Audit 358378

FY End
2024-12-31
Total Expended
$1.94M
Findings
2
Programs
4
Year: 2024 Accepted: 2025-06-09

Organization Exclusion Status:

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Contacts

Name Title Type
QMSWYLUBQTK6 Brian Ross Auditee
9899535191 Robert Friske Auditor
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Notes to SEFA

Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards includes the federal grant activity of Isabella Citizens for Health, Inc. and is presented using the accrual basis of accounting. The information in this schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The expenditures in the Schedule of Expenditures of Federal Awards are in agreement with the amounts reported in the financial statements and reports submitted to the Department of Health and Human Services. Although some grant awards are for different periods than the Center's fiscal year, all expenditures in the schedule are for the year ended December 31, 2024. De Minimis Rate Used: N Rate Explanation: Isabella Citizens for Health, Inc. has not elected to use the 10% de minimus indirect costs rate.

Finding Details

Federal Program AL# 93.526 - Health Center Infrastructure Support - Significant Deficiency in internal control over federal award program and Noncompliance - Procurement Criteria - According to the Center’s procurement policy they will adhere to the procurement standards and requirements of 45 CFR Part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards” Condition - During our testing of procurement transactions, we noted that the Center did not follow the Small Purchase Procedures or the Simplified Acquisition Method as required for procurements within the applicable threshold established in its own procurement policy. Specifically, transactions falling within this cost range were processed without the appropriate level of competition or documentation required under the Center’s procedures and 2 CFR § 200.320(b). Questioned Costs - 562735 Context- During our testing of procurement transactions, the Center did not provide adequate documentation to demonstrate that proper procurement procedures were followed in accordance with 2 CFR § 200.320. Specifically, the documentation provided did not clearly support the method of procurement used, nor did it include evidence of efforts to ensure full and open competition, justification for non-competitive purchases, or verification of cost or price reasonableness where applicable. As a result, we were unable to verify compliance with the federal procurement standards required for recipients of federal awards. Potential Effect - As a result of not following the prescribed procurement procedures, the Center increases the risk of noncompliance with federal regulations, specifically 2 CFR § 200.320. This may lead to unallowable costs being charged to the federal program, reduced assurance that goods and services were procured at fair and reasonable prices, and potential disallowance of expenditures during a federal review or audit. Additionally, failure to maintain appropriate procurement documentation may impair transparency and weaken internal controls over federal funds. Cause - The personnel responsible for procurement did not adhere to the Center’s established procurement procedures. Instead of evaluating purchases based on their aggregate cost, as required by both internal policy and federal guideline, they assessed each transaction individually. This practice resulted in the improper application of procurement methods for transactions that cumulatively exceeded the applicable thresholds. Recommendation - We recommend that management reinforce adherence to the Center’s procurement policy by providing periodic training to all staff involved in the purchasing process, with a focus on the appropriate application of procurement methods in accordance with 2 CFR § 200.320. Additionally, management should implement a formal review and oversight mechanism to ensure that all procurement transactions exceeding established thresholds are properly evaluated on an aggregate basis, fully documented, and compliant with both internal policies and federal regulations. Views of Responsible Officials and Planned Corrective Actions - Management concurs with the finding. The Center acknowledges that procurement activities were evaluated on a per-transaction basis rather than in aggregate, as required under both its internal procurement policy and 2 CFR § 200.320. To address this issue, the Center will conduct training for all relevant staff on the proper application of procurement thresholds and documentation requirements.
Federal Program AL# 93.526 - Health Center Infrastructure Support - Significant Deficiency in internal control over federal award program and Noncompliance - Procurement Criteria - According to the Center’s procurement policy they will adhere to the procurement standards and requirements of 45 CFR Part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards” Condition - During our testing of procurement transactions, we noted that the Center did not follow the Small Purchase Procedures or the Simplified Acquisition Method as required for procurements within the applicable threshold established in its own procurement policy. Specifically, transactions falling within this cost range were processed without the appropriate level of competition or documentation required under the Center’s procedures and 2 CFR § 200.320(b). Questioned Costs - 562735 Context- During our testing of procurement transactions, the Center did not provide adequate documentation to demonstrate that proper procurement procedures were followed in accordance with 2 CFR § 200.320. Specifically, the documentation provided did not clearly support the method of procurement used, nor did it include evidence of efforts to ensure full and open competition, justification for non-competitive purchases, or verification of cost or price reasonableness where applicable. As a result, we were unable to verify compliance with the federal procurement standards required for recipients of federal awards. Potential Effect - As a result of not following the prescribed procurement procedures, the Center increases the risk of noncompliance with federal regulations, specifically 2 CFR § 200.320. This may lead to unallowable costs being charged to the federal program, reduced assurance that goods and services were procured at fair and reasonable prices, and potential disallowance of expenditures during a federal review or audit. Additionally, failure to maintain appropriate procurement documentation may impair transparency and weaken internal controls over federal funds. Cause - The personnel responsible for procurement did not adhere to the Center’s established procurement procedures. Instead of evaluating purchases based on their aggregate cost, as required by both internal policy and federal guideline, they assessed each transaction individually. This practice resulted in the improper application of procurement methods for transactions that cumulatively exceeded the applicable thresholds. Recommendation - We recommend that management reinforce adherence to the Center’s procurement policy by providing periodic training to all staff involved in the purchasing process, with a focus on the appropriate application of procurement methods in accordance with 2 CFR § 200.320. Additionally, management should implement a formal review and oversight mechanism to ensure that all procurement transactions exceeding established thresholds are properly evaluated on an aggregate basis, fully documented, and compliant with both internal policies and federal regulations. Views of Responsible Officials and Planned Corrective Actions - Management concurs with the finding. The Center acknowledges that procurement activities were evaluated on a per-transaction basis rather than in aggregate, as required under both its internal procurement policy and 2 CFR § 200.320. To address this issue, the Center will conduct training for all relevant staff on the proper application of procurement thresholds and documentation requirements.