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NAVREF COMMENTS REGARDING
VA OIG REPORT 03-03053-115 ADMINISTRATIVE INVESTIGATION

The following is a synopsis of comments that NAVREF sent to Daniel Petrole
 Assistant Inspector General for Investigations 

April 5, 2004

Link to VA OIG Report:  VA OIG Administrative Investigation 03-03053-115

SUBJECT:  National Association of Veterans’ Research and Education Foundations (NAVREF) response to VA OIG Administrative Investigation 03-03053-115, March 22, 2004. 

NAVREF is the association of the VA-affiliated nonprofit research and education corporations established and operated under 38 U.S.C. 7361-7368. Organizations managed in compliance with this statute are commonly referred to as “NPCs.” As noted in the IG report, Friends Research Institute (FRI) is not an NPC. However, the report references NPCs in ways that NAVREF feels need to be addressed. Our comments focus on just three topics.

First and foremost, statements in the report create the erroneous perception that NPCs were involved in transactions attributed to Dr. Wray and the named or redacted ORD personnel. Please note the following:

  • The NPC affiliated with the Houston VAMC was incorporated in September 2002, but did not open its first bank account with a deposit of $100 until December 9, 2003. As a result, during the time Dr. Wray told you “ she used funds from that facility’s VA-affiliated research corporation” (page 11) there was no active Houston NPC.

  • The December 15 memo signed by Dr. Perlin (page 48) is included in the IG report to bolster IG findings in regard to FRI. However, the memo erroneously implies that NPCs provided credit cards to ORD personnel and that NPCs approved improper expenditures at their direction. We hope simple confusion caused the author of the memo to attribute to NPCs practices that were exclusive to FRI expenditures.

  • We confirmed by phone with the executive director of each NPC affiliated with a site named in the report that none provided credit cards to Office of Research and Development personnel. We are highly doubtful that this would ever occur.

  • Individual ORD personnel have no authority to direct NPC expenditures. Rather, NPC expenditures are governed by the authorizing statute under regulations prescribed by the Secretary [38 USC 7361], VHA Handbooks 1200.17 and 1400.2, the terms of agreements between NPCs and sponsors, applicable federal and state statutes and regulations and policies and procedures established by each board of directors. At ORD direction, some NPCs have received funds pursuant to participation in cooperative studies, but the subsequent expenditures are guided by the protocol and the guidance listed above. Again, we confirmed by phone with the executive director of each NPC affiliated with a site named in the report that none made expenditures at the direction of Dr. Wray or ORD personnel of the type described in the report.

  • VHA Handbooks 1200.17 and 1400.2 apply only to NPCs. They have no relevance to FRI.

Second, please note the following misperceptions about NPCs that are reflected in the report.

  • The report states that NPCs “are legally authorized to spend their funds, which are ‘public monies,’ only for purposes directly related to VA-approved research or education projects. . . “ (page 11)

  • However, not all funds administered by NPCs are “public monies.” The report appears to confuse this term with “funds held in the public trust.” Only funds subject to federal appropriations are “public monies.” These include grants or contracts provided by federal agencies. According to the executive summary of NPC reports submitted to VA in June 2003, federal funds, or public monies, represent $65.7 million (35%) of NPC administered funds. Statutes and regulations applicable to federal funds administered by private organizations govern NPC expenditure of such funds.

All NPC funds are “held in the public trust,” as nonprofit assets are commonly characterized. According to the same report, $115 million (62.5%) of NPC revenues originated in the private sector and were administered in accordance with numerous applicable statutes and regulations. Federal employee personnel and procurement regulations are not applicable to expenditure of private sector funds administered by a private organization.

The statement quoted above that NPC expenditures must be directly related to VA-approved research or education projects is an overstatement not supported by the NPC authorizing statute or the December 15, 2003 VHA memo included in the report Appendix which states, “Funds may also be expended to generally further VA’s research and education missions . . .” Consequently, some of the expenses the IG found improper during the Miami and San Diego IG investigations referenced on page 11 were consistent with the broader statutory purposes of the NPCs. All NPC expenditures, including those that ensure a smoothly functioning NPC workforce, should be viewed as benefiting VA research and education regardless of the internal account from which they are drawn.

  • We object to the broad statement that NPCs “are likewise misusing money intended for VA research projects to purchase meals and other personal items” (page 12). NPC boards and managers work hard to understand and apply the relevant guidance to expenditure decisions while still enabling the NPCs to remain “flexible funding mechanisms” (38 USC 7361) as intended by Congress. To the best of our knowledge, no NPC has been found in violation of the numerous federal and state regulations applicable to nonprofits generally. Indeed, the IRS is particularly stringent in 1) requiring contributions to be used for their intended purpose; and 2) requiring nonprofits to guard against providing items of personal benefit. The IRS levies stiff penalties for abuses, particularly by individuals with significant influence over organization funds. To the best of our knowledge, annual CPA audits of NPCs cite no deficiencies in these areas.

    NAVREF does not and never will defend expenditures that violate applicable regulations. However, when reading the IG reports regarding San Diego and Miami, it becomes apparent that even though many transactions under investigation are acceptable for other nonprofits, the IG finds them to be improper for NPCs. Often the IG evaluates transactions according to standards that have not otherwise been communicated to NPCs, but which are nonetheless applied retroactively.

    Even the GAO appears to disagree with standards used by the IG. For example, in 2002 the House Committee on Veterans Affairs Subcommittee on Oversight and Investigations asked the GAO to perform an oversight review of the NPCs. To comply, the GAO conducted in-depth reviews of five NPCs, including the San Diego NPC. During this review, the GAO examined many of the same expenditures cited in the 2003 IG report on the San Diego NPC. The GAO found them to be acceptable while the IG found them improper.

    Finally, we wish to point out that the Miami IG report reflects expenditures during 1996 through 2002. The expenditures found inappropriate constitute only $15,787, less than 0.1% (one tenth of one percent) of the more than $16 million administered by the NPC during that time. The San Diego IG investigation covered 2001 and 2002. The $40,607 deemed to be improper also represents 0.1% (one tenth of one percent) of total expenditures. We contend that this attests to a remarkable degree of diligence by NPCs. That said, NPCs take all negative IG findings very seriously and adjust their policies and procedures accordingly. We are acutely aware that negative findings at one are usually attributed to all and that the NPCs facilitate VA research and education at the discretion of the Secretary.

Third, we disagree with the IG recommendation that funds currently administered by FRI should be transferred to one or more NPCs.

  • In our view, the uncertain nature of the cooperative study agreements between VA and pharmaceutical companies, and the unlikely inclusion of terms necessary for approval of an agreement between an NPC and a pharmaceutical company, would make the FRI funds inappropriate for NPC administration.

  • After consulting an expert in federal funds management and a certified public accountant, we disagree with the IG conclusion that pharmaceutical funds administered by FRI pursuant to agreements between VA and the pharmaceutical companies “must be characterized as “government funds” (page 4). Should the IG persist in its assertion, disagreement over the provenance of the funds could result in conflicting requirements, and may mandate burdensome internal accounting. Further, NPC expenditures are subject to policies and procedures established by the board, and we would be opposed to giving ORD personnel discretionary control over a portion of an NPC’s funds.

    That said, should VA wish to involve NPCs in administration of future cooperative studies, we would be agreeable to reaching an understanding with VA on policies and procedures consistent with those applied to other private sector funds administered by NPCs. However, such an understanding should be reached prior to assigning to any NPC responsibility for cooperative study funds.

    Also after consultation with a CPA, we understand that VA’s ability to direct FRI to transfer funds to other organizations, whether NPCs or GPFs, is questionable, and we prefer that NPCs not become embroiled in a dispute over control of the funds. All funds accepted by FRI legally belong to FRI and their dispensation is subject to applicable statutes and regulations as well as the terms of each individual grant. Where such terms are uncertain, it may be in FRI’s best interests to retain full control over the funds or to return them to the original donor.

We welcome the opportunity to address in a proactive way any concerns that the IG or other VA officials may have about NPC management so that NPCs may continue to serve as flexible funding mechanisms for the conduct of VA’s highly important research and education programs. Thank you for considering our views. We would be pleased to discuss any of the above points or respond to any questions you may have.

cc: 
Secretary
Deputy Secretary
Under Secretary for Health
Deputy Under Secretary for Health
Chief of Staff
General Counsel
Chief Research and Development Officer
Nonprofit Program Office
Chairman and Ranking Member Senate Committee on Veterans Affairs
Chairman and Ranking Member House Committee on Veterans Affairs
Chairman and Ranking Member House Subcommittee on Oversight and Investigations

 

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