Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Provider Relief Fund and American Rescue Plan Act (ARP) Rural Distribution Federal Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116?136, 134 Stat. 563 and Pub. L. No. 116?139, 134 Stat. 622 and 623) Condition ? The Organization is required to prepare and submit phase one Provider Relief Funding Reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs ? Unknown Context ? The period one Provider Relief Fund report was tested. The Organization selected option three to report lost revenues based on 2020 and 2021 quarterly budget versus actual results. The Organization used a calculation that excluded health center owned pharmacy revenues but did not disclose this election in the required narrative to the Health Resources Services Administration (HRSA). Effect ? The report provided to HRSA included adjustments that were not adequately described and disclosed through the PRF phase one report. Cause ? The narrative did not fully and accurately describe the other reasonable method for calculating lost revenue, as required by the PRF terms and conditions. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports and supporting documentation provided to regulatory agencies is clear, accurate, and easily understood. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with federal grant reporting guidelines. Going forward, the federal grant reporting policy and procedures will be reviewed and amended to ensure that reports and documentation for regulatory agencies are provided in a clear, accurate, and easily understood manner. Additionally, all related NHS personnel will be educated on the policy and procedures.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.
Provider Relief Fund and American Rescue Plan Act (ARP) Rural Distribution Federal Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement ? Reporting (45 CFR 75.342) and Activities Allowed/Unallowed and Allowable Costs/Cost Principles (Pub. L. No. 116?136, 134 Stat. 563 and Pub. L. No. 116?139, 134 Stat. 622 and 623) Condition ? The Organization is required to prepare and submit phase one Provider Relief Funding Reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs ? Unknown Context ? The period one Provider Relief Fund report was tested. The Organization selected option three to report lost revenues based on 2020 and 2021 quarterly budget versus actual results. The Organization used a calculation that excluded health center owned pharmacy revenues but did not disclose this election in the required narrative to the Health Resources Services Administration (HRSA). Effect ? The report provided to HRSA included adjustments that were not adequately described and disclosed through the PRF phase one report. Cause ? The narrative did not fully and accurately describe the other reasonable method for calculating lost revenue, as required by the PRF terms and conditions. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? Policies and procedures over federal grant reporting should be modified to ensure reports and supporting documentation provided to regulatory agencies is clear, accurate, and easily understood. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with federal grant reporting guidelines. Going forward, the federal grant reporting policy and procedures will be reviewed and amended to ensure that reports and documentation for regulatory agencies are provided in a clear, accurate, and easily understood manner. Additionally, all related NHS personnel will be educated on the policy and procedures.