Finding 1103291 (2024-001)

Material Weakness
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2025-03-13
Audit: 345945
Organization: Hcc Network (MO)

AI Summary

  • Core Issue: The organization did not follow proper procurement procedures when selecting a vendor for dental equipment costing over $250,000.
  • Impacted Requirements: This violates the procurement criteria outlined in 45 CFR 75.329.
  • Recommended Follow-Up: Management should reinforce understanding of the procurement policy and implement procedures to ensure compliance, especially for high-cost vendor selections.

Finding Text

Grants for Capital Development in Health Centers – ALN 93.526 U.S. Department of Health and Human Services Award No. 6 C8ECS44310-01-05, September 15, 2021-September 14, 2024 Award No. 6 C8ECS44310-01-04, September 15, 2021-September 14, 2024 Award No. 6 C8ECS44310-01-03, September 15, 2021-September 14, 2024 Award No. 6 C8ECS44310-01-02, September 15, 2021-September 14, 2024 Award No. 6 C8ECS44310-01-01, September 15, 2021-September 14, 2024 Award No. 1 C8ECS44310-01-00, September 15, 2021-September 14, 2024 Criteria or Specific Requirement – Procurement – 45 CFR 75.329 Condition – Procurement procedure was not followed for use of vendor with costs greater than $250,000 for purchase of dental equipment. Questioned cost – None Context – A sample of 1 vendor was tested out of a population of 3 vendors. The sampling methodology used is not and is not intended to be statistically valid. For the vendor that was tested, it was found that selection of this vendor was inconsistent with the procurement policy. The client initially had intended to use the grant money for other purposes and had not intended to use federal funds to purchase dental equipment. Therefore, they did not go through the formal procurement processes to select the tested vendor. Effect – Procurement methodology was not followed for vendor with expenses of over $250,000. Cause – The Organization did not comply with their procurement policy. Identification as a repeat finding, if applicable – New finding Recommendation – We recommend management continue to ensure all personnel understand the procurement policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that vendors, especially those over $250,000, are selected and vetted in accordance with policy and Uniform Guidance.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 526849 2024-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $935,628
93.493 Congressional Directives $762,691
10.766 Community Facilities Loans and Grants $468,772
93.526 Grants for Capital Development in Health Centers $341,459
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $311,680
93.778 Medical Assistance Program $204,366
93.107 Area Health Education Centers $117,906
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $103,958
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $66,947
93.800 Organized Approaches to Increase Colorectal Cancer Screening $21,000
93.527 Grants for New and Expanded Services Under the Health Center Program $2,105