accept this finding because it
is in direct conflict with the determinations of
ANTHC's cognizant agency, and EPA has no
authority to override those determinations. See
detailed discussion of objection #2 above.
                                          24

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                                                                              10-4-0241
Questioned Cost &
OIG Determination
Questioned
Cost
Region 10 Response
Labor Costs:
Did not meet the
alienability requirements
of Title 2 CFR Part 225.
$155,017
($128,925
direct labor;
$26,092
indirect costs)
The Region does not accept this finding because it
believes the cost principles under Title 2 CFR Part
225 are not relevant to the agreement between IHS
and ANTHC, and EPA has no privity with
ANTHC which allows it to invoke and require
compliance with its provisions.  See detailed
discussion of objection #1 above.

Also see Discussion Section below for further
comment on the allocation issue.
Equipment Costs:
not allocable to the IA or
otherwise unallowable
$326,531
The Region does not accept this finding because it
believes the cost principles under Title 2 CFR Part
225 are not relevant to the agreement between IHS
and ANTHC, and EPA has no privity with ANTHC
which allows it to invoke and require compliance
with its provisions.  See detailed discussion of
objection #1  above.

Also see discussion on specific items of cost in
Table 1 below.
Freight Costs:
Not allocable to IA
$4,999
We understand the misallocation of this cost was an
accounting error and has been corrected by
ANTHC.
Material Costs:
Not Allocable to IA
$337,075
The Region does not accept this finding because it
believes the cost principles under Title 2 CFR Part
225 are not relevant to the agreement between IHS
and ANTHC, and EPA has no privity with
ANTHC which allows it to invoke and require
compliance with its provisions.  See detailed
discussion of objection #1 above.

Also see Discussion Section below for further
comment on the transfer issue.
Subcontract Costs: Not
Allocable or Allowable
$319,199
The Region does not accept this finding because it
believes the cost principles under Title 2 CFR Part
225 are not relevant to the agreement between IHS
and ANTHC, and EPA has no privity with
ANTHC which allows it to invoke and require
compliance with its provisions.  See detailed
discussion of objection #1 above.

See also comments in table 2 below.
                                          25

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                                                                             10-4-0241
   PIG RESPONSE 7 We agree that HHS is the cognizant federal agency for
   negotiating and approving indirect cost rates for ANTHC.  The questioned indirect
   costs are not in conflict with HHS's determinations on allowable indirect costs for
   ANTHC. We questioned indirect costs incurred by ANTHC that were not included
   in the rates approved by HHS, or ANTHC's November 2007 certified indirect cost
   proposal submitted to HHS, as discussed in OIG RESPONSE 5.

   With regard to the Region's comments on the questioned labor, equipment, material,
   and subcontract costs in the table above, we agree that EPA's primary contractual
   relationship is between EPA and IHS under the IA. However, the cost principles
   under Title 2 CFR Part 225 are applicable to the PFAs that provide EPA funding to
   ANTHC as discussed in OIG RESPONSE 1. The terms and conditions in the IA
   include a requirement that IHS credit EPA for unallowable costs identified during an
   audit as  discussed in OIG RESPONSE 4. Therefore, the IA allows EPA to recover
   the questioned costs identified during our examination.

   We acknowledge the Region's comments on the $4,999 in questioned freight costs
   in the table above. ANTHC claimed $4,235 of the $4,999 for reimbursement under
   the IA.  The Region should disallow and recover the $4,235 in questioned costs
   from IHS as recommended in the attestation report.
Table 1 - Equipment Costs
Cost Finding
Questioned
Cost
Region 10 Response
Cost Transfer Not Allocable
toIA
$74,833
We understand the misallocation of this cost
was an accounting error and has been
corrected by ANTHC.
Indirect Costs Classified as
Equipment Costs
$24,481
In incurring these costs, ANTHC was
following their cognizant agency's directive.
We do not believe EPA has the authority to
override the cognizant agency's
determinations in this case. See detailed
discussion of objection #2 above.
                                          26

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                                                                             10-4-0241
Cost Finding
Questioned
Cost
Region 10 Response
Equipment Purchase Not
Allocable
$227,217
The equipment justification referred to in the
OIG's finding was developed by ANTHC for
comparing the cost of renting an excavator
compared to the cost of purchasing an
excavator for the installation of infrastructure
in Fort Yukon. This equipment justification
memo was not the justification for the
purchase of the excavator but purely a cost
comparison document.  The 2007 project in
question was funded by EPA (76%) and IHS
(24%). In the budget for the 2007 project,
(see figure A, below) $290,223 is available
for equipment. The purchase in question was
for an excavator used to install the sewer
mains, service lines, lift station and force
mains in Fort Yukon. Given that EPA funded
76% of the project 76% of the cost of the
excavator would be allocable to the EPA
portion of the project. ANTHC claimed 41%
of the costs against the  IA. The benefits
received by EPA and the community are the
same regardless of which project the cost
comparison was made under to purchase or
rent.
                                         27

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                                                                              10-4-0241
Figure A
B. PROJECT COST
B 1 , Cost Estimate Table
Job
Type
S-BC
S-BL
S-I.S
S-BF
M-CB
Scope of Work
Sewer mam
Buried sewer lines
Lift stetson
Buried sewer force mains
Support services direct
charges
Qty
f.Sild
-H?
S , % . fj
$ 2vfx-414 ( n
* 241(~
$ 3X0 -thll nil
I otal hsttnmttrd C «*<
Extended Cost
s i.vc.Sfx •»'
5, Mil. .'<>•> 'J'l
•S "Jh 414 'HI
s, 27' .''^'1 1111
;ij.^rMni
* :.<»17.<>3'>.0«
Funding Sources
CWA-ISA
•S I,''!! N<,f(
> 1,1 1\ 1(\"
$ ?'((. 414
* ^-p <1MII
$ 2Hi.2;<
$ 2,225,«i3«i
tHS
> 487, 67H



? on IT?
$ c»«:ji
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                                                                          10-4-0241
OIG RESPONSE 10 The Region's comments in the Table 1 above on the
Equipment Purchase Not Allocable finding are not consistent with ANTHC's
equipment procurement procedures. ANTHC's equipment procurement
procedures document states that equipment is to be purchased specifically for an
individual project and direct billed to the project for specific scope items
identified in the funding documents based on a cost-benefit analysis justification.
ANTHC did not charge the $227,217 to the project identified in the cost-benefit
analysis justification as  specified by its equipment procurement procedures.
ANTHC's justification for the equipment purchase listed Fort Yukon Project
AN 05-N96 as the intended project for the excavator.  The justification also
indicated that the excavator was required because of the deep burial depth of
multiple sections of the  water and sewer systems.  According to the Cooperative
Project Agreement (CPA) for Project AN 05-N96, 49 percent of the project was
funded by IHS for sewer and water service work and 51 percent of the project
was funded by EPA through the IA for sewer service work. Despite the
justification, ANTHC charged 100 percent of the equipment costs to part of
another project funded by EPA through the IA, Fort Yukon Project AN 07-NG5.
The CPA for Project AN 07-NG5 identified that the scope of work was only for
sewer service work, and 24 percent of the project was funded by IHS and
76 percent of the project was funded by EPA through the IA. Therefore, the
scope of work and funding for Project AN 07-NG5 were not equivalent  to the
scope of work and funding for the project identified in ANTHC's justification
for the excavator.

We are unable to verify from the budget information provided by the Region in
Figure A that the excavator was purchased for and benefited Project
AN 07-NG5.  Title 2 CFRPart 225, Appendix A, Section C.I.b, states that a cost
must be allocable to the award in order to be allowable.  The Region and
ANTHC have not provided information and documentation clearly showing that
the excavator  purchase was allocable to the IA funded part of Project
AN 07-NG5.   Therefore, we continue to question the $227,217 in equipment
costs incurred under the IA.
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                                                                             10-4-0241
Table 2 - Subcontract Costs
Description
Cost
Region 10 Response
Subcontract Costs Transfers
Not Allocable to IA
$130,622
In its Attestation Report, the
OIG fails to provide
sufficient detail on this
issue for RIO to respond.
Subcontract Costs for
Equipment Rental Fees Not
Allowable
$188,577
ANTHC'suseofthe
bluebook rates for
equipment is in compliance
with IHS's 2003
Memorandum of
Agreement Guidelines,
Chapter VI, Page 4, (B)
Equipment Costs.  ANTHC
is following their cognizant
agency's guidelines for
equipment rental fees.  As
argued above, the Region
holds that the cognizant
agency has privity with
ANTHC where EPA does
not.
    OIG RESPONSE 11 Our basis for questioning the $130,622 in subcontract
    cost transfers included in Table 2 above was clearly explained in the draft report.
    However, we acknowledge that the draft report incorrectly identified that the two
    transfer transactions, totaling $130,622, were made between sewer projects for
    the City of Saint Michael. The report should have identified that the $120,000
    transfer was made between two sewer projects for the City of Fort Yukon.
    ANTHC transferred the $120,000 from Fort Yukon Project AN 03-R64, which
    was not funded through the IA, to a scope of work for Fort Yukon Project
    AN 05-N96 that was funded through the IA.  The $10,622 transfer between
    sewer projects for the City of Saint Michael identified in the draft report is
    correct. ANTHC transferred the $10,622 from  Saint Michael Project
    AN 02-Q77, which was not funded by the IA, to a scope of work for Saint
    Michael Project AN 05-NB1  that was funded by the IA.  We have corrected the
    final report to identify that the $120,000 transfer in subcontract costs was
    between projects for the City of Fort Yukon.
                                          30

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                                                                               10-4-0241
  OIG RESPONSE 12  With regard to the Region's comments on the questioned
  subcontract  costs for equipment rental fees in Table 2 above, we acknowledge
  that ANTHC followed IHS's 2003 Memorandum of Agreement guidelines which
  state that there are standard construction industry reference manuals that provide
  assistance in establishing rates for equipment usage. Use of an industrial rate does
  not preclude ANTHC from meeting the requirements under Title 2 CFR Part 225
  for funding provided through the IA. As discussed in the report, ANTHC was
  unable to provide complete cost documentation showing that the equipment usage
  costs incurred under IA did not exceed the allowable depreciation, maintenance, and
  repair costs as specified by Title 2 CFR Part 225. Therefore, our position on the
  $188,577 in questioned subcontract costs remains unchanged.
Questioned Costs - Discussion Section:

Labor Costs:

The Region would like to offer its perspective on the allocation issue. Funding of the wastewater
project in Fort Yukon comes from EPA, IHS, USDA-RD through multiple projects.  Often costs
are charged to one project by field staff with the costs dispersed to the various funding sources
and projects at the office level.  An example of this is the labor to unload a barge with materials
for the multiple projects is charged by the field personnel to a single project. The labor costs are
then distributed by transfers to eligible projects by office staff at a later date.  We do not believe
any material harm accrues to the project from this practice, and the benefits received by EPA and
the community are the same regardless of which project the labor was originally charged under.
                                          31

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                                                                               10-4-0241
   PIG RESPONSE 13  We questioned the labor costs because ANTHC could not
   demonstrate that the transferred costs benefited the IA.  The accounting records
   did not support that the transferred costs were allocable to the IA. Title 2 CFR
   Part 225, Appendix B, Section 8.h.4 requires a distribution of wages based on
   personal activity reports for employees working on multiple projects or a
   substitute system approved by the cognizant agency.  Appendix B, Section 8.h.5
   requires that the personal activity reports reflect a distribution of the actual activity
   of each employee, are prepared at least monthly, and are signed by the employee.
   ANTHC does have a labor distribution system meeting the criteria of Title 2 CFR
   Part 225. However, the $128,925 in questioned labor costs were transferred as a
   lump sum amount and not supported by employee timesheets showing that the
   costs were incurred for the phase of City of Fort Yukon Project AN 05-N96
   funded by the IA.

   Quarterly progress reports prepared by ANTHC staff also do not indicate  that any
   of the transferred labor costs were for anything other than accomplishing the scope
   of work for the project it was initially charged to.  The $128,925 was originally
   charged to Fort Yukon Project AN 02-Q66 for work that was not funded by the
   IA. We acknowledge that projects consist of several phases and funding sources.
   However, we cannot make a determination on whether the cost transfers are
   reasonable and allocable to project work funded by the IA without the assurance
   of a labor distribution system that properly allocates costs between phases at the
   time the costs are incurred.  Therefore, our position on the $128,925 in questioned
   labor costs remains unchanged.
Material Costs:

The Region would like to offer its perspective on the transfer issue.  Often bulk orders for
materials such as pipe are made by the early phases of large projects such as Fort Yukon. These
bulk orders allow for later phases to move forward more quickly because the pipe is on site
instead of waiting the two years it takes the pipe to arrive on site from the date of funding of a
project.  These communities often only get one material barge per year so the delivery times can
be from one to two years. Further, these bulk orders results in lower unit costs to the government
due to economy of scale of a bulk order and no increase in material costs over time. To order
materials on an individual project basis as suggested by the OIG would result in a higher  cost to
the government and increase construction time.  The flexibility to transfer material costs from
one project to another project results in more efficient projects with a lower cost to the Federal
government.
                                           32

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                                                                             10-4-0241
 OIG RESPONSE 14  We acknowledge the efficiencies in ordering materials in
 bulk. However, ANTHC did not provide the documentation necessary to verify that
 the $337,075 in material costs transferred from Fort Yukon Project AN 02-Q66
 benefitted and was allocable to the EPA funded part of Fort Yukon Project AN 05-
 N96. We continue to question the $337,075 in material costs incurred under the IA.
Primary Causes for Questioned Costs

In its Attestation Report, the OIG cites the following as the primary causes for the questioned
costs findings:

       Indirect Rates Were Not Clearly Communicated by Cognizant Agency and ANTHC
       Misinterpreted Federal Requirements:

       The OIG determined that ANTHC's lack of an indirect rate is due to miscommunication
       and misinterpretation of Federal Requirements.

       Region 10 Response:

       As established in our detailed discussion of objection #2 above, the Region believes this
       reflects a fundamental misunderstanding of ANTHC's relationship with, and obligations
       to, HHS in regards to the establishment of and adherence to its indirect cost rate
       agreements. The effect of this misunderstanding is to erroneously blame ANTHC for not
       having an indirect rate, when in fact it has been acting in accordance with  its agreement
       with HHS.
   OIG RESPONSE 15 As discussed in OIG RESPONSE 5, we have not questioned
   indirect costs incurred by ANTHC that are either supported by rates approved by HHS
   or ANTHC's November 20, 2007, certified indirect cost proposal.  However, the rates
   approved by HHS and the 2007 proposal do not cover all indirect costs incurred under
   the IA for fiscal years 2007, 2008, and 2009. At a minimum, ANTHC needs to prepare
   a new proposal meeting the requirements of Title 2 CFR Part 225, Appendix E, in order
   to claim costs incurred for fiscal years 2007 through 2009 that are not covered by the
   indirect cost rates approved by HHS or the 2007 cost proposal. Therefore, our position
   that the questioned indirect costs were claimed primarily because of miscommunication
   between ANTHC  and HHS on the application of approved indirect rates and ANTHC's
   incorrect interpretation of federal  indirect  cost rate requirements remains unchanged.
                                          33

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                                                                          10-4-0241
   ANTHC Misinterpreted Basic Federal Cost Principles

   The OIG asserts that ANTHC management's incorrect interpretation of the basic cost
   principles under Title 2 CFRPart 225 led to $903,671 of the $1,533,546 in total
   questioned costs: $676,454 transferred from projects supported through other agreements;
   $227,217 incurred for an equipment purchase considered unallocable to the IA.

   Region 10 Response.

   ANTHC accounts for costs by each specific project phase and funding sources in
   accordance with the terms and conditions of the IA, and as demonstrated in the progress
   reports reviewed by OIG. As there were no findings associated with the progress reports,
   we believe ANTHC was in full  compliance with the applicable accounting requirements.

   However, we agree in principle that ANTHC could improve the process of transferring
   costs between projects by including additional information on the transfers and ensuring
   transfers are completed within a timely manner (i.e., when funds are made available for a
   project).  We fundamentally disagree that the cost principles cited by the OIG apply to
   ANTHC, and thus they cannot be held at fault for their misinterpretation.  IHS has
   committed to working with ANTHC to develop a corrective action plan to address the
   transfer of costs.
OIG RESPONSE 16 The OIG examined ANTHC's accounting system, detailed
supporting documentation, and the reported outlays for EPA funded projects.  The issues
addressed in the attestation report resulted from our examination of ANTHC's accounting
system and supporting records. With regard to the Region's comments on the progress
reports, the reports are summary level outputs from ANTHC's accounting system and do
not show ANTHC's compliance with accounting and Title 2 CFR Part 225 requirements.

We appreciate Region 10's recognition that ANTHC could improve its process for
transferring costs.  However, as discussed in OIG RESPONSE 1, ANTHC is obligated to
comply with Title 2 CFR Part 225 for costs that are reimbursed from EPA funding provided
through the IA.  Therefore, our position that ANTHC management did not correctly
interpret the basic cost principles under Title 2 CFR Part 225 remains unchanged.
   ANTHC Erroneously Believed That Equipment Rental Fees Met Federal Criteria

   The OIG determined that ANTHC incurred a total of $213,058 for equipment rental fees
   that were not allowable or allocable because ANTHC management mistakenly believed
   the costs, based on the Rental Blue Book, met applicable federal cost criteria.
                                       34

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                                                                              10-4-0241
       Region 10 Response.

       See our response to this issue in the discussion of specific questioned costs findings in
       table #1 above.
        OIG RESPONSE 17 The Region's responses for the $213,058 in equipment costs
        questioned are actually in Tables 1 and 2 above.  The Region's comments for $24,481 of
        the questioned costs are included in Table 1. The Region's comments for the other
        $188,577 in questioned costs are included in Table 2. We have responded to the Region's
        comments on these costs in OIG RESPONSE 9 and OIG RESPONSE 12.
       ANTHC Did Not Ensure that Costs Were Consistently Classified

       In its review of the costs discussed above, the OIG determined that ANTHC was
       inconsistent in its classification of costs within its accounting system because staff
       working in the field did not consistently follow ANTHC's coding for classifying costs in
       the accounting system. The OIG states that ANTHC must be consistent in its
       classifications to be in compliance with the financial management requirements under
       Title 40 CFR Part 31.20(b)(2).
Region 10 Response:

    1.  We refer the OIG to our fundamental contention that the regulatory requirements cited
       are not applicable to ANTHC's agreement with IHS under this IA.

    2.  Of the five identified inconsistencies identified by the OIG in its discussion of this
       finding, three are based on HHS's not issuing an indirect rate to ANTHC. We refer the
       OIG to our fundamental contention that EPA cannot override HHS's determinations in
       this regard.

    3.  The remaining two entries total $34,295, or 1% of the costs reviewed by the OIG
       findings. Given that ANTHC completes tens of thousand  entries for more than 600
       projects that they manage, this seems well within acceptable limits.

    4.  We agree, in principle, that ANTHC could improve the consistency of coding costs by
       field staff. IHS has agreed to include improved coding policies in its previously
       proposed corrective action plan for ANTHC.
                                          35

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                                                                             10-4-0241
  OIG RESPONSE 18 We agree that the ANTHC is not obligated to comply with Title 40
  CFR Part 31 under the IA. However, consistency is one of the concepts that underlie
  generally accepted accounting standards and promotes understanding of, and confidence in,
  financial information on the part of users of the information. Treatment of costs in a
  consistent manner aids in the determination of reasonable, allowable, and allocable costs.
  Considering the multiple funding sources for ANTHC projects, consistent treatment will
  provide assurance that resources were used in accordance with the various funding sources.
  As discussed in the draft report, we did not question costs because of this misclassification
  issue. Because we did not consider the misclassification errors identified during the examination
  as material, the issue and corresponding recommendation were not included in the final report.
Region 10's Response to the OIG's Recommendations

In its Attestation Report, the OIG makes the following recommendations to EPA Region 10 to
address the findings of the review:

   1.  Disallow $1,533,546 in costs questioned under IA DW 75-95754001.

   2.  Recover $1,047,339 in questioned costs claimed under IA DW 75-95754001. If
       ANTHC provides documentation that meets appropriate federal financial
       management requirements and shows that some questioned costs are allocable and
       allowable to the IA, the amount to be recovered should be adjusted accordingly.

Region 10 Response:

As established and discussed elsewhere, Region  10 believes EPA has no authority to disallow
and recover any amount of these funds. Alternatively, we suggest that, once these findings have
been adjusted and finalized, this recommendation be provided to HHS for their review and
possible action.
  OIG RESPONSE 19  The IA was awarded under Section 518(c) of the Clean Water Act,
  which limits the funding for the IA to federally recognized Native American tribes as
  discussed in OIG RESPONSE 1. As a tribal recipient of federal funding under the IA,
  ANTHC is obligated to comply with Title 2 CFR Part 225.  The terms in the IA include
  the recovery from IHS of unallowable costs identified during an audit.  Consistent with
  these terms, our recommendations include the recovery of $1,007,690 in questioned costs
  claimed by ANTHC from IHS.  Therefore, our position on Recommendations 1 and 2
  remain unchanged.
   3.  Require through Amendment to the IA that IHS direct ANTHC establish controls
       which ensure costs are claimed under the agreement meet criteria specified by title 2
       CFR Part 225 and Title 40 CFR Part 31.
                                         36

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                                                                            10-4-0241
Region 10 Response:

As established and discussed previously, the funds are awarded to ANTHC by IHS pursuant to
Section 7(a)(3) of Public Law 86-121 (42 U.S.C. 2004a, 73 Stat. 267). The requirements of Title
40 CFR Part 31 and Title 2 CFR Part 225 do not apply.
   PIG RESPONSE 20 We agree that the ANTHC is not obligated to comply with Title 40
   CFR Part 31 under the IA as discussed in OIG RESPONSE 1.  We have made changes to
   the report, including Recommendation 3, as appropriate.  Although, ANTHC is not
   required to comply with Title 40 CFR Part 31 under the IA, Title 2 CFR Part 225 applies
   to the EPA funding provided through the IA.  Therefore,  our position that the Region
   require controls that ensure costs claimed under the agreement meet the criteria specified
   by Title 2 CFR Part 225 remains unchanged.
OIG Recommended controls:

   a.  Costs are tracked in the accounting system by project phase and funding source.

       Region 10 Response:

       Though we believe that oversight in this area properly belongs to IHS, which has
       committed to working with ANTHC to develop a corrective action plan to address any
       accounting system deficiencies, we disagree with this particular finding on its own
       merits. ANTHC accounts for costs by each specific project phase and funding sources in
       accordance with the terms and conditions of the IA, and as demonstrated in the progress
       reports reviewed by the OIG.
   OIG RESPONSE 21 The OIG examined ANTHC's accounting system, detailed
   supporting documentation, and the reported outlays for EPA funded projects.  The issues
   addressed in the attestation report resulted from our examination of ANTHC's accounting
   system and supporting records as discussed in OIG RESPONSE 16.  The progress reports
   are summary level outputs from ANTHC's accounting system and do not show ANTHC's
   compliance with accounting and Title 2 CFR Part 225 requirements. Therefore, our
   position on Recommendation 3(a) remains unchanged.
   b.  Billing to the Federal Government excludes unallocable and unallowable costs.

       Region 10 Response:

       Though we agree with this recommendation as a matter of principle, we hold that
       oversight in this area properly belongs to IHS.
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                                                                          10-4-0241
    OIG RESPONSE 22 Recommendation 3(b) does not state that Region 10 provide
   direct oversight over ANTHC. The recommendation specifies that the Region require
   IHS to direct ANTHC to establish controls that ensure reimbursements provided
   through EPA funding and the IA are allocable and allowable under Title 2 CFR Part
   225.  Therefore, our position on Recommendation 3(b) remains unchanged.
c.  Indirect costs are claimed based on indirect cost rates approved by the cognizant
   federal agency.

   Region 10 Response:

   As discussed in detail above, the cognizant federal agency for ANTHC (HHS) has made
   the determination not to grant ANTHC an indirect cost rate for the construction program
   referred to as DEHE. Insofar as ANTHC is complying with the determination of HHS in
   this regard, and HHS is the proper authority for determining compliance, there is no
   corrective action to be taken by EPA.
     OIG RESPONSE 23 We acknowledge that HHS has not agreed to provide
     ANTHC with approved rates for indirect costs incurred by DEHE. As
     discussed in OIG RESPONSE 5, Title 2 CFR Part 225, Appendix E, Sections D
     and E, require an organization claiming indirect costs under a federal award to
     either: (i) submit an indirect cost rate proposal for negotiation and approval to
     the cognizant federal agency or (ii) maintain a certified proposal and supporting
     documentation on file for audit.  Consistent with Title 2 CFR Part 225, we
     questioned a total of $351,072 in indirect costs because they were either not
     covered by indirect cost rates approved by HHS or ANTHC's November 2007
     certified indirect cost proposal submitted to HHS. Recommendation 3 (c) does
     not state that Region 10 provide direct oversight over ANTHC. The
     recommendation specifies that the Region require IHS to direct ANTHC to
     establish controls that ensure indirect cost reimbursements provided through
     EPA funding and the IA are allocable and allowable under Title 2 CFR Part
     225. We have revised the recommendation in the report to clarify that allocable
     indirect costs may also be based on a certified indirect cost proposal meeting
     criteria specified by Title  2 CFR Part 225.  Therefore,  our position on
     Recommendation 3(c) remains unchanged.
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   d.  Costs are correctly coded in the accounting system.

       Region 10 Response.

       While we agree that ANTHC could improve the consistency of coding costs by field
       staff, we hold that EPA has no oversight authority in this matter.  IHS has agreed to
       include improved coding policies in its corrective action plan for ANTHC.
    OIG RESPONSE 24  We did not consider the misclassification errors identified during the
   examination a material issue as discussed in OIG RESPONSE 18. Therefore, the issue and
   corresponding recommendation were not included in the final report.
   4.  Designate ANTHC as a high-risk grantee in the Integrated Management System.
       Also require the following conditions to be included for all existing (through
       amended agreements) and future EPA awards providing funding directly or
       indirectly to ANTHC, including fund from the American Recovery and
       Reinvestment Act.

       a.  Payment on a reimbursement basis, including payments to IHS when funding is
          provided indirectly to ANTHC through an IA.

       b.  Review and approve by EPA project managers of reimbursement requests
          including all supporting documentation for the claims prior to payment.

       c.  Additional project monitoring by EPA project managers to ensure requests for
          reimbursement are consistent with the scopes of work and progress of projects
          associated with the claims.

Region 10 Response:

Region 10 considers this recommendation to be inappropriate in one regard, and overreaching in
another. Title 40 CFR Part 31.12 permits an EPA Award Official to impose "High Risk"
restrictions on a state or local government or tribal organization who is a recipient or sub-
recipient of EPA funds through a grant or cooperative agreement. As established and discussed
at the beginning of this response, the Region believes this authority does not extend to federal
agencies or their sub-recipients who receive funds via an Interagency Agreement or other type of
agreement. As the sub-recipient of EPA funds via an agreement with IHS which is neither a
grant or cooperative agreement, it is not appropriate for EPA to impose high-risk restrictions on
ANTHC, or to even require IHS, as the primary recipient of those funds via an IA, to do so,
based on the findings of this review.  Any corrective measures to be taken in this case would be
the province of IHS.
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Further, this recommendation overreaches in seeking to encompass all types of agreements,
including grants and cooperative agreements, potentially issued by a variety of programs and
grants management offices. The Region believes that the findings of this review, conducted
without proper authority, cannot be used to impose high-risk restrictions on ANTHC.  While a
review such as that conducted by the OIG in this case could be considered appropriate where
ANTHC was the recipient or sub-recipient of EPA funds via a grant or cooperative agreement,
we are not aware of any such review having been accomplished.  Any  deficiencies identified in
the routine monitoring of those agreements, where they exist, will be addressed and remedied
accordingly by virtue of the established authorities.

Even setting aside consideration of the above objections, the Region still disagrees that the
"findings" which gave rise to this recommendation merit the imposition of "high risk"
restrictions.  We believe that our oversight of this IA, in accordance with OCFO Financial
Guidance for Disbursement Interagency Agreements and Interagency Agreement Policy 09-01
Billings Under Funds Out Interagency Agreements, has been more than adequate. This is
reflected in the progress reports reviewed by the OIG.  In addition to this, improvements to its
financial management system have already been made by ANTHC on  a voluntary basis, and a
corrective action plan has been proposed by IHS, as the entity with direct oversight authority.
We believe these actions are more than sufficient to render a "high risk" designation
unnecessary.
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  OIG RESPONSE 25  Our position on designating ANTHC as a "high risk" recipient under Title
  40 CFR Part 31 remains unchanged. Our position is based on the material financial management
  issues associated with ANTHC's accounting system for DEHE discussed in the report and the
  EPA funding ANTHC receives directly through grants. For example, ANTHC received over
  $1.7 million through three EPA grant awards during Fiscal Year 2009. These grants were still
  active as of March 2010. Because ANTHC is a recipient of EPA funding through grant
  instruments, EPA may designate ANTHC as "high risk" under Title 40 CFR Part 31.12 based on
  the issues we identified during the examination as recommended in the report. The special
  conditions we recommend are intended to establish controls that provide assurance that EPA
  funds are spent and accounted for in accordance with federal cost principles.  With regard to the
  Region's comment that our examination was conducted without the proper authority, the
  Inspector General Act of 1978 provides OIG with the authority to audit EPA funded programs as
  previously discussed in OIG RESPONSE 2.

  The Region indicates in its comments that the progress reports show that its oversight has been
  more than adequate as reflected in ANTHC's progress reports. As discussed previously in OIG
  RESPONSE 16, the reports are summary level outputs from ANTHC's accounting system and do
  not show ANTHC's compliance with accounting and Title 2 CFR Part 225 requirements.  The
  issues addressed in the attestation report were identified from our examination of ANTHC's
  accounting system and supporting records rather than general summary information presented in
  the progress reports.

  The Region also indicates in its response that ANTHC has made improvements to its financial
  management system and a corrective action plan has been proposed by IHS. The Region has not
  provided information and documentation for the OIG to verify that ANTHC has satisfactorily
  resolved the financial management issues identified during the examination. Supplemental
  information provided by ANTHC with its comments to the draft report, including the proposed
  corrective action plan, also do not show that the issues have been satisfactorily resolved as
  discussed in our response to those comments. ANTHC's comments and  our responses are in
  Appendix C of this report.
   5.  Evaluate costs claimed under other open agreements that fund construction projects
       managed by ANTHC to ensure costs claimed are reasonable, allocable, and
       allowable.

Region 10 Response:

As with the previous recommendation, we find this recommendation to be overreaching, as well
lacking in specifics.  As implied in its response to recommendation #4 above, in general Region
10 believes that its oversight responsibilities of such agreements are met to the best of the
abilities of its staff. Specific to this review, we believe the current oversight by IHS of ANTHC
is equivalent to the level of oversight EPA devotes to the performance of a primary recipient of
funds through a grant or cooperative agreement.
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 OIG RESPONSE 26 Our position on Recommendation 5 remains unchanged.  The
 financial management issues addressed in the attestation report were identified from our
 examination of ANTHC's accounting system and supporting records.  As discussed in the
 attestation report, ANTHC has not correctly applied the cost principles specified by
 Title 2 CFR Part 225.  Therefore, ANTHC may have been reimbursed for construction
 project costs that were not allocable or allowable under other agreements that are funded
 by EPA. EPA needs to ensure that its funding is only used to pay for project costs that
 meet federal cost principles.
Attachments (6)
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                                                                    Appendix B

 Indian  Health Service's Comments on the Draft Report
                         and OIG's Evaluation
The response from IHS is provided verbatim.  OIG responses to those comments have been
inserted in text boxes.
                                 February 18,2010
Robert Adachi
Director, Forensic Audits
EPA OIG—Office of Audit
75 Hawthorne Street, 7th Floor, Mailcode IGA-1
San Francisco, CA 94105

Dear Mr. Adachi:

Thank you for the opportunity to comment on the draft Attestation Report (AR) entitled
Costs Claimed by the Alaska Native Tribal Health Consortium under EPA Interagency
Agreement (IA) DW 75-95754001, dated January 8, 2010.  I am providing comments for
Alaska Area Indian Health Service and incorporating comments from the Alaska Native
Tribal Health Consortium (ANTHC). ANTHC directed their detailed response to the fflS
because the IA is between the EPA and the IHS in Alaska. The IHS is providing the
facilities funded by the IA through a separate Project Funding Agreement (PFA) with
ANTHC.  ANTHC's Division of Environmental Health and Engineering (DEHE) is
managing the construction of the sanitation facilities. I am enclosing the official ANTHC
response for your records.

General Comments:

The IHS does not accept the OIG's position that EPA has privity over ANTHC as stated
on page one, second bulleted point of the AR. This interpretation by the OIG would
subject the accounting and billing practices of ANTHC to a review by EPA under Title 2,
CFR, Part 225, OMB Circular A-87 and Title 40, CFR Part 31. The PFA between the
IHS and ANTHC is issued pursuant to Section 7 (a)(3) of P.L. 86-121 (42 U.S.C. 2004A,
73 Stat. 267). In 1992, the Director, Division of Grants and Contracts, Public Health
Service determined these agreements to be unconstrained by HHS regulations.  The IHS
is responsible for the completion of the work in the IA.  ANTHC, as a sub-recipient of
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funds, is subject to the agreement they are a signatory to, thus the regulations in the PFA
would prevail.  Please note Section 1, pages 2-3 of the enclosed ANTHC memorandum.
  OIG RESPONSE 1 We agree that EPA's primary contractual relationship is between
  EPA and IHS in the I A. We also agree that the ANTHC is not obligated to comply
  with Title 40 CFR Part 31 under the IA. We have made changes to the report as
  appropriate. Although, ANTHC is not required to comply with Title 40 CFR Part 31
  under the IA, Title 2 CFR Part 225 applies to the EPA funding provided through the IA.
  The IA was awarded under Section 518(c) of the Clean Water Act, which limits the
  funding for the IA to federally recognized Native American tribes. As a tribal recipient
  of federal funding under the IA, ANTHC is obligated to comply with Title 2 CFR Part
  225. We also note that the PFAs supplement the Compact between the Alaska Native
  Tribes, ANTHC, and HHS. The PFAs clearly state that the provisions of the Compact
  apply to the projects funded under the agreements. The provisions of the Compact
  include a requirement that ANTHC and the other co-signers apply cost principles under
  the applicable OMB Circular. Consistent with the provisions of the  Compact, ANTHC
  recognizes the applicability of OMB cost principles in their response to the draft audit
  report and in their internal guidance for Cooperative Project Agreements.
Indirect Costs Claimed without Approved Rates or Certified Proposal: (AR, pg. 5)

The IHS strongly disagrees with this finding and supports ANTHC's position that an indirect rate
was requested from DHHS on November 20, 2007 for Fiscal Year (FY) 2006.  (DHHS has not
negotiated an indirect rate for construction projects.)  ANTHC asked for and received approval
from the EPA to use a Cost Allocation Plan  (CAP) methodology in the absence of an approved
indirect rate. However, to resolve this issue, the IHS  and ANTHC will draft a Joint Operating
Guideline (JOG) to describe a mutually agreeable methodology for indirect costs by September
1, 2010. The JOG will be added to all PFAs and P.L. 86-121 agreements between ANTHC and
IHS. Please note pages 7-11, Supplemental Submission No. 3, pg. 1-23 of the enclosed
ANTHC memorandum.
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  PIG RESPONSE 2 We acknowledge that ANTHC has attempted to obtain indirect
  cost rates subsequent to the start of our audit work and that HHS will not approve a
  rate for construction projects.  Title 2 CFR Part 225, Appendix E, Sections D and E
  require an organization claiming indirect costs under a federal award to either:
  (1) submit an indirect cost rate proposal for negotiation and approval to the cognizant
  federal agency or (2) maintain a certified proposal and supporting documentation on
  file for audit. ANTHC's November 20, 2007, certified indirect cost proposal
  submitted to HHS is an acceptable cost allocation plan that is in compliance with
  Title 2 CFR Part 225, Appendix E. Consistent with Title 2 CFR Part 225, we have not
  questioned indirect costs incurred by ANTHC that are supported by rates that have
  been approved by HHS. We acknowledge that ANTHC's November 2007 certified
  indirect cost proposal includes a construction indirect rate covering administrative
  costs incurred by DEHE for fiscal year 2006 that were overlooked in the draft report.
  The report has been corrected to reflect the construction indirect cost rate for 2006.
  The correction resulted in a $39,653 reduction in questioned indirect costs. However,
  the rates approved by HHS and the 2007 certified proposal do not cover all indirect
  costs incurred under the IA for fiscal years 2007, 2008, and 2009. Therefore, we
  continue to question $351,072 in indirect costs that are not supported by rates
  approved by HHS or the November 2007 certified indirect cost proposal.

  MS' plan to resolve the indirect cost rate issue with a "Joint Operating Guideline,"
  does not meet the requirements of Title 2 CFR Part 225, Appendix E. The planned
  "Joint Operating Guideline" appears  to be a description of the methodology to allocate
  indirect costs rather than a certified indirect cost rate proposal. Title 2 CFR Part 225
  Appendix E, Section D.2 requires the indirect cost proposal to include the rate
  proposed, including subsidiary worksheets cross referenced and reconciled to financial
  data. Appendix E, Section D.2 also specifies that the proposal should include a copy
  of the financial data upon which the rate is based, as well as the amount of base costs
  incurred under federal awards.
Unallowable Costs:  (AR, pg. 6-9)

The labor, indirect, equipment, freight, material and subcontract costs have been reviewed by the
IHS. The explanation and documentation of these charges can be found on pages 11 - 14 of the
ANTHC memorandum. The IHS finds the explanation and documentation provided by ANTHC
to be reasonable.
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  OIG RESPONSE 3  Our position remains unchanged on the questioned costs, with
  the exception of the corrected questioned indirect costs previously discussed in OIG
  RESPONSE 2.  The explanation and documentation presented in ANTHC's
  comments to the draft report do not show the questioned costs are allocable or
  allowable under Title 2 CFR Part 225 as discussed in our detailed responses to those
  comments. Our detailed response to ANTHC's comments is included in Appendix C
  of this report.
Recommendations: (AR, pg. 12 - 13)

       1. The IHS disagrees with this recommendation with the exception of Item(s) C.I.,
Equipment Cost for the St. Michael Water Truck ($74,833) and D., Freight Costs ($4,999)
miscoded for a Fort Yukon project.  The IHS will reimburse the EPA for the costs listed above.
The explanation and documentation provided by ANTHC in the enclosed documentation, pages
10-17, seems reasonable and appropriate.
  OIG RESPONSE 4 We accept IHS' decision to reimburse EPA for the water truck
  and freight costs questioned in the examination report. ANTHC claimed $74,833
  for reimbursement for the water truck and $4,235 for reimbursement for the freight
  costs as discussed in the draft report. IHS should proceed with reimbursing EPA for
  these costs.

  Our position on the remaining questioned costs and Recommendation 1 is
  unchanged, with the exception of the $39,653 reduction in questioned indirect costs
  previously discussed in OIG RESPONSE 2. The explanation and documentation
  presented in ANTHC's comments to the draft report do not show the questioned
  costs are allocable or allowable under Title 2 CFR Part 225 as discussed in our
  detailed responses to those comments.
       2. The attached documentation provided by ANTHC clearly shows the questioned costs
to be allocable, allowable, and reasonable, when the complexity of the questioned projects and
the monetary value of this IA are considered.
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                                                                             10-4-0241
 OIG RESPONSE 5 Our position on the questioned costs and Recommendation 2
 remains unchanged, with the exception of the correction in questioned indirect costs
 previously discussed in OIG RESPONSE 2. Based on the correction to the questioned
 costs, we revised the amount EPA should recover from $1,047,339 to $1,007,690 in the
 final report.  Our position on the recommendation is unchanged because the
 documentation presented in ANTHC's comments to the draft report do not show the
 questioned costs are allocable or allowable as discussed in our detailed responses to
 those comments.
       3. a., b., d.  ANTHC developed a proposed Management Improvement Plan to
complement existing systems and provide specialized training for employees. Please see the
enclosed ANTHC memorandum, Supplemental Submission No. 1, pages 1-6.
  OIG RESPONSE 6 IHS's response does not satisfactorily address Recommendation
  3(a) and (b).  The recommendation specifies that Region 10 require through an
  amendment to the IA that IHS direct ANTHC to establish cost accounting and billing
  controls which ensure costs claimed under the agreement meet federal financial criteria.
  ANTHC's Management Improvement Plan provided with its response to the draft report
  does not provide assurance that the issues identified during the audit will be satisfactorily
  resolved for two primary reasons. First, ANTHC has not indicated that it is fully
  committed to addressing the findings in the report. More specifically, ANTHC states in
  the plan: "ANTHC believes that the OIG Draft Audit Report's proposed findings are
  without merit or foundation."  Second, the other supplemental submissions submitted by
  ANTHC supporting its position on the findings indicate that ANTHC continues to
  incorrectly apply the federal cost principles specified by Title 2 CFR Part 225.

  We removed Title 40 CFR Part 31 from Recommendation 3 because ANTHC is not
  obligated to comply with 40 CFR Part 31 under the IA, as previously discussed in OIG
  RESPONSE 1. We also did not include Recommendation 3(d), which specified
  establishing controls that ensure costs are correctly coded in ANTHC's accounting
  system, in the final report. The inconsistent coding issue and associated recommendation
  were not included in the final report because we did not consider the issue to be material.
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       3. c. As previously noted, the IHS and ANTHC will draft a JOG prescribing a mutually
agreeable methodology for indirect costs by September 1, 2010. The JOG will be added to all
future PFAs and P. L. 86-121 agreements. Please see the enclosed ANTHC memorandum, pg.
10.
  OIG RESPONSE 7  IHS's response does not satisfactorily address Recommendation
  3(c).  The recommendation specifies that Region 10 require through an amendment to
  the IA that JUS direct ANTHC to establish controls which ensure indirect costs are
  claimed based on indirect cost rates approved by the cognizant federal agency. As
  discussed previously in OIG RESPONSE 2, IHS's plan to resolve the indirect cost rate
  issue with a "Joint Operating Guideline," does not meet the requirements of Title 2
  CFR Part 225, Appendix E.  The planned "Joint Operating Guideline" appears to be a
  description of the methodology to allocate indirect costs rather than the certified
  indirect cost rate proposal required by 2 CFR 225, Appendix E.
       4. The IHS does not agree that ANTHC should be designated as a high-risk grantee.
ANTHC acknowledges that their systems, methodologies and internal controls over reporting
costs can be improved. The proposed Management Improvement Plan should improve accuracy
in coding and data entry, expand ANTHC guidelines for coding and cost allocation and provide
training for employees responsible for those entries.  Please see the enclosed ANTHC
memorandum, Supplemental Submission No. 1, pages 1-6.
  OIG RESPONSE 8  Our position recommending that Region 10 designate ANTHC
  as a high-risk recipient remains unchanged. Our position is based on the material
  financial management issues associated with ANTHC's accounting system for DEHE
  discussed in the report and the EPA funding ANTHC receives directly through grants.
  For example, ANTHC received over $1.7 million through three EPA grant awards
  during Fiscal Year 2009. These grants were still active as of March 2010. Because
  ANTHC is a recipient of EPA funding through grant instruments, EPA may designate
  ANTHC as "high risk" under Title 40 CFR Part 31.12 based on the issues we
  identified during the examination as recommended in the report.  The special
  conditions we recommend are intended to establish controls that provide assurance
  that EPA funds are spent and accounted for in accordance with federal cost principles.
  As previously discussed in OIG RESPONSE 6, ANTHC's Management Improvement
  Plan does not provide assurance that the issues identified during the audit will be
  satisfactorily resolved.
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       4.a. The IHS disagrees with this recommendation. We recognize the need for
documentation of costs. ANTHC will provide supporting documentation for all costs with each
reimbursement request. The requirement to seek approval and reimbursement from the EPA for
each request makes this recommendation impractical given the value of the Agreements and the
number of requests received.
 OIG RESPONSE 9 IHS's comments do not provide sufficient information to assess
 whether the recommendation is impractical. Therefore, our position on
 Recommendation 4(a) remains unchanged.   The recommendation to require payment
 on a reimbursement basis is based on the special conditions for high-risk recipients
 suggested by Title 40 CFR Part 31.12(b). The recommendation is necessary to
 establish controls that provide assurance that payments made directly or indirectly to
 ANTHC with EPA funding are allocable and allowable under federal cost principles.
       4.b. The IHS cannot agree to this recommendation. The IHS values the opportunity to
collaborate with the EPA; however, if the EPA internal review and approval for all
reimbursement requests becomes a requirement, then the EPA should consider issuing grants
directly to Indian Tribes.
 OIG RESPONSE 10  Our position on Recommendation 4(b) remains unchanged.
 The recommendation to "require review and approval by EPA project managers of
 reimbursement requests prior to payment" is based on the special conditions for
 high-risk recipients suggested by Title 40 CFR Part 31.12(b). The recommendation
 is necessary to establish controls that provide assurance that payments made directly
 or indirectly to ANTHC with EPA funding are allocable and allowable under federal
 cost principles.

 In regard to IHS's comment that "EPA should consider issuing grants directly to
 Indian Tribes," we recommend that EPA consider the suggestion if IHS is unwilling
 to concur with the reimbursement process established by Recommendation 4(b).
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       4.c. The EPA currently receives quarterly updates on each project.
   OIG RESPONSE 11 Our position on Recommendation 4(c) remains unchanged.
   The recommendation to require additional project monitoring by EPA project
   managers is based on the special conditions for high-risk grantees suggested by Title
   40 CFR Part 31.12(b).  We acknowledge that the Region 10 project manager for the
   IA receives quarterly progress reports on the projects funded under the IA. However,
   the current level of monitoring by the EPA project manager does not appear to be
   effective based on the findings in our examination report.  For example, we
   questioned $337,075 in material costs transferred from Fort Yukon Project AN 02-
   Q66 that was not funded through the IA. ANTHC transferred these costs to the part of
   Fort Yukon Project AN 05-N96 that was funded through the IA. The scope of work
   associated with the costs transferred from Fort Yukon Project AN 02-Q66 exceeded
   the funding limit by $976,526 before the transfer. Although the scope of work for
   both Fort Yukon projects included buried sewer mains, the cooperative project
   agreement for each project identified different areas of the community for the work.
   Despite the similarities in work, ANTHC's $337,075 transfer to Project AN 05-N96
   removed 100 percent of the material costs recorded in the accounting system for
   Project AN 02-Q66 at the time of the transaction. ANTHC's quarterly progress
   reports for Project AN 02-Q66 did not disclose that costs incurred for Project AN 05-
   N96 caused or contributed to funding limit issue.  We questioned the $337,075 in
   transferred costs because ANTHC was not able demonstrate in the accounting records,
   progress reports, and other documents that the costs were  allocable to the Fort Yukon
   project funded through the IA. Recommendation 4(c) is necessary to establish
   controls that provide assurance that payments made directly or indirectly to ANTHC
   with EPA funding are allocable and allowable under federal cost principles.
       5. The Management Improvement Plan should address financial management processes
questioned in the draft Audit Report and provide assurance that ANTHC will meet all applicable
administrative and accounting requirements with respect to federal funding.
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   OIG RESPONSE 12 IHS's response does not satisfactorily address
   Recommendation 5.  The recommendation specifies that Region 10 evaluate costs
   claimed under other open agreements that fund construction projects managed by
   ANTHC to ensure costs claimed are reasonable, allocable, and allowable.
   ANTHC's Management Improvement Plan does not establish an EPA evaluation
   of costs claimed under other open agreements for construction projects funded by
   EPA and managed by ANTHC as specified by the recommendation. The
   Management Improvement Plan also does not provide assurance that the issues
   identified during the  audit will be satisfactorily resolved as previously discussed in
   OIG RESPONSE 6.
The original projects funded by EPA through IA DW 75-95754001 have been constructed or are
currently under construction by ANTHC. The IHS respectfully requests that the OIG review and
seriously consider the information provided in this letter and in the enclosed response from
ANTHC and cancel the official publication of this Report.
  OIG RESPONSE 13  Our position on the findings and recommendations generally
  remains unchanged, with the exception of the $39,653 reduction in questioned indirect
  costs and the inconsistent coding issue as discussed previously in OIG RESPONSE 1
  through OIG RESPONSE 12. The questioned costs in the report are based on the
  federal cost principles  specified by Title 2 CFR Part 225. The information and
  documentation presented in and with IHS's and ANTHC's comments to the draft
  report do not resolve the findings and recommendations.  IHS's comment that the
  original projects funded by EPA through the IA have been constructed or are under
  construction by ANTHC also does not address the questioned costs identified during
  our examination.  Therefore, we did not cancel publication of the final report.
If you have questions or need additional information, please contract CAPT Steve Bolan,
Director, Sanitation Facilities Construction Branch, Area Office of Environmental Health &
Engineering. CAPT Bolan can be reached at (907) 729-2711 or by email at
steven.bolan@ihs.gov.

                                 Sincerely,
                                 Christopher Mandregan, Jr., MPH
                                 Director
                                 Alaska Area Native Health Service, IHS, DHHS
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cc. Michael Owen, EPA
   Jan Lister, EPA
   Dennis Wagner, EPA
   Don Kashevaroff, ANTHC
   Steven Weaver, ANTHC DEHE
   Matthew Dixon, ANTHC DEHE
   Gary Hartz, JUS
   Ron Ferguson, IHS
   Dale Mossefm, AANHS
   Steve Bolan, AANHS

Attachments:  ANTHC Memorandum to IHS—Attestation Report Rebuttle Comments
            ANTHC DEHE Proposed Management Improvement Plan
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                                                                       10-4-0241
                                                                   Appendix C

          Alaska Native Tribal Health Consortium's
  Comments on the Draft Report and OIG's Evaluation
The response from ANTHC is provided verbatim.  OIG responses to those comments have been
inserted in text boxes.
                                 February 4, 2010

TO:         Christopher Mandregan, Jr., Director
            Alaska Area Native Health Services
            Indian Health Service

CC:         Michael Owen
            Janet Lister
            EPA OIG - Office of Audit

            Michelle Pirzadeh, EPA, Acting Regional Administrator, Region 10

FROM:      Don Kashevaroff, CEO, Alaska Native Tribal Health Consortium

RE:         EPA OIG Draft Audit Report "Costs Claimed by the Alaska Native Tribal Health
            Consortium under EPA Interagency Agreement DW 75-95754001,"
            Project No. 2008-507 (January 8, 2010)

      At your request, pursuant to the terms of certain Project Funding Agreements ("PFAs") l
between the Alaska Native Tribal Health  Consortium ("ANTHC")  and  the Indian  Health
Service, U.S. Department of Health and Human Services  ("IHS"), we provide the following
comments with respect to the above-captioned Draft Audit  Report (the  "Draft Audit Report")
to facilitate the response  of the IHS  to the U.S. Environmental Protection Agency ("EPA"),
Office of Inspector General ("OIG").  ANTHC takes all of the proposed findings contained in
the Draft Audit Report very seriously.  We provide a response to each specific proposed finding
below.

      We also include a  proposed Management Improvement Plan as we have discussed. That
Management Improvement Plan is presented as Supplemental Submission No.  1 in the package
of materials that accompany  these  comments.   Those Supplemental Submissions  provide
1      ANTHC and IHS have entered into twenty-nine PFAs with respect to projects for which IHS has
received funding pursuant to the Interagency Agreement DW 75-95754001.
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(1) documentary support for responses to some of the Draft Audit Report's specific questioned
costs and proposed findings and (2) context and background on certain matters relevant to your
response more  generally.    The Management  Improvement Plan  addresses several  issues
identified in the Draft Audit Report, and provides further assurances that ANTHC will continue
to meet all applicable administrative and accounting requirements with respect to IHS funding
that it manages,  whether  derived directly  from IHS appropriations or  through  interagency
agreements and other arrangements between  IHS and other federal agencies.  Such IHS funding
includes that provided by  EPA to IHS under Interagency Agreement DW 75-95754001  (the
"Interagency Agreement") for Sanitation Facilities Construction ("SFC") projects in Alaska.

       Prior to addressing  the  specific proposed  findings  of  the Draft Audit Report, ANTHC
wishes to correct several misunderstandings, mischaracterizations, and misstatements contained
in the Draft Audit Report concerning (1) the distinct legal relationships between EPA and IHS,
and IHS and ANTHC, with respect to the administration and management of the funding
provided to IHS by EPA under the Interagency Agreement, and (2) the operative rules that result
from those relationships and apply to the administration and management of such funding.

I.      Relationships, Authority, and Responsibility Regarding
       Interagency Agreement Funding for Alaska SFC Projects

       The "Introduction"  and "Independent Attestation Report" sections of the Draft Audit
Report do not reflect an accurate understanding of the Interagency  Agreement, the legal form
and function of ANTHC, or its relationship with IHS. This Memorandum will explain the effect
of the correct characterization of these matters on the applicable regulatory and oversight regime
for these SFC projects.

       Pursuant to Section  518  (c) of the Clean Water Act, 33 U.S.C. § 1377, EPA is required to
set aside a portion of its available funding for water treatment improvement projects benefiting
Indian tribes and Alaska Native Villages. In Alaska, EPA discharges this obligation through the
Interagency Agreement with IHS.2
   The Interagency Agreement, at Programmatic Terms and Conditions - Authority and Purpose, states
   that:

       The services and facilities will be provided to [each Tribe with an approved project] by
       the U.S. Alaska Area Indian Health Service (IHS) pursuant to an Interagency Agreement
       (IAG) between EPA and IHS under the authorities of PL 86-121, and section 518 (c) of
       the Clean Water Act of 1987, as amended (Public Law 100-4).

   Among other matters, Pub. L. 86-121 authorizes the Secretary of Health and Human Services:

       to make such arrangements and agreements with  appropriate public  authorities  and
       nonprofit organizations or agencies and with the Indians to be served by such sanitation
       facilities  (and  any other person  so  served) regarding  contributions  toward  the
       construction, improvement, extension and provision thereof, ...

   42 U.S.C. § 2004a(a)(3).
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       An interagency agreement is a vehicle through which a federal department or agency may
acquire goods or services through another federal department or agency under specific authority,
such as Pub. L. 86-121, or the more general authority of the Economy Act, 31 U.S.C. § 1535, 52
Comp. Gen.  128 (1972).  An interagency agreement is not a grant agreement.  Instead, it  is a
means by which one federal department or agency may utilize the resources of another to enable
such first contracting department or agency to carry out its own mission.3
   OIG RESPONSE 1 The term "grant" was an oversight in the Independent Attestation
   Report. We have revised the report to the correct term of "interagency agreement."
       The Interagency Agreement acknowledges that IHS may provide services funded by the
Interagency  Agreement through PFAs with ANTHC, as authorized by Title III [superseded by
Title V] of the Indian Self-Determination and Educational Assistance Act ("ISDEAA"), Pub. L.
93-638, 25 U.S.C. § 450(f) note, and Section 325 of Pub. L. 105-83, and that IHS intends to do
so.  However, the contractual relationship and associated responsibility under the Interagency
Agreement is clearly between IHS and EPA.4

       ANTHC  is not simply a subcontractor or sub-recipient of federal funding.  It serves a
much more comprehensive and unique role with respect to the conduct of the IHS Alaska Area
Office's federal  programs, functions, services, and  activities ("PFSAs").  Congress authorized
the formation of ANTHC to provide all statewide health services provided by IHS through the
Alaska Native Medical Center and the Alaska Area  Office.  Pub.  L. 105-83, § 325(a).  This  Act
provided that any PFSAs provided as part of statewide health services "may  only be provided by
the Consortium." Id. § 325(c). Except for certain retained IHS  functions,5 ANTHC has assumed
3  "The 1987 Amendments to the Clean Water Act (Section 518(e)), directed EPA to work with IHS to
   identify and address the sanitation needs of tribes. To accomplish this, EPA entered into an inter-
   agency agreement and memorandum of understanding with IHS in 1988 to provide help with the
   administration of the Clean Water Act Indian Set Aside ("CWISA") Program.  Because EPA does not
   have the resources necessary at the field level to administer project grants by itself, this partnership
   has allowed EPA and IHS to work together to leverage the technical resources available through both
   agencies to address tribal sanitation needs.  However,  final  decisions to fund CWISA Program
   projects are made  by the EPA."  EPA, Clean Water Indian Set-Aside Grant Program, Answers to
   Frequently Asked Questions (March 2007) ("CWISA FAQs"), #33.

4  "Notwithstanding the  above [concerning  IHS's  intent to provide  its services through PFAs with
   ANTHC], IHS shall ensure that the work is carried out in accordance with the scope of work and
   conditions of the IAG." Interagency Agreement: Programmatic Terms and Conditions - Authority
   and Purpose. (Emphasis added.)

5  Among the IHS retained functions identified on pages 5 and 6 of a Memorandum of Agreement
   Describing  Continuing  Services of  IHS, attached to ANTHC's Annual Funding  Agreement as
   Appendix C, are (1) allocation of federal project funding, (2) "oversight, facilitation and management
   of contributed sanitation  facility  construction  funding  from other  federal and state agencies,"
   (3) evaluation and approval of projects, and (4) verification of project development, documentation,
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and manages IHS's SFC Program in Alaska.  Thus, ANTHC is actually operating the federal
PFSAs pursuant to Pub. L. 105-83 and Title V of the ISDEAA, and is not a subcontractor of the
IHS's SFC Program.

       A  review  of  the relevant  documentation  and agreements shows that there is  no
contractual relationship established between EPA and ANTHC.  The  Interagency Agreement
contemplates that  some deliverables owed  from IHS to  EPA may actually  be provided by
ANTHC as  manager  of the SFC Program, pursuant to Pub. L.  105-83  and Title  V of the
ISDEAA,  25 U.S.C. § 458aaa, et seq., but does not create any direct obligation or relationship
between ANTHC and EPA.6  The PFAs between IHS and ANTHC incorporate the terms of the
Interagency Agreement, with respect to the description of the scope of each particular project to
which it applies, but at no point does it include an assignment and assumption of duties owed by
IHS to EPA under the Interagency Agreement.7  Some versions of the  PFA include provisions
that require  ANTHC,  "as the sanitation facilities program manager," to IHS to  "abide by the


   funding, construction and  closeout.  A copy of this Memorandum of Agreement is provided as
   Supplemental Submission No. 2.

6  Under the terms of the Interagency Agreement, responsibility for the performance of the duties owed
   to EPA rests with IHS.

       •      Programmatic Condition #13 requires IHS, "as the Federal Government's manager of the
              funds under all phases of the project." to  maintain  records reflecting transfers and
              expenditures of "funds received from  EPA for  Clean  Water  Act Indian Set-aside
              projects"; sets out the requirements of periodic reports IHS is to provide to EPA; requires
              separate  reports  for each  EPA  funded project;  and  mandates  that EPA  funds be
              highlighted in the report if combined with other funds. Programmatic Condition #13 also
              mandates that:  "The reports shall be certified by the IHS Director - DSFC."
       •      "The IHS through the Alaska Native Tribal Health Consortium (ANTHC) will complete
              the design, construction, and provide construction management of the project described
              in Attachment A ...."  IHS Contributions #7.
       •      A number of the IHS Contribution Conditions provide that duties to be performed will be
              performed by  IHS  or ANTHC, IHS and/or ANTHC,  or  IHS/ANTHC.  IAG, IHS
              Contributions #s: 2, 5, 6,  9, 10, 11, 18, 20, 22,  and 23, but it  is the  IHS which is
              ultimately responsible to EPA. (See footnote 4 above.)
       •      Pursuant to IHS Contributions #24, "The IHS shall provide the EPA Project Officer a
              final financial accounting of project  expenditures for the work at the end date of this
              Agreement."
       •      IHS Contributions #27 requires that "IHS shall provide" a final technical report "prepared
              by IHS and/or the ANTHC" to EPA, including "the final costs incurred" within one year
              of completion.

       (Emphasis added.)

7  Each PFA clearly states that the entirety of the funding is being provided by IHS/DHHS, although
   each PFA for a project partially funded under the Interagency Agreement states that a portion of the
   funding will be requested from EPA as the contributor. The PFA describes all duties of ANTHC as
   being owed to IHS.
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conditions provided in the [Interagency Agreement]" and to provide "all requested reporting and
managerial requirements" under the Interagency Agreement "to_JHS as requested."8  These
provisions recognize the IHS will need assistance of ANTHC, as SFC Program Manager, to meet
IHS's duties to EPA, but do not represent an undertaking by ANTHC to (a) render performance
directly to EPA, or  (b)  assume any  direct obligation to EPA.9  The Cooperative Project
Agreement between ANTHC, as  SFC  Program Manager, and the beneficiary Tribe or Native
Village defines the  scope of the project consistently with the Interagency Agreement and PFA,
and deals with project-specific issues of interest to  the  beneficiary, but  does not affect the
separate and distinct relationships under the Interagency Agreement and PFA.10 The Interagency
Agreement creates  a  bilateral  contractual  relationship  between EPA and IHS,  and the  PFA
creates a bilateral contractual  relationship between IHS and ANTHC.  IHS coordinates the terms
of both agreements so that it can require performance  and meet its obligations as the pivotal
party in the execution of SFC projects, but no direct relationship between EPA and ANTHC is
formed.
       With respect to an earlier audit resulting in an informal OIG finding that ANTHC had, in
its view, inappropriately earned interest on advance payment of EPA-sourced funding,  EPA
acknowledged that it does not have contractual privity with ANTHC, and that IHS has the sole
authority to consider the merits of the OIG's  informal finding and determine whether to seek
recovery from ANTHC.11   Although the EPA-sourced funding  in that earlier episode was
   Emphasis added.  Twelve of the PFAs have this language, while the others are silent on this point.

9  Each PFA is exclusively between IHS and ANTHC. IHS may require ANTHC to provide information
   and act in a manner that enables IHS to discharge its duties under its separate bilateral agreement with
   EPA.  However, there is no provision in any PFA that provides for ANTHC to undertake any direct
   duty to EPA.

10  On page 3 of the Draft Audit Report,  EPA OIG reasons that ANTHC is eligible for funding under
   Section 518(c) of the Clean Water Act as a Tribal Organization, and so 2 C.F.R. Part 225 applies to it.
   In fact, the Interagency Agreement, as well as the PFAs and Cooperative Project Agreements for each
   project, make clear  that the eligible  recipients, and the actual beneficiaries, of Indian Set-aside
   funding are Tribes or Native Villages.  ANTHC is the manager of the IHS Alaska Area Office's SFC
   Program that  executes the SFC Project pursuant to the PFA, not the beneficiary or recipient of
   funding.

11  In her October 3, 2006 Letter to Adm.  Gary Hartz regarding the issue of ANTHC earning interest on
   EPA contributed funds, EPA Region 10's Acting Regional Administrator, stated:

      Notwithstanding it's [sic]  informal finding that the  interest is not exempt, EPA's  OGC
      concluded that EPA is not the appropriate federal entity to seek reimbursement of funds
      from ANTHC because of the intervening award made by IHS. ANTHC is not a true sub-
      recipient to an EPA grant.  ANTHC is required to comply with the terms of its agreement
      with IHS and not the terms of the agreement between Alaska and EPA.  In other words,
      EPA is not in privity  with ANTHC.  Thus, responsibility to address any interest  or
      dividend issues rests with IHS. EPA Region 10 concurs with this opinion.
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channeled through the State  of Alaska Village  Safe  Water Program, as with the contractual
arrangements used to administer the funding transferred by EPA to IHS under the Interagency
Agreement, the only  party that had a contractual relationship with ANTHC was IHS pursuant to
its PFAs and Self-Governance Compact and Funding Agreement. As in the prior case, EPA has
no contractual  privity with ANTHC, and the determination of the merits of the proposed findings
of the Draft Audit Report, and whether any action should be taken with respect thereto, rests with
IHS. The same conclusion is compelled here.
   OIG RESPONSE 2 We agree that EPA's primary contractual relationship is between
   EPA and IHS under the IA. For PFAs between IHS and ANTHC that are partially or fully
   funded by EPA through the IA, ANTHC is a sub-recipient of EPA funding. Because EPA
   is the primary funding agency under the IA, the recommendations in the report are directed
   to the Regional Administrator for Region 10 to disallow and recover questioned costs from
   IHS and to establish additional controls over EPA funding provided directly or indirectly
   to ANTHC. The terms in the IA include the recovery from IHS of unallowable costs
   identified during an audit. Consistent with these terms, our recommendations include the
   recovery of $1,007,690 in questioned costs claimed by ANTHC from IHS.
II.     Applicable OMB Cost Principles and Agency Regulations

       A.     Agency  Regulations.   When  one federal  agency  enters into an  interagency
agreement with  another to procure goods or  services,  the funds  provided  by the requesting
agency (in this case, the EPA) will be administered and the project carried out in accordance


       Given that Indian Health Service is the Federal expert in 42 U.S.C. 2004a and the Indian
       Self Determination Act, and has privity with ANTHC, EPA requests that you accept our
       referral for IHS to review and take action on the recommendation of the EPA IG for
       ANTHC to remit the portion of interest representing dividends from EPA-invested funds
       since the formation of ANTHC.  EPA will respect the Indian Health Service's findings
       and actions on this issue and will consider the findings and actions the final resolution on
       this issue.  Further, EPA will notify EPA's IG that this  recommendation  has  been
       formally referred to the Indian Health Service.

   Subsequently, EPA formally acknowledged that, on  advice of EPA Office of General Counsel, the
   interest issue was referred to IHS which had legal responsibility over it, and that IHS determined not
   to accept the  OIG's informal  finding and not to seek repayment since IHS determined there was
   nothing prohibiting ANTHC from earning interest in the circumstance at issue.  EPA OIG Audit
   Report No. 09-P-0085, lanuary 21, 2009. As the  basis of such IHS determination, Adm. Hartz
   verified that, consistent with IHS national guidance and requirements, ANTHC had supplemented the
   funding for the projects with at least  as much as or  more than the amount of the  interest earned to
   enhance the projects for which it had received the funding.
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with the servicing agency's rules and regulations (in this case, those of IHS).  EPA recognizes
                                                                   12
this principle in its "Frequently Asked Questions" published guidance.   The IHS recognizes
this principle in its Manual.13 And both the Alaska Area Native Health Service and EPA Region
10 have recognized this principle in an MOU between them.14 Therefore, the Common Rule as
stated in 45 C.F.R. Part 74 or 92 will apply to the administration of funding provided by EPA to
IHS under the Interagency Agreement,  and not 40 C.F.R. Part  31,  as the Draft Audit Report
states.15
  PIG RESPONSE 3 We agree that the ANTHC is not obligated to comply with Title 40
  CFR Part 31 under the IA.  We have made changes to the report as appropriate. However,
  our position on designating ANTHC as a "high risk" grantee under Title 40 CFR Part 31
  remains unchanged.  Our position is based on the material financial management issues
  associated with ANTHC's accounting system for DEHE discussed in the report and the
  EPA funding ANTHC receives directly through grants.  For example, ANTHC received
  over $1.7 million through three EPA grant awards during Fiscal Year 2009.  These grants
  were still active as of March 2010. Because ANTHC is a recipient of EPA funding
  through grant instruments, EPA may designate ANTHC as "high risk" under Title 40 CFR
  Part 31.12 based on the issues we identified during the examination as recommended in
  the report.
       B.     OMB Circulars.  ANTHC is both (1) a consortium of tribes and tribal
12  "The CWISA Program funds are transferred by the EPA Region to the IHS Area office using an Inter-
   Agency Agreement (IAG) signed by both EPA and IHS.  CWISA Program funds that are transferred
   to the  IHS Area office will be administered by IHS under its policies  and guidelines including
   applicable Federal requirements, such as environmental review, and subject to its authorizing statutes
   (including the Indian Self-Determination Act, Indian Health Care Improvement Act, and P.L. 86-121
   (42 U.S.C. 2004a))." CWISA FAQs #28.

13  "When  another  agency enters into an  inter-agency  agreement to  transfer  project  funds  and
   responsibilities to the IHS, the IHS administrative policies and procedures will generally apply (e.g.,
   procurement, environmental review, and audit procedures) subject to any specific mutually agreed
   upon provisions in an inter-agency agreement." IHS Manual, Part 5, Chapter 2, page 62.

14  MOU Between the IHS and the Environmental Protection Agency for Development of Indian Sewer
   Set-Aside Projects in Alaska, Public Law 86-121, April 1990 ("Where EPA enters into an agreement
   to transfer project funds and responsibilities to IHS, IHS administrative policies and procedures will
   apply [e.g. procurement, environmental review, audit procedures, and accounting principles].")

15  There is a separate issue whether the Common Rule applies at all given that the PFAs and funds
   provided thereunder are supplements to ANTHC's Title V ISDEAA Funding  Agreement as well as
   Pub. L. 86-121 agreements.  However, it is not necessary to resolve that issue for purposes of this
   response to EPA OIG, and the Common Rule as stated in HHS regulations will be assumed to apply.
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organizations established pursuant to Congressional authority under Pub. L. 105-83, § 325, and
(2) a not-for-profit organization formed under Alaska  law to carry  out  its Congressionally
sanctioned mission. Therefore, either OMB Circular A-87, 2 C.F.R. Part 225, or OMB Circular
A-122, 2  C.F.R. Part 230, may apply to it, to the extent cost principles are relevant to  the
operation  of particular programs.  It is not clear that the application of one Circular in certain
circumstances would necessarily preclude the application of the other in differing circumstances,
or that there are not circumstances in which each Circular may apply in part.  However, those
issues are beyond the  scope of what is required to address the Draft Audit Report.   The Draft
Audit Report applies the cost principles applicable to Tribal Governments, OMB Circular A-87,
2 C.F.R. Part 225.  Given the nature of ANTHC's role in the transactions at issue, ANTHC has
formulated these comments on the basis of the application of the cost  principles of A-87, Part
225, to the Projects with respect to which EPA OIG proposes to make findings.
 PIG RESPONSE 4  We acknowledge ANTHC's comments on the applicability of Title 2 CFR
 Part 225 and 230. Our position remains unchanged.  As discussed in the Independent Attestation
 Report, the IA was awarded under Section 518(c) of the Clean Water Act, which limits the
 funding for the IA to federally recognized Native American tribes.  As a tribal recipient of
 federal funding under the IA, ANTHC is obligated to comply with Title 2 CFR Part 225.
       C.    Indirect  Cost  Rate/Cost  Allocation  Plan.    A  substantial  portion  of  the
questioned/claimed  costs  identified in the Draft Audit  Report arise  from the EPA OIG's
proposed finding that ANTHC claimed indirect costs for which it did not have an approved rate
or certified  proposal.   We address the  specific proposed findings  below,  but will begin by
describing the circumstances out of which it arises more  generally in order to provide  the
appropriate context for the discussion that follows.

       First, we wish to  correct a factual  premise behind EPA OIG's proposed finding:  that
ANTHC did not have a certified cost proposal that included SFC construction indirect  costs of
ANTHC's Division of Environmental Health and Engineering ("DEHE"). We provide a copy of
the certified indirect cost proposal that was  submitted to ANTHC's cognizant  agency, U.S.
Health  and Human Services Department,  Division  of Cost Allocation,  as Supplemental
Submission No.  3.  This submission should be dispositive  and lead to the withdrawal of the
proposed findings regarding indirect costs.  However, to provide IHS with the complete picture,
we will describe the basis of the refusal of HHS to issue a negotiated construction indirect rate,
the position in which it has placed ANTHC, the guidance received from EPA's Grants  Officer,
and the alternate method that ANTHC has been required to use to recover these clearly allowable
costs that are appropriately allocable to the SFC Projects consistent with the principles of 2
C.F.R.  Part 225.
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  OIG RESPONSE 5 We acknowledge that the referenced certified indirect cost proposal
  dated November 20, 2007, includes a construction indirect rate covering administrative costs
  incurred by DEHE for fiscal year 2006 that was overlooked in the draft report. The report
  has been corrected to reflect the construction indirect cost rate for 2006. The correction
  resulted in a $39,653 reduction in questioned indirect costs.  However, the proposed rates
  from this 2007 submission do not apply to all indirect costs  incurred.  Therefore, we
  continue to question $351,072 in indirect costs incurred under the IA.
       ANTHC has actively sought a construction indirect rate to simplify its administration and
management  of  SFC projects.  It remains willing and  motivated to negotiate  such a rate if
available.   However, HHS has  taken  the position that,  since its rules  do  not  allow for
construction indirect costs  for projects such as  SFC,16 it will not negotiate such a rate with
ANTHC.  Unless that position changes, further efforts to  obtain a construction indirect rate are
futile.
  OIG RESPONSE 6 We acknowledge that ANTHC has attempted to obtain indirect rates
  subsequent to the start of our audit work and that HHS will not approve a construction rate.
  However, Title 2 CFR Part 225, Appendix E, does allow for preparation of a certified and
  documented indirect cost proposal in order to claim indirect costs under a federal award.
  The proposal and related documentation must be maintained for audit.  Under Title 2 CFR
  Part 225, Appendix E, ANTHC is not required to submit the proposal unless the submission
  is specifically requested by the cognizant agency. We have not questioned indirect costs
  incurred by ANTHC that are either supported by approved rates or the November 20, 2007,
  indirect cost proposal. However, the rates approved by HHS and the 2007 proposal do not
  cover all indirect costs claimed under the IA for Fiscal Years 2007, 2008, and 2009. At a
  minimum, ANTHC needs to prepare a new proposal meeting the requirements of Title 2
  CFR Part 225, Appendix E in order to claim costs incurred for Fiscal Years 2007 through
  2009 that are not covered by the indirect cost rates approved by HHS or the 2007 cost
  proposal.
       Lacking the ability to  obtain a  negotiated construction  indirect rate, ANTHC was
required to use a Cost Allocation Plan methodology authorized by Attachment C of 2 C.F.R. Part
225.  That approach was accepted and confirmed in e-mails from HHS's Senior Negotiator and
EPA's Grants Officer.17  The methodology used by ANTHC was consistent with the principles
16  A Guide for Nonprofit Organizations, Cost Principles and Procedures for Establishing Indirect Costs
   and Other Rates  for Grants and Contracts with the Department of Health and Human Services,
   OASMB-5, page 6.

   In August,  2008, several e-mails concerning this topic were exchanged among Garvin Federenko,
   ANTHC's Senior Director, Finance  and Administration; Patrick Smith,  HHS Senior Negotiator,
   Division of Cost Allocation; and Bob Phillips, EPA Grants Officer.
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described in Attachment C of 2 C.F.R. Part 225 and ANTHC's certified indirect cost proposal for
    An August 6th e-mail discussed HHS's position regarding the ANTHC requested construction indirect
    rate and Mr. Smith's understanding of conversations that he had with Mr. Philips and Mr. Federenko
    regarding that matter, as follows:

       This is  regarding the Alaska Native Tribal Health Consortium  (ANTHC) request to
       issue a separate indirect cost rate to be used on EPA construction awards. According
       to our base descriptions, capital (construction) projects are a base exclusion. It is our
       understanding that, generally, indirect cost rates  are not used to reimburse indirect
       costs on construction awards.

       The following is a  summary of our conversations regarding an indirect cost rate for the
       Construction function of ANTHC:

       I talked with Bob  Phillips, US-EPA Grants Officer, and discussed EPA's need for a
       separate construction rate.   Mr. Phillips  stated that  EPA did  not  have a  direct
       construction grants with ANTHC.  The direct construction grants are with the St. of
       Alaska and that ANTHC is a sub-grantee.  As such, a published Construction indirect
       cost rate is not  necessary, but that  ANTHC should have documentation on file to
       support the indirect costs allocated to the construction function.

       In discussions and emails with Garvin Federenko, ANTHC Finance Officer, he stated
       that for FY08 and beyond, ANTHC is implementing a methodology in accordance
       with the Federal cost principles to  allocate the indirect costs between the  Hospital,
       Non-hospital,  and  Construction (ANTHC Environ. Health & Engineering Division)
       functions. Garvin  stated that there will be a separation, and therefore no duplication of
       indirect costs between the various functions.  HHS-DCA will continue to issue only
       Hospital and Non-Hospital indirect cost rates for ANTHC.

    On August 7, Mr. Phillips provided the following clarification to Mr.  Smith:

       Patrick,

       I want to clarify my statement just a bit.

       In my understanding of the general  rules and regulations governing indirect costs, a
       cost allocation plan is considered an acceptable  substitute for an established indirect
       cost rate agreement.  It is understood that ANTHC has established indirect  rates
       through HHS as their cognizant agency, but based on my  understanding of the
       general  rules  and regulations, they would be entitled  to  use  a  cost  allocation
       methodology for construction grants, in lieu of having to establish a separate indirect
       cost rate agreement.
       It is correct that we do not currently have any direct construction grants with ANTHC
       - EPA does have other types of direct agreements with ANTHC.
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which it was unable to negotiate a rate.  In fact, ANTHC's DEHE Administration and Pool Cost
Allocation Plan  resulted in  an effective recovery  rate that  was essentially  the  same as the
certified  indirect proposal would  have  permitted, had  HHS  been willing to negotiate  a
construction rate. Given the obstacle raised by its cognizant  agency's position, and ANTHC's
good faith efforts to deal with that circumstance, any technical  objection that EPA OIG may raise
with respect to ANTHC's approach must be considered in light of the record as  a whole.
  OIG RESPONSE 7 Comments by EPA Region 10 referenced in Footnote 17 are general
  guidance regarding an acceptable methodology to claim indirect costs under Title 2 CFR Part 225.
  The applicable criteria for use of a cost allocation plan are provided in Title 2 CFR Part 225,
  Appendix E. Appendix E, Section D.l.d, requires indirect cost proposals to be developed within
  6 months after the close of the governmental unit's  fiscal year, unless an exception is approved by
  the cognizant agency. Appendix E, Section D.2, requires the proposal include the rate proposed,
  including subsidiary worksheets cross referenced and reconciled to financial data.  The proposal
  should include a copy of the financial data upon which the rate is based, as well as the amount of
  base costs incurred under federal awards. The proposal must also include a certification as
  specified by Appendix E, Section D.3. The DEHE  Administration and Pool Cost Allocation Plan
  is a general narrative of the methodology used to allocate indirect costs, and does not include the
  supporting details and data specified by 2 CFR Part 225, Appendix E.  Therefore, our position on
  the $351,072 in questioned  costs discussed in OIG RESPONSE 5 above remains unchanged.

  The proper methodology for submission and documentation of a cost allocation plan is covered
  under Title 2 CFR Part 225, Appendix E, rather than the cited Appendix C in ANTHC's response.
  Appendix C covers State/Local-Wide central services such as motor pools and computer centers.
  Appendix E covers state and local indirect cost rate proposals.
       ANTHC is willing to use the Cost Allocation Plan approach going forward in recognition
of HHS's position, even though negotiation of a construction indirect rate would  simplify
ANTHC's administrative burden in this area.  Should EPA Region 10 no longer concur in that
approach, it is incumbent on EPA to notify HHS as ANTHC's cognizant agency pursuant to 2
C.F.R. Part 225,  Attachment C,  Section E.I, and to convince HHS  to change its position.
ANTHC will continue its on-going efforts to resolve this  matter in a reasonable manner and
requests IHS's assistance in doing so.  However, given ANTHC's good faith and diligence in
dealing with the obstacle presented, EPA OIG's proposed finding - that ANTHC's use of a valid
method for recovering clearly allowable and allocable costs was not permissible, even though it
was  the  only  one available to ANTHC  because of HHS's position - is clearly unfair and
incorrect.
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OIG RESPONSE 8 A cost allocation plan prepared in accordance with Title 2 CFR Part 225,
Appendix E, is an acceptable method for claiming indirect costs. ANTHC's November 20,
2007, certified indirect cost proposal is the most recent proposal submitted to HHS that meets
the requirements of 2 CFR Part 225, Appendix E. As explained in OIG RESPONSE 6, we
have not questioned indirect costs that are either supported by approved rates or the
November 20, 2007, indirect cost proposal. ANTHC needs to prepare a new proposal meeting
the requirements of Title 2 CFR Part 225, Appendix E, in order to claim costs that are not
covered by the indirect cost rates approved by HHS or the 2007 cost proposal. Therefore, our
position on the questioned $351,072 in indirect costs incurred under the IA remains
unchanged.
       We enclose  a  copy of the DEHE Administrative and Pool  Cost Allocation Plan that
reflects the recovery principles that ANTHC-DEFIE consistently used for DEHE administrative
and pooled costs throughout the audit period as Supplemental Submission No. 4.  As stated in the
Management Improvement Plan, we are willing to consider any comments that IHS may provide
to improve this DEHE Administrative and Pool Cost Allocation Plan and to modify the Plan for
prospective use, as appropriate.
  OIG RESPONSE 9  The referenced DEHE Administrative and Pool Cost Allocation Plan is
  a narrative description of the methodology used to allocate costs.  However, the plan does
  not meet the requirements of Title 2 CFR Part 225, Appendix E. Appendix E, Section D. 1 .d,
  requires indirect cost proposals to be developed within 6 months after the close of the
  governmental unit's fiscal year unless an exception is approved by the cognizant agency.
  ANTHC's plan covers prior, current, and future fiscal years, but was not certified until
  February 2010. Therefore, the plan was not developed within this 6-month period, nor was
  an exception from HHS obtained as specified by Title 2 CFR Part 225, Appendix E.  Title 2
  CFR Part 225 Appendix E, Section D.2, requires the proposal include the rate proposed,
  including subsidiary worksheets cross-referenced and reconciled to financial data.
  Appendix E, Section D.2, also specifies that the proposal should include a copy of the
  financial data upon which the rate is based, as well as the amount of base costs incurred
  under federal awards.  ANTHC's plan did not include the proposed rate or rates and the
  specified supporting financial data.
III.    Response to Specific Proposed Findings

       A.    Indirect Costs Claimed without Approved Rates or Certified Proposal - Draft
Audit Report, page 5.

             1.     Disallowance of $77,230 of corporate indirect cost for alleged lack of
approved rate for construction projects during 2008 and 2009.  This proposed finding is based
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on  an  erroneous  reading  of ANTHC's negotiated  rate agreement for those years.   HHS's
negotiator added  a  confusing footnote to the agreement regarding the exclusion of DEHE's
indirect costs from the indirect cost pool numerator to compute the rate, which the negotiator
failed to clarify despite the request of ANTHC's CFO to do so.  However, it is clear from the
data submitted in  support of the rate negotiation that DEHE administrative salaries consistently
were included in the allocation base denominator, and properly allocated to DEHE's individual
projects, including  SFC, throughout the audit  period.  See Supplemental  Submission  No. 5.
Therefore, this proposed finding must be withdrawn and a corresponding adjustment needs to be
made with respect to questioned and claimed costs.
  OIG RESPONSE 10 HHS's negotiator has been consistent in his discussions with the OIG
  that he removed all DEHE costs from the base used to calculate the provisional non-hospital
  indirect cost rates for fiscal years 2008 and 2009.  Therefore, the indirect cost rates approved
  by HHS are not applicable to DEHE construction projects.  We also note that, in order to
  properly allocate costs to the individual construction projects, the base should include costs
  that represent construction activities.  DEHE administrative salaries are indirect costs and do
  not represent construction activities. We continue to question the $77,230 in indirect labor
  costs incurred under the IA.
       2.     Disallowance of $313,495 in indirect costs due to alleged lack of approved rate
or certified proposal.  As explained at Section II. C above, this proposed finding is based on the
premise that ANTHC did not have a certified rate proposal for these costs.  This is incorrect.  In
addition, these costs were properly allocated pursuant to a cost allocation plan methodology
consistent with 2 C.F.R. Part  225, to which ANTHC was forced to resort due to its cognizant
agency's refusal to issue it a construction rate.  As documented  at footnote 17, the EPA Grants
Officer properly observed that the use of a cost  allocation plan to  allocate these  costs to
particular projects is permitted under 2 C.F.R. Part 225. The EPA Grants Officer thus concurred
in the  approach that ANTHC was forced  to take out of necessity.  Therefore, this  proposed
finding must be withdrawn, and a corresponding adjustment needs to be made to questioned and
claimed costs.
  OIG RESPONSE 11 Indirect costs that ANTHC correctly allocated based on the certified
  indirect cost proposal dated November 20, 2007, have not been questioned in the final report
  as explained previously in OIG RESPONSE 6.  The referenced DEHE Administrative and
  Pool Cost Allocation Plan does not meet the requirements of Title 2 CFR Part 225,
  Appendix E, as discussed previously in OIG RESPONSE 9.  Therefore, we continue to
  question the $273,841 in indirect costs incurred under the IA.
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       B.     Labor Costs Not Allocable to IA - Draft Audit Report, page 6.

              1.     Disallowance of $128,925 of labor costs transferred from a project not
funded by the IA.  As described at greater length at Section III.H.2 below, SFC administration in
Alaska is a complex process that can result in costs being initially allocated among projects in a
manner that is determined incorrect upon review of senior DEHE accounting personnel.  The
Inter-Project Cost Transfer Memorandum provided as Supplemental Submission No.  6 contains
the justification for, and an itemized breakdown of, the adjusting entry of $128,925 highlighted
in the Draft Audit Report.  This amount came from a project supported by funding from the
Alaska Native Village Program and was transferred to the project funded through a PFA partially
funded by IHS from EPA's contribution to it under the Interagency Agreement.  All of those
costs are allowable and appropriately allocable to the project to which this transfer was made, as
documented by Supplemental Submission No. 6.  The EPA-supported project derived a benefit
from all  of the transferred costs.  Therefore, this proposed finding must be withdrawn and, as
invited by EPA OIG in proposed Recommendation #2 on page 12 of the Draft Audit Report, a
corresponding adjustment needs to be made to the amount of questioned and claimed costs.
   OIG RESPONSE 12 Supplemental Submission No. 6 does not provide the details
   necessary to verify that the $128,925 in labor costs transferred from Fort Yukon Project
   AN 02-Q66 benefited and was allocable to the EPA funded Fort Yukon Project AN 05-N96.
   Supplemental Submission 6 is a memorandum dated February 4, 2010, explaining
   ANTHC's justification for the transfer with an attachment showing the adjusting transaction
   for the transfer in accounting system.  The memorandum explains that the transferred costs
   were part of a "reconciliation to insure cost allocations amongst projects are fair and to
   correct erroneous coding." However, Supplemental  Submission No. 6 does not include
   payroll data showing that the labor costs were incurred for work that was allocable to the
   EPA-funded project.

   We also note that, at the time of the transfer to the EPA funded part of Project AN 05-N96,
   Project AN 02-Q66 had exceeded the funding limit by $976,526.  Although Project
   AN 02-Q66 had exceeded its funding limit, ANTHC's quarterly progress reports did not
   disclose that the costs incurred for the EPA-funded part of Project AN 05-N96 caused or
   contributed to the cost issue. ANTHC has not provided information and documentation
   clearly showing that the transferred costs were allocable to the IA.  Therefore, we continue
   to question the $128,925 in labor costs incurred under the IA.
              2.     Disallowance of $26,092 of Indirect Costs.  As explained at Section II. C
above, these costs are allowable  and appropriately allocable to this project.  They  represent
DEHE central service costs appropriately classified as labor.  Therefore, this proposed finding
must be withdrawn and a corresponding adjustment needs to be made to questioned and claimed
costs.
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  PIG RESPONSE 13  As discussed in the report and in OIG RESPONSE 5 through OIG
  RESPONSE 11, ANTHC did not have the required approved indirect cost rate agreements or
  a certified indirect cost rate proposal on file to support the costs incurred for DEHE.
  Therefore, we continue to question the $26,092 in indirect labor costs incurred under the IA.
       C.     Equipment Cost Transfer Not Allocable to IA - Draft Audit Report, pages 6-7.

             1.     Equipment Cost Transfer Not Allocable to IA — $74,833 for Saint Michael
Water Truck.  ANTHC agrees this item was inadvertently  miscoded and allocated to a project
for which some of the funding provided by IHS pursuant to its PFA with ANTHC was derived
from IHS's Interagency Agreement with EPA.  ANTHC has reversed its entry and has refunded
this amount to IHS pursuant to the PFA.
   OIG RESPONSE 14  We acknowledge ANTHC's concurrence on this finding. EPA
   Region 10 should recover the $74,833 in questioned costs from IHS as recommended in the
   report.
             2.     Indirect Costs Classified as  Equipment Costs Not Allocation to I A  -
Disallowance  of $24,481  "overhead  component"  of equipment  rental fee  methodology
implemented in October 2007.  As explained at page 3 above, ANTHC assumed management
and operation of IHS's Alaska Area SFC Program  pursuant to Pub. L. 105-83,  § 325, and its
Title V Self-Governance Compact and Funding Agreement with IHS, in FY 1999. Part of the
IHS SFC Program over which ANTHC  assumed control was an equipment pool serving all of
the SFC projects in Alaska.18  Part of the  cost associated with that pool was the centralized
administration  and management functions associated with managing the state-wide equipment
fleet,  which we discuss  in this section  regarding  the  proposed  finding described above.
Historically, IHS also pooled all other  equipment  maintenance and  repair  costs - a practice
ANTHC  modified  on 10/01/07.  We  discuss that pooling  method with respect to another
proposed finding at Section F.2. below.  Under the current methodology, maintenance and repair
for a piece of equipment is directly  billed to the project it is working on. Therefore, the issue
here concerns only the small portion of the administrative  and management function associated
with managing the fleet.
18  The associated issue of the use of a "Percentage of Blue Book" cost allocation plan methodology for
   the DEHE project equipment pool prior to FY'08 is discussed below at Section III.F.2.
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             While ANTHC is authorized to make changes to the programs it has compacted,19
such as SFC, it is not required to do so.  ANTHC has progressively made improvements in the
SFC Program it assumed, such as those described at Section III.H.3 below. However, ANTHC
must deal with its on-going challenge of operating hundreds of active projects and keeping them
appropriately supported with properly repaired  and maintained equipment as it designs and
implements  such improvements.  ANTHC  has also  had to  address  the  expectations  of the
multiple funding agencies it works with regarding SFC projects and their concerns that the IHS
Program that they were  comfortable dealing with not be changed too radically or quickly.

             ANTHC, through much  effort and as noted above, has succeeded in assigning to
specific pieces of equipment direct depreciation and idle time charges, as well as nearly all repair
and  maintenance costs.   However, the pooled  equipment support function -  essentially
administration and overhead associated with supporting the entire Unit managing the equipment
pool and the handful of maintenance and repair costs that cannot be reasonably assigned to a
specific project - continues to be treated as a pool because of the difficulty in directly allocating
such costs, particularly  in view of the administrative structure that ANTHC inherited from IHS.
This pool approach is consistent with a cost allocation plan under Appendix C of 2 C.F.R. Part
225.   Therefore, the  allocation of these costs to  the project  at issue  is appropriate and in
accordance  with 2 C.F.R.  Part  225,  this  proposed  finding  must be withdrawn,  and a
corresponding adjustment needs to be made with respect to questioned and claimed costs.

             We enclose a copy of the DEHE Pooled Equipment Support Cost Allocation Plan
reflecting these cost recovery principles and consistently used for DEHE since  10/01/07.  (See
Supplemental Submission No. 7).  As stated in the Management Improvement Plan, we are
willing  to consider any comments that IHS  may  provide  to improve  this  DEHE Pooled
Equipment Support Cost Allocation Plan and to modify the Plan for continuing use accordingly.
 OIG RESPONSE 15 As discussed in the report, ANTHC did not have the required approved
 indirect cost rate agreements or a certified indirect cost rate proposal on file to support indirect
 costs claimed by DEHE. The referenced DEHE Pooled Equipment Support Cost Allocation
 Plan is a narrative description of the methodology to allocate equipment support costs.
 However, the plan does not meet the requirements of Title 2 CFR Part 225, Appendix E.
 Appendix E, Section D.l.d, requires indirect cost proposals to be developed within 6 months
 after the close of the governmental unit's fiscal year unless an exception is approved by the
 cognizant agency.  ANTHC's plan covers fiscal year 2008 and forward, but was not certified
 until February 2010. Therefore, the plan was not developed within this 6-month period, nor
 was an exception from HHS obtained  as specified by Title 2 CFR Part 225, Appendix E.
 Title 2 CFR Part 225 Appendix E,  Section D.2, requires the proposal include the rate
 proposed, including subsidiary worksheets cross-referenced and reconciled to financial data.
 Appendix E, Section D.2, also specifies that the proposal  should include a copy of the
 financial data supporting the rate, as well as the amount of base costs incurred under federal
 awards.  ANTHC's plan did not include  the proposed rate or rates and the specified supporting
 financial data. Therefore, we continue to question the $24,481 in indirect costs.
19
   25 U.S.C. § 458aaa-5(e).
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              3.     Equipment Purchase Not Allocable  — $227,217 questioned as not fully
allocable to the IA.  First, the Draft Audit Report's reference to the purchase justification utilized
by ANTHC is misleading.  That document was generated in response to an administrative
requirement that called for an evaluation of the available sources of equipment and the costs and
benefits of each  option, prior to  making any  procurement request.  Once the evaluation  is
complete,  it may be used to support equipment decisions for similar projects.  Therefore, the
evaluation merely analyzes whether purchase, rental, or another procurement option is the most
appropriate for an item of equipment, not to which project any purchase should be allocated.

              Further, the  funding provided by EPA through the Interagency  Agreement was
combined with  direct IHS funding to perform  a  scope  of work  described consistently  in
attachments to the Interagency Agreement, PFA, and Cooperative Project Agreement for the
project. However, the scope described the EPA supported portion of the work as construction  of
buried sewer collector, lift station, and force main facilities, while the  direct IHS contribution
funded service lines.  The portion of the work funded by the money that EPA provided to IHS
under the Interagency Agreement required significantly deeper excavation than the directly IHS-
funded service lines.  The  excavator required to dig to the depth required for the EPA-funded
portion of the overall project was properly charged to that portion, and the EPA-supported
portion of the work derived the  benefit of this  expenditure.20  Given all  these factors, and
particularly the  basis  on which  this  allocation  was  made, this  proposed finding must  be
withdrawn and a corresponding adjustment needs to be made with respect to the questioned and
claimed costs.
20  In addition, the portion of the overall funding ultimately sourced to EPA for the Project was over
   76%, rather than the 51% stated in the Draft Audit Report, so the basis of proportional allocation
   suggested by EPA OIG is erroneous.
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 OIG RESPONSE 16  ANTHC's comments are not consistent with its equipment procurement
 procedures.  ANTHC's equipment procurement procedures document states that equipment is
 to be purchased specifically for an individual project and direct-billed to the project for specific
 scope items identified in the funding documents based on a cost-benefit analysis justification.
 ANTHC did not charge the $227,217 to the project identified in the justification as specified by
 its equipment procurement procedures.  ANTHC's justification for the equipment purchase
 listed Fort Yukon Project AN 05-N96 as the intended project for the excavator.  The
 justification also indicated that the excavator was required because of the deep burial depth of
 multiple sections of the water and sewer systems. According to the CPA for Project
 AN 05-N96, 49 percent of the project was funded by IHS for sewer and water service work and
 51 percent of the project was funded by EPA through the IA for sewer service work. Despite
 the justification, ANTHC charged 100 percent of the equipment costs to part of another project
 funded by EPA through the IA, Fort Yukon Project AN 07-NG5.  The CPA for Project
 AN 07-NG5 identified that the scope of work was only for sewer service work, and 24 percent
 of the project was funded by IHS and 76 percent of the project was funded by EPA through the
 IA.  Therefore, the scope of work and specific funding for Project AN 07-NG5 were not
 equivalent to the scope of work and specific funding for the project identified in ANTHC's
 justification for the excavator.

 Title 2 CFR Part 225, Appendix A, Section C. 1 .b, states that a cost must be allocable to the
 award in order to be allowable. ANTHC has not provided information and documentation
 clearly showing that the excavator purchase was allocable to the lA-funded part of Project
 AN 07-NG5. Therefore, we continue to question the $227,217 in  equipment costs incurred
 under the IA.
       D.     Freight Costs Not Allocable to IA - Draft Audit Report, page 7.  Disallowance of
$4,999 of freight costs transferred from a safe drinking water project for the City of Hughes.
ANTHC concurs that this cost was inadvertently  miscoded and charged to the project to which
funding was supplied through the Interagency Agreement, and ANTHC has reversed this entry
and returned this amount to IHS.
   OIG RESPONSE 17  We acknowledge ANTHC's concurrence. Of the $4,999 in
   questioned freight costs, ANTHC claimed $4,235 for reimbursement under the IA. EPA
   Region 10 should recover the $4,235 in questioned costs from IHS as recommended in the
   report.
       E.     Material Costs Not Allocable to IA - Draft Audit Report, page 7. Disallowance
of $337,075 of material costs alleged not to be allocable to 1A.  Supplemental Submission No. 8
confirms that all costs transferred from (1) a phase of the Fort Yukon project not supported by
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EPA, to (2) a phase partially funded by monies contributed by EPA to IHS under the Interagency
Agreement,  are properly allocable to the  EPA-supported phase.  The EPA-supported phase
derived the benefit of these expenditures.  Therefore, this proposed finding must be withdrawn
and, as invited by proposed Recommendation #2 of the Draft Audit Report, a  corresponding
adjustment needs to be made with respect to questioned and claimed costs.
  OIG RESPONSE 18 Supplemental Submission No. 8 does not provide the details necessary
  to verify that the $337,075 in material costs transferred from Fort Yukon Project AN 02-Q66
  benefitted and was allocable to the EPA-funded part of Fort Yukon Project AN 05-N96.
  Supplemental Submission 8 is a memorandum dated February 4, 2010, explaining ANTHC's
  justification for the transfer with an attachment showing an itemized list of the transferred
  costs. The memorandum explains that the transferred costs were part of a "reconciliation to
  insure cost allocations amongst projects are fair and to correct erroneous coding."  However,
  Supplemental Submission 8 does not include documentation showing that costs were incurred
  for work that was allocable to the EPA-funded project.

  We note that the scope of work associated with the costs transferred from Fort Yukon Project
  AN 02-Q66 exceeded the funding limit by $976,526 before the transfer. Although the scope
  of work for both Fort Yukon projects included buried sewer mains, the CPA for each project
  identified different areas of the community for the work.  Despite the similarities in work,
  ANTHC's $337,075 transfer to Project AN  05-N96 removed 100 percent of the material costs
  recorded in the accounting system for Project AN 02-Q66 at the time of the transaction.
  ANTHC's quarterly progress reports for Project AN 02-Q66 did not disclose that costs
  incurred for Project AN 05-N96 caused or contributed to funding limit issue.  ANTHC has
  not provided information and documentation clearly showing that the transferred material
  costs were allocable to the IA. Therefore, we continue to question the $337,075 in material
  costs incurred under the IA.
       F.      Subcontract Costs Not Allocable to IA or Allowable - Draft Audit Report, pages
7-8.

              1.     Subcontract Costs Transfers Not Allocable to I A - Disallowance of
$130,622 of costs transferred from projects not supported from funding provided by EPA to IHS
under the Interagency Agreement.  Supplemental Submissions Nos. 9 and  10  detail the costs
transferred in the two transactions identified in this  proposed  finding.   As  documented in
Supplemental Submission No. 9, the $120,000 transfer was between two projects for the City of
Fort Yukon,  rather than Saint Michael as  the  Draft  Audit Report  erroneously states.   The
justification for the other transfer is documented in Supplemental Submission No. 10.  All of
these costs are allocable to the projects which received funding from the monies contributed by
EPA to IHS under the Interagency Agreement, and those projects derived a benefit from such
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costs.   Therefore, this proposed  finding must  be withdrawn  and,  as  invited by proposed
Recommendation #2 of the Draft Audit Report, a corresponding adjustment needs to be made to
questioned and claimed costs.
    PIG RESPONSE 19 We agree that the $120,000 transfer was between two projects for
    the City of Fort Yukon rather than the City of Saint Michael. We have made the
    appropriate change to the report.

    Supplemental Submissions No. 9 and No. 10 do not provide the details necessary to verify
    that the $130,622 in subcontract costs transferred between projects benefitted and was
    allocable to the projects funded through the IA. Supplemental Submission No. 9 explains
    ANTHC's $120,000 lump-sum transfer from Fort Yukon Project AN 03-R64 to the EPA-
    funded part of Fort Yukon Project AN 05-N96. Supplemental Submission No. 10 explains
    ANTHC's $10,622 transfer from Saint Michael Project AN 02-Q77 to the EPA-funded part
    of Saint Michael Project AN 05-NB1. Each supplemental submission is a memorandum
    dated February  4, 2010, explaining ANTHC's justification for the transferred costs that
    includes an attachment showing the adjusting transaction for the transfer in accounting
    system. Each memorandum explains that the transferred costs were part of a
    "reconciliation to insure cost allocations amongst projects are fair and to correct erroneous
    coding." However, the two supplemental submissions do not include documentation
    showing that costs were incurred for work that was allocable to the EPA-funded part of
    Fort Yukon Project AN 05-N96 and Saint Michael Project AN 05-NB1.

    ANTHC has not provided information and documentation clearly showing that the
    transferred costs were allocable to the IA.  Therefore, we continue to question the $130,622
    in subcontract costs incurred under the IA
             2.     Unallowable  Subcontract  Costs  for  ANTHC-Owned  Equipment  -
Disallowance of $188,577 alleged "rental fees" for ANTHC-owned equipment.   Again,  as
addressed at Section III.C.2 above with respect to DEHE Pooled Equipment Support Costs, the
factual background surrounding this proposed finding arises out of the cost allocation practices
of IHS prior to ANTHC's assumption of management and control of the Alaska Area Office SFC
program.  ANTHC found the IHS's method  of allocating repair and maintenance, as well  as
DEHE Pooled Equipment Support Costs to particular projects based on the Percentage of the
Equipment  Rental Rate Blue Book measure provided a remarkably accurate estimate of actual
aggregate overall equipment costs, and a reasonable and  consistent measure of allocating them
among individual items of equipment at the  50% level.  Out of practical necessity, ANTHC used
this IHS-developed cost allocation guide  pending the time that equipment-specific depreciation
and idle time charges could be feasibly broken out within the system ANTHC inherited. It was
not used as  a rental charge as the Draft Audit Report suggests.21
21  The fact that the measure was set at 50% of recognized allowable rental costs illustrates how cost
   efficient the  centralized equipment pool approach  is for SFC Projects.  The IHS MOA Manual
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              While EPA OIG vaguely acknowledges that ANTHC demonstrated the accuracy
of this  method  based on  records  with respect to  depreciation and other equipment-related
charges,22 the Draft Audit Report disallows legitimate maintenance  and repairs costs, as well as
centralized equipment pool administration and management charges, to the individual projects
because of the pooled allocation methodology which it characterizes as an unallowable indirect
cost.  These costs have been disallowed even though industry standard references (such as the
Equipment Rental Rate  Blue Book) acknowledge that  equipment operation and repair costs
generally  make  up 50% or more of the rate charged for commercially  leased equipment.  In
addition, as explained at Section III.C.2 above, all costs were  allocated on the basis  of the
methodology originally developed  by IHS  that  accurately  recovered actual  equipment usage
costs.  Therefore, this proposed finding should be withdrawn and  a  corresponding adjustment
made with respect to questioned and claimed costs.
   authorizes rental at recognized  reference  book rates and the Federal  Highway  Administration
   authorizes Blue Book rate rental on projects it funds.  (See, e.g., IHS, MOA Guidelines, Ch. VI, page
   4 [lune 2003 Working Draft].) ANTHC could have legitimately rented equipment from commercial
   sources at effectively double its cost allocation rate.  The equipment pool costs allocated through the
   DEHE Pooled  Equipment Support methodology were half of what those projects would have borne
   under a more conventional equipment procurement approach, such as simply renting equipment from
   a commercial enterprise.

22  The Draft Audit Report does not credit ANTHC with its accomplishment of bringing equipment costs
   more solidly within OMB  cost principles by finally being able to break out individual depreciation
   and idle time charges rather than having to pool them, beginning on October 1, 2007.
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  OIG RESPONSE 20  Throughout the audit, ANTHC management referred to the Equipment
  Shop's use of the Rental Rate Blue Book "rental rates" for equipment cost charges to projects
  prior to October 1, 2007. DEHE's Division Operating Guideline No. 202: Heavy Equipment
  specifically refers to "project rental" and "monthly rental" of heavy equipment.  However, we
  have revised the report by changing "rental" to "usage" costs based on ANTHC's comments.

  With respect to the $188,577 in questioned costs, ANTHC was unable to provide complete
  cost documentation showing that the equipment usage costs incurred under the IA did not
  exceed the allowable depreciation, maintenance, and repair costs as required by Title 2 CFR
  Part 225. ANTHC was not able to provide documentation supporting maintenance and repair
  costs for each equipment item because of its pooled method of accounting for these costs.
  Title 2 CFR Part 225, Appendix A, Section F.I, defines indirect costs as those that have been
  incurred for common or joint purpose benefitting more than one cost objective and are not
  readily assignable to the cost objectives specifically benefitted. Because the pooled costs
  cannot be readily identified to a specific item of equipment, the costs are considered indirect
  costs under Title 2 CFR Part 225. As discussed in the report, ANTHC did not have the
  required approved indirect cost rate agreements or a certified indirect cost rate proposal  on
  file to support the costs incurred by DEHE.  Therefore, we continue to question $188,577
  incurred under the IA as unallowable.
       G.    Costs Were Not Consistently Classified - Draft Audit Report, page 9.  The Draft
Audit Report identifies several allegedly misclassified costs.  First, as explained at Section II. A
above, the applicable regulation is 45 C.F.R. Part 92, not 40 C.F.R. Part 31.  The largest alleged
misclassification in amount by far is the DEHE Pooled Equipment Support Costs charges that
were consistently charged to "Subcontract" as a means to isolate this cost center in accordance
with the recordkeeping system inherited from IHS.  The actual purpose of this classification was
to differentiate these  DEHE Pooled Equipment Support Costs from direct equipment purchases
for projects.  In retrospect, using a "Subcontract" classification for those costs does not appear
the most intuitive choice  given the nature of these costs, but the selection of this classification
was reasoned and consistently  applied.  ANTHC reclassified  these costs as "Equipment,"
beginning October 1, 2007 at the same time it changed the allocation methodology.  The other
items   questioned in the Draft Audit Report  were  correctly classified as  explained  in
Supplemental  Submission No.  11,  with the one  exception  of $33,050  of freight  charges
misclassified as materials. With the exception of this  one error that  is immaterial in amount in
the context of an enterprise of the size of DEHE's SFC Program,  ANTHC adequately identified
outlays of federal funds through proper and consistent entry classifications.   Therefore, this
proposed finding should be withdrawn.

             The suggestion of the  Draft Audit Report  that ANTHC-DEHE's  financial
management systems did not adequately identify outlays  of federal funds is  without any
foundation.  DEHE uses an industry standard, state of the art cost accounting system currently
named "Spectrum,"  once known as "Forefront."   All costs for all  projects  are tracked by
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(1) community, (2) project, (3) funding agency, (4) phase code or scope item, and (5) cost type.
DEHE provides quarterly reports, which itemize costs in the first four of these categories to IHS
and  they  are  made  available to  all contributing funding  agencies.   The  suitability of the
accounting and reporting structure of these reports has never been questioned.
  PIG RESPONSE 21 We agree that the ANTHC is not obligated to comply with Title 40
  CFR Part 31 under the IA. However, consistency is one of the concepts that underlie
  generally accepted accounting standards and promotes understanding of, and confidence in,
  financial information on the part of users of the information. Treatment of costs in a
  consistent manner aids in determining reasonable, allowable, and allocable costs.
  Considering the multiple funding sources for ANTHC projects, consistent treatment will
  provide more assurance that resources are used in accordance with the various funding
  sources.  As discussed in the report, we did not question costs because of this
  misclassification issue.  Because we did not consider the misclassification errors identified
  during the examination as material, the issue was not included  in the final report.
       H.    Primary Causes for Questioned Costs - Draft Audit Report, pages 9-11.

             1.     Indirect Rates Were Not Clearly Communicated by Cognizant Agency and
ANTHC Misinterpreted Federal Requirements. ANTHC,  IHS, and EPA Region 10 acted in a
manner that was entirely reasonable and consistent with 2 C.F.R.  Part 225 regarding questioned
indirect costs. With respect to the corporate indirect costs questioned by EPA OIG, as explained
at Section  III.A.2, it is EPA  OIG that misunderstood the ANTHC indirect rate agreement
negotiated with HHS for 2008 and 2009, since the record shows that corporate indirect costs
were allocable to DEHE when the record as a whole is reviewed. EPA OIG's misreading of a
footnote in ANTHC's rate agreement does not change the fact that the negotiated rate was based
on the allowance of an allocation base that included DEHE.  See  Supplemental Submission No.
5.
  OIG RESPONSE 22 HHS's indirect cost rate negotiator has been consistent during
  discussions with the OIG audit team that he removed all DEHE costs from the base used to
  calculate the provisional non-hospital rate for fiscal years 2008 and 2009. Therefore, the
  approved indirect cost rates for fiscal years 2008 and 2009 are not applicable to DEHE
  construction projects as disclosed in the indirect cost rate agreement with HHS. We
  continue to question the $77,230 in indirect costs incurred for the corporate office's support
  of construction projects.
             With respect to DEHE indirect costs, ANTHC would prefer its cognizant agency,
HHS, negotiate  a  construction indirect  rate with ANTHC.   However, ANTHC understands
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HHS's reasoning even if it does not wholly agree.  In any event, continued efforts to negotiate a
construction indirect rate have proven futile.  Therefore, by necessity, ANTHC has been forced
to fall back on a cost allocation plan methodology.  For the reasons explained at Section II.C, this
approach is appropriate and allowable under 2 C.F.R. Part 225.  IHS and EPA Region 10
properly understood and communicated that fact to  ANTHC.
  OIG RESPONSE 23 We agree that a cost allocation plan prepared in accordance with
  Title 2 CFR Part 225, Appendix E, is an acceptable method for claiming indirect costs. For
  the period covered by the audit, ANTHC's November 20, 2007, submission to HHS is the
  only indirect cost proposal that meets the requirements of 2 CFR Part 225. The DEHE
  Administration and Pool Cost Allocation Plan is a narrative description of the methodology
  used to allocate costs and does not meet the requirements of Title 2 CFR Part 225,
  Appendix E, as previously discussed in OIG RESPONSE 9. We have not questioned indirect
  costs incurred by ANTHC that are either supported by approved rates or the November 20,
  2007, indirect cost proposal.
             2.     ANTHC Misinterpreted Basic Federal Cost Principles.  All of the costs
associated with  this purported "cause"  have been  established  as allowable and allocable.
Therefore, the associated proposed findings must be withdrawn. EPA OIG's characterization of
conversations with ANTHC Management is  not accurate. ANTHC  Management described the
difficulty of executing SFC projects in rural Alaska which involves the need for multiple funding
sources to pay for the scope of work necessary to address the scope of need, as well as logistical
and environmental challenges.23 ANTHC Management did not say that it is approved ANTHC
practice to draw funding from multiple funding  sources to which  costs are not appropriately
allocable,  as  the Draft Audit Report implies.   Rather, ANTHC pointed  out that,  despite
ANTHC's efforts to appropriately charge all costs in the first instance, mistakes and uncertainties
regarding  appropriate  allocation of costs do  occur in the field due  to this  complexity.  When
incorrect allocations are made in the field, they must be reconciled through transfers between
projects.  The Management Improvement Plan provided as  Supplemental Submission  No.  1
describes further checks and balances to assure that fewer incorrect  allocations are made in the
first instance, and that transfers are justified and described in sufficient detail to clearly confirm
that, when required, the reallocation of costs to another project is appropriate.
23  EPA OIG did not avail itself of ANTHC's offer to visit project sites to better understand the nature of
   Alaska SFC Projects.
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  OIG RESPONSE 24  Our position on the $903,671 in questioned costs associated with this
  cause remains unchanged as discussed previously in OIG RESPONSE 12, 14, 16,  17, 18,
  and 19. The report does not mischaracterize our conversations with ANTHC management.
  During the audit, ANTHC management indicated to the audit team that cost transfers were
  made because costs were managed and tracked as large projects and not by funding source.
  ANTHC management also indicated that the lack of tracking by individual project phase and
  funding source was not a problem as long as the scopes of work for projects funded by the
  IA and other sources are completed.  As discussed in the report, ANTHC's documentation
  supporting costs transferred to EPA-funded projects did not demonstrate that the costs
  benefitted the IA. The supplemental submissions included in ANTHC's response also did
  not include documentation showing that the transferred costs were incurred for work that
  was allocable to the IA.

  We acknowledge ANTHC's Management Improvement Plan provided in Supplemental
  Submission No. 1.  However, the plan does not provide assurance that the issues identified
  during the audit will be satisfactorily resolved for two primary reasons. First, ANTHC has
  not indicated that it is fully committed to addressing the findings in the report.  More
  specifically, ANTHC states in the plan, "ANTHC believes that the OIG Draft Audit
  Report's proposed findings are without merit or foundation."  Second, the other
  supplemental submissions submitted by ANTHC supporting its position on the findings
  indicate that ANTHC continues to incorrectly apply the federal cost principles specified by
  Title 2 CFR Part 225.
             3.    ANTHC Believed that Equipment Rental Fees Met Federal Criteria.
Again, the Draft Audit Report misstates ANTHC's position and practice.   ANTHC did not
charge equipment rental to any project.  The Blue Book rate did not establish a rental rate, but
was a reasonable and accurate guide used to allocate allowable equipment pool costs to projects.
The reference to Federal Highway Administration's approval of Blue Book rates was made to
point  out that the costs charged to EPA-supported projects were significantly less than federal
cost principles would have allowed if equipment were procured in another more conventional
manner.24 ANTHC Management did explain that its approach was largely dictated by IHS's
SFC Program practices in place when ANTHC took it over.  IHS practices were reasonable and
appropriate when the Program  was under direct  operation by  a federal agency.  Nonetheless,
ANTHC  recognized that the IHS approach may  not represent best practice for ANTHC as a
Tribal Consortium/Not-for-Profit Organization.  ANTHC has made steady progress in improving
this aspect of the SFC Program since it assumed management of the Program, but there are clear
limits to how quickly the improvements can be implemented within the context of the on-going
needs of the Program and its many projects.  Instead of giving ANTHC credit for all that it has
been able to  accomplish, EPA OIG challenges the remnants of the Program's past practices
which ANTHC has not been able to fully improve to date.  As described in detail at Sections
III.C.2 and III.F.2, the methods used by ANTHC during the audit period are acceptable under the
   It is also permitted by IHS, as reflected in the IHS MOA Manual, as described in footnote 21 above.
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principles of 2 C.F.R. Part 225.  ANTHC will continue to improve the Program policies and
practices for efficiency and economy, and to appropriately address the legitimate concerns and
needs of agencies that contribute funding to these critical projects.
   PIG RESPONSE 25 As discussed in OIG RESPONSE 20, ANTHC's management
   throughout the examination referred to the Equipment Shop's use of the Blue Book "rental
   rates" for equipment cost charges to projects prior to October 1, 2007. DEHE's Division
   Operating Guideline No. 202: Heavy Equipment specifically refers to "project rental" and
   "monthly rental" of heavy equipment.  However, we have revised the report by changing
   "rental" to "usage" costs based on ANTHC's comments.

   We acknowledge that ANTHC took over the Sanitation Facilities Construction Program in
   1998 and inherited practices and procedures from MS. However, regardless of the origins of
   the ANTHC's equipment cost allocation system used prior to October 2007, the system did
   not meet cost allocation requirements specified by Title 2 CFR Part 225 as explained in the
   report and previously in OIG RESPONSE 20.

   With regard to ANTHC's comment about providing credit for all that it has been able to
   accomplish, the scope of our financial examination was limited to the costs claimed under the
   IA. We did not evaluate progress and improvements over the period of more than  10 years
   ANTHC has managed the Sanitation Facilities Construction Program. Therefore, we are
   unable to express an opinion on ANTHC's overall management of the program over this
   period.
             4.     ANTHC Did Not Ensure Costs Were Consistently Classified.   First, as
shown at Section III.G, ANTHC in all material respects consistently classified its costs.  Field
staff do make occasional mistakes under the difficult circumstances in which they operate, but
those mistakes are identified and corrected by ANTHC DEHE senior accounting staff. The Draft
Audit Report's suggestion  that there  is  a pattern of misclassification  of costs is without
foundation for the reasons we explain above.
    OIG RESPONSE 26  As discussed in the report and previously in OIG RESPONSE 21,
    we did not question costs because of this misclassification issue. The issue was excluded
    from the final report because we did not consider the misclassification errors identified
    during the examination as material.
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IV.    Comments Regarding Proposed Conclusions and Recommendations

       We have fully addressed in this Memorandum:

       (1)    the indirect cost issue created by HHS's position on a construction indirect
             rate, and ANTHC's response  to it through an allowable cost allocation
             plan;

       (2)    centralized equipment pool costs under the system inherited from IHS, the
             improvements that ANTHC made to that system, and the cost allocation
             plan methodology used for the DEHE Equipment Pool  Support Costs,
             which are the only pooled element that remains; and

       (3)    transfers between projects that we  have shown  were  appropriate and
             justified.

Therefore, only two relatively minor proposed findings of the Draft Audit Report have any merit
for the reasons explained above.  (See Sections III.C. 1 and HID.)
  OIG RESPONSE 27  Our position on the questioned costs remains the same, except for a
  $39,653 reduction to the questioned indirect costs as explained the previous OIG responses
  to ANTHC's comments. Therefore, we continue to question $1,493,893 in costs incurred
  under the IA.
The conclusion that ANTHC does not meet minimum requirements for a financial management
system and  should be designated "high risk"  is  totally  without  any reasonable  basis or
foundation.  The Draft Audit Report also misconstrues the applicable administrative principles
for the reasons that  we explain in Part I. The proposal to recommend special  conditions,
therefore,  lacks  any legal  basis,   and  would interfere  with  the  successful execution and
completion of necessary SFC works in Alaska which ANTHC,  IHS,  and EPA Region 10 have
been accomplishing through  cooperation and collaboration for many years.
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  PIG RESPONSE 28 We agree that the ANTHC is not obligated to comply with Title 40
  CFR Part 31 under the IA as discussed previously in OIG RESPONSE 3. However, our
  position on designating ANTHC as a "high risk" recipient under Title 40 CFR Part 31
  remains unchanged.  Our position is based on the material financial management issues
  associated with ANTHC's accounting system for DEHE discussed in the report and the EPA
  funding ANTHC receives directly through grants. Because ANTHC is a recipient of EPA
  funding through grant instruments, EPA may designate ANTHC as "high risk" under Title 40
  CFR Part 31.12 as recommended in the report. The special conditions we recommend are
  intended to establish controls that provide assurance that EPA funds are spent and accounted
  for in accordance with federal cost principles. ANTHC has not explained in the response how
  implementing these controls over EPA funds will interfere with the successful execution and
  completion of its Sanitation and Facilities Construction projects.
                                        * * * *
       ANTHC has addressed each of the proposed findings of the Draft Audit Report and
offered a Management Improvement Plan based on our consideration of these issues to ensure
that we continue to improve the SFC Program and better carry out its mission. We have shown
that much of the Draft Audit Report rests on inaccurate premises  and fails  to appreciate the
context in which its proposed findings  arise.  We believe that IHS should urge EPA OIG to
rewrite the Draft Audit Report accordingly, as well as to reflect more accurately the positive and
productive relationship  of EPA and IHS under the Interagency Agreement,  and the effective
management of the IHS  Alaska Area SFC Program by ANTHC.
   OIG RESPONSE 29 Our position on the findings in the report remains unchanged except
   for a $39,653 reduction to the questioned indirect costs and the inconsistent coding issue as
   explained the previous OIG responses to ANTHC's comments. The questioned costs in the
   report are based on the federal cost principles specified by Title 2 CFR Part 225. As
   discussed previously in OIG RESPONSE 24, ANTHC's Management Improvement Plan
   does not provide assurance that the issues identified during the audit will be satisfactorily
   resolved for two primary reasons. First, ANTHC has not  indicated that it is fully
   committed to addressing the findings in the report. Second, the other supplemental
   submissions submitted by ANTHC supporting its position on the findings indicate that
   ANTHC continues to incorrectly apply the federal cost principles specified by Title 2 CFR
   Part 225.

   With regard to ANTHC's comment about its relationship  with EPA and IHS and the
   effective management of the Sanitation Facilities Program, the scope of our financial
   examination did not include evaluations of those areas. Therefore, we are not able to
   express an opinion on the relationship or the effectiveness of ANTHC's management of the
   Sanitation Facilities Program.
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       Should you have any questions regarding these comments or require further information
from  ANTHC,  please  contact  me  or  appropriate members  of  ANTHC-DEHE's  Senior
Management with whom you are well acquainted.

Respectfully submitted,
Don Kashevaroff
Chief Executive Officer

Attachment:  Supplemental Submission Package
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                                                                      Appendix D

                                Distribution
EPA
Regional Administrator, Region 10
Director, Office of Grants and Debarment, Office of Administration and Resources Management
Director, Grants and Interagency Agreements Management Division, Office of Administration
      and Resources Management
Agency Follow-up Official (the CFO)
Agency Follow-up Coordinator
Region 10 Audit Follow-up Coordinator
Region 10 Public Affairs Office
Inspector General
Recipient

Director of Environmental Health and Engineering, Indian Health Service
Director, Alaska Native Tribal Health Consortium
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