Finding 1154801 (2024-002)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2025-09-23

AI Summary

  • Core Issue: The Organization failed to document single-source justification for procurement transactions, violating their own procurement policy.
  • Impacted Requirements: This finding breaches 2 CFR 200.318(a), which mandates documented procedures for procurement under federal awards.
  • Recommended Follow-up: Implement a formal review process for single-source justifications to ensure proper documentation and compliance with federal regulations.

Finding Text

Finding 2024-002 – Procurement Federal Agency: U.S. Department of Health and Human Services Federal Program: Rural Health Care Services Outreach, Rural Health Network Development, and Small Health Care Provider Quality Improvement Program AL Number: 93.912 Pass-through: Not applicable Award Number: GA1RH33512 & G26RH49901 Award Year: 2020/2021 & 2023/2024 Type of Finding: Significant Deficiency Criteria: Per 2 CFR 200.318(a) – Documented procurement procedures, “The recipient or subrecipient must maintain and use documented procedures for procurement transactions under a Federal award or subaward, including for acquisition of property or services.” Condition: The Organization did not follow their procurement policy for single-source justification procurement transactions. Two sample items selected for testing within the small purchase threshold were appropriately determined to be single-source items. However, in both instances, no documentation was maintained as to the reasoning for determining this. Cause: The primary underlying cause appears to be a failure to consistently follow established procurement procedures. Both procurements were appropriately determined to be single-source bids by management based on various factors. However, the Organization did not fully adhere to their procurement policy because justification for that determination was not maintained. Effect: Failure to adhere to the Organization’s procurement policies, which are designed in accordance with the Uniform Guidance, could result in the Organization not receiving competitive bids or proposals from multiple vendors, potentially leading to overpayment for contracts or services. Questioned costs: Not applicable. Context: The Organization did not provide documentation for single source justification for two of the samples selected for procurement testing. Recommendation: We recommend the Organization should implement a formal review and approval process for single-source justifications to ensure they are consistently completed, approved by appropriate management, and retained in procurement files. Maintaining complete and accurate documentation will support compliance with federal regulations, facilitate audit reviews, and reduce the risk of overpayment or challenges to procurement decisions. Management’s Response: See Corrective Action Plan.

Corrective Action Plan

Finding Number: 2024-002 Anticipated Completion Date: 10-31-2025 Responsible Contact Person: Mark Bridenbaugh, CEO Planned Corrective Action: The organization does have an existing Procurement Policy that is compliant with 2 CFR Section 200.320 for federal grant expenditure related procurement methods. This policy will be reviewed with all Officers, Directors and fiscal staff who are involved in managing any grant program or related purchases. Review and training will occur within the next month. Proper documentation, consistent with the policy, must be reviewed and approved by the CEO, CFO or designee prior to the purchase being made. Documentation will be kept by both the grant Project Director and the approving official.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1154799 2024-002
    Material Weakness Repeat
  • 1154800 2024-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $5.57M
21.027 Coronavirus State and Local Fiscal Recovery Funds $1.55M
93.696 Certified Community Behavioral Health Clinic Expansion Grants $1.03M
93.958 Block Grants for Community Mental Health Services $203,168
14.195 Project-Based Rental Assistance (pbra) $138,769
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $125,425
84.181 Special Education-Grants for Infants and Families $124,050
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $106,476
93.959 Block Grants for Prevention and Treatment of Substance Abuse $81,727
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $80,342
93.788 Opioid Str $67,546
14.157 Supportive Housing for the Elderly $66,582
93.527 Grants for New and Expanded Services Under the Health Center Program $20,376