Audit 319561

FY End
2023-12-31
Total Expended
$6.40M
Findings
8
Programs
22
Year: 2023 Accepted: 2024-09-13

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
496838 2023-002 Significant Deficiency - I
496839 2023-002 Significant Deficiency - I
496840 2023-002 Significant Deficiency - I
496841 2023-002 Significant Deficiency - I
1073280 2023-002 Significant Deficiency - I
1073281 2023-002 Significant Deficiency - I
1073282 2023-002 Significant Deficiency - I
1073283 2023-002 Significant Deficiency - I

Programs

ALN Program Spent Major Findings
93.958 Block Grants for Community Mental Health Services $550,987 - 0
93.933 Demonstration Projects for Indian Health $542,364 - 0
93.788 Opioid Str $428,194 Yes 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $420,271 Yes 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $344,180 - 0
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $227,396 Yes 1
93.307 Minority Health and Health Disparities Research $202,306 - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $168,712 - 0
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $152,067 - 0
93.479 Good Health and Wellness in Indian Country (a) $142,160 - 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $113,311 Yes 1
93.917 Hiv Care Formula Grants $93,365 - 0
93.137 Community Programs to Improve Minority Health Grant Program $56,303 - 0
93.738 Pphf: Racial and Ethnic Approaches to Community Health Program Financed Solely by Public Prevention and Health Funds $40,003 - 0
16.582 Crime Victim Assistance/discretionary Grants $37,156 - 0
93.800 Organized Approaches to Increase Colorectal Cancer Screening $32,473 - 0
93.279 Drug Abuse and Addiction Research Programs $16,634 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $15,809 - 0
93.070 Environmental Public Health and Emergency Response $14,265 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $5,462 - 0
93.493 Community Project Funding/congressionally Directed Spending Construction $2,883 - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $159 - 0

Contacts

Name Title Type
NKKANJSDRCB5 Jenny Singh Auditee
6128425995 Ryan Engebretson Auditor
No contacts on file

Notes to SEFA

Title: BASIS OF PRESENTATION Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Native American Community Clinic has not elected to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Native American Community Clinic under programs of the federal government for the year ended December 31, 2023. The information in this Schedule is presented in accordance with the requirements of 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of Native American Community Clinic, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Native American Community Clinic.

Finding Details

Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.
Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.
Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.
Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.
Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.
Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.
Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.
Federal agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster Assistance Listing Number: 93.224/93.527 Award Period: Varying project and budget periods: 1/1/23 – 12/31/23, 4/1/21 – 3/31/23, 12/1/22 – 12/31/23, and 9/1/23 – 12/31/24 Type of Finding: • Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: The Code of Federal Regulations section 200.320 states the non-Federal entity must have and use documented procurement procedures following specific requirements for different methods of procurement depending on size and type of purchase. Thresholds for these categories (micro-purchase, simplified acquisition threshold) refer to using the Federal Acquisition Regulations (FAR), unless a different threshold has been specifically approved. Specifically, under FAR multiple quotes are generally required for purchases over the micro-purchase threshold, or documentation should be maintained explaining why multiple quotes were not obtained. Condition: During our testing, there was one vendor tested in our sample that was above the micro-purchase threshold, but multiple quotes were not obtained, and documentation was not available or appropriate to support why noncompetitive procurement was followed. Questioned costs: None Context: During out testing, noted no proper documentation per the procurement policy. Vendor was utilized due to past work performed for the Organization and experience the vendor had with other similar organizations, but documentation should still be maintained when sole source procurement is utilized. Cause: The Organization did not follow the policy due to working with the vendor in the past and time constraints, however, did not maintain documentation as to why sole source procurement was utilized. Effect: The lack of documented procurement policies over these compliance requirements provides an opportunity for noncompliance. Repeat finding: No Recommendation: We recommend the Organization utilize a noncompetitive procurement justification form if following standard procurement procedures is not feasible. Views of responsible officials: There is no disagreement with the audit finding.