Finding 1175770 (2025-006)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-02-28

AI Summary

  • Core Issue: Procurement records were not maintained properly, violating Uniform Guidance requirements.
  • Impacted Requirements: Non-compliance with procurement policy led to potential inefficiencies and questioned costs of $365,941.
  • Recommended Follow-Up: Develop a robust documentation process and provide training to ensure compliance and improve controls in the Finance Department.

Finding Text

Rural Healthcare Services Programs Assistance Listing Number 93.912 U.S. Department of Health and Human Services Award No. 6 UK9RH43497-03-02, September 1, 2023 – August 31, 2024 Award No. 6 UK9RH43497-04-05, September 1, 2024 – August 31, 2025 Award No. 6 HB1RH47071-02-02, September 30, 2023 – August 31, 2024 Award No. 4 HB1RH47071-03-02, September 1, 2024 – August 31, 2026 Criteria or specific requirement – Procurement (45 CFR 75.329) Condition – Procurement records were not maintained according to Uniform Guidance. Questioned costs – Unknown Context – A sample of three procurements totaling $365,941 were tested out of a population of 21 procurements. Samples were not, and were not intended to be, statistically valid. For the three vendors tested, the Organization’s procurement records were insufficient in accordance with the requirements of the Organization’s procurement policy and Uniform Guidance. Effect – Purchases of goods or services were made that may not have been obtained in the most effective manner or in compliance with Uniform Guidance requirements. Cause – The Organization did not comply with its procurement policy. Identification as a repeat finding, if applicable – See Finding 2024-005. Recommendation – The Organization should develop a process for maintaining documentation required by its procurement policy. Views of responsible officials and planned corrective actions – Issues identified during the audit were indicative of an overall lack of controls and processes due to the change in Finance Department staff and loss of knowledge. Based on the finding, a review and training for the Organization on procurement has been implemented. Additionally, with the new CFO and Finance staff, additional controls and processes to prevent this from occurring again. The Organization’s CEO, a former CFO of the organization, will continue to provide oversight for the Finance Department to ensure controls and processes are implemented.

Corrective Action Plan

2025-006: Procurement records were not maintained according to Uniform Guidance. The Organization did not comply with its procurement policy. Responsible Persons: Karen R. White, CPA, Chief Executive Officer and Matthew Derryberry, Chief Financial Officer Completion Date: May 2026 Views of responsible officials and planned corrective actions: Issues identified during the audit were indicative of an overall lack of controls and processes due to the change in Finance Department staff and loss of knowledge. Based on the finding, a review and training for the Organization on procurement has been implemented. Additionally, with the new CFO and Finance staff, additional controls and processes to prevent this from occurring again. The Organization’s CEO, a former CFO of the organization, will continue to provide oversight for the Finance Department to ensure controls and processes are implemented.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1175767 2025-003
    Material Weakness Repeat
  • 1175768 2025-004
    Material Weakness Repeat
  • 1175769 2025-005
    Material Weakness Repeat
  • 1175771 2025-007
    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) $5.11M
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $3.73M
10.768 BUSINESS AND INDUSTRY GUARANTEED LOANS $1.48M
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $453,418
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $223,443
93.778 MEDICAL ASSISTANCE PROGRAM $135,220
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $102,152
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $56,916
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $42,852
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $34,666
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $8,710