Finding 1138146 (2024-002)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2025-05-28
Audit: 357322
Organization: Seattle Indian Health Board (WA)
Auditor: Moss Adams LLP

AI Summary

  • Core Issue: The Health Board failed to properly check the Federal Excluded Parties List to ensure vendors were not suspended or debarred before entering contracts over $25,000.
  • Impacted Requirements: This oversight violates the Uniform Guidance, which mandates checks for suspension and debarment in covered transactions.
  • Recommended Follow-Up: Provide updated training for all programs on procurement requirements to ensure compliance with established policies.

Finding Text

Suspension and Debarment (Material Weakness in Internal Control Over Compliance) Criteria – The Uniform Guidance prohibits non-federal entities from contracting with parties through covered transactions that are suspended or debarred. “Covered transactions” include those procurement contracts for good and services awarded under a non-procurement transaction (e.g., grant or cooperative agreement) that are expected to be equal to or exceed $25,000 or meet certain other specified criteria (2 CFR 200.213 and 2 CFR part 180). Condition and Context – We reviewed covered transactions in excess of $25,000 that were subject to suspension and debarment requirements, as noted below, for evidence of review of the Federal Excluded Parties List System or other controls to ensure that the vendors were not suspended or debarred before the Heath Board entered into contracts with those vendors. Control deficiencies were identified in the suspension and debarment process, include the following for these programs: • Assistance Listing Number 93.193 – The program had 24 covered transactions over $25,000. From this full population, we randomly selected a sample of nine (9) covered transactions subject to suspension and debarment requirements. For three (3) of the items tested the Health Board could not provide the required evidence that the Health Board performed its own suspension and debarment search. • Assistance Listing Number 93.231 – The program had four covered transactions over $25,000. We tested all four covered transactions subject to suspension and debarment requirements. For one (1) of the items tested the Health Board could not provide the required evidence that the Health Board performed its own suspension and debarment search. However, based on our testing, we noted none of the vendors were suspended or debarred. Cause – The programs did not follow the Health Board’s established policies to maintain documentation to support requirements under Uniform Guidance. Effect – The Health Board could be at risk of contracting with vendors that have been suspended or debarred from governmental contracts. Questioned Costs – There were no questioned costs associated with this finding. Repeat Finding – This is not a repeat finding. Recommendation – The Health Board has adequate policies in place, so we recommend that all programs and department overseeing all programs receive updated training on the Health Board’s procurement requirements. Views of responsible officials – Management agrees with the auditors' findings and will implement the corrective action plan to address the issue identified.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 561695 2024-001
    Significant Deficiency Repeat
  • 561696 2024-001
    Significant Deficiency Repeat
  • 561697 2024-001
    Significant Deficiency Repeat
  • 561698 2024-001
    Significant Deficiency Repeat
  • 561699 2024-002
    Significant Deficiency
  • 561700 2024-002
    Significant Deficiency
  • 561701 2024-002
    Significant Deficiency
  • 561702 2024-002
    Significant Deficiency
  • 561703 2024-002
    Significant Deficiency
  • 561704 2024-002
    Significant Deficiency
  • 561705 2024-002
    Significant Deficiency
  • 561706 2024-002
    Significant Deficiency
  • 1138137 2024-001
    Significant Deficiency Repeat
  • 1138138 2024-001
    Significant Deficiency Repeat
  • 1138139 2024-001
    Significant Deficiency Repeat
  • 1138140 2024-001
    Significant Deficiency Repeat
  • 1138141 2024-002
    Significant Deficiency
  • 1138142 2024-002
    Significant Deficiency
  • 1138143 2024-002
    Significant Deficiency
  • 1138144 2024-002
    Significant Deficiency
  • 1138145 2024-002
    Significant Deficiency
  • 1138147 2024-002
    Significant Deficiency
  • 1138148 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.479 Good Health and Wellness in Indian Country $730,668
93.762 A Comprehensive Approach to Good Health and Wellness in Indian County – Financed Solely by Prevention and Public Health $697,506
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $638,832
93.193 Urban Indian Health Services $582,198
93.527 Grants for New and Expanded Services Under the Health Center Program $447,594
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $432,895
93.237 Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects $329,380
21.027 Coronavirus State and Local Fiscal Recovery Funds $296,827
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $284,952
93.933 Demonstration Projects for Indian Health $255,414
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $157,089
16.023 Sexual Assault Services Culturally Specific Program $89,604
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $88,423
93.231 Epidemiology Program $52,545
93.788 Opioid Str $46,710
93.526 Grants for Capital Development in Health Centers $37,428
93.959 Block Grants for Prevention and Treatment of Substance Abuse $13,359
93.441 Indian Self-Determination $11,358
47.076 Stem Education (formerly Education and Human Resources) $6,450