Audit 399166

FY End
2025-01-31
Total Expended
$3.60M
Findings
1
Programs
4
Organization: North Central Family Medicine (AL)
Year: 2025 Accepted: 2026-04-20

Organization Exclusion Status:

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Contacts

Name Title Type
QL6YH7BA6M29 Stu Carroll Auditee
8432607043 Jansen Otterness Auditor
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Notes to SEFA

The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal award activity of Community Medicine Foundation, Inc. d/b/a North Central Family Medicine under programs of the federal government for the year ended January 31, 2025. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations 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 Community Medicine Foundation, Inc. d/b/a North Central Family Medicine, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Community Medicine Foundation, Inc. d/b/a North Central Family Medicine.
Community Medicine Foundation, Inc. d/b/a North Central Family Medicine did not have any federal loan programs during the year ended January 31, 2025.

Finding Details

Health Center Program Cluster – Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 C16CS50476-01-03 Program Year 2025 Criteria or Specific Requirement – Procurement, Suspension, & Debarment – 2 CFR 200.320 and 2 CFR 180. Condition – The Organization completed purchases exceeding the small purchase threshold for which bid solicitation, evaluation, and selection documents were not completed. The Organization’s Procurement Policy does not explicitly identify all purchase types included in 2 CFR 200.320 and 2 CFR 180. Cause – The Procurement Policy is not consistent with Federal regulations and was not properly applied during the year. Effect or Potential Effect – Purchases were made without adhering to Federal procurement requirements. Questioned Costs – Unknown. Context – A sample of two purchases were tested from a population of eleven transactions subject to procurement requirements, representing $606,467 in federal expenditures. The sample was not, and is not intended to be, statistically valid. Of the two purchases tested, neither transaction, totaling $211,018, was documented in accordance with Federal procurement requirements. Identification as a Repeat Finding, if Applicable – Not a repeat finding. Recommendation – The Organization should revise its Procurement Policy to reflect the purchase types included in 2 CFR 200.320 and 2 CFR 180. Finance department staff should be trained on the revised policy and procedure with a system of internal controls developed to improve compliance.