Finding 11826 (2022-002)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2024-02-05
Audit: 15656
Organization: Neighborhood Healthsource (MN)
Auditor: Wipfli LLP

AI Summary

  • Core Issue: The Health Center did not follow required procurement procedures for vendor suspension and debarment.
  • Impacted Requirements: Noncompliance with Uniform Guidance standards related to procurement.
  • Recommended Follow-Up: Implement and document procurement procedures as outlined in the Health Center's policy.

Finding Text

Finding 2022-002 Repeat Finding: No Program Name: Health Center Cluster Assistance Listing Numbers: 93.224 / 93.527 Federal Agency: U.S. Department of Health and Human Services Federal Award No: H80CS00516 Questioned Costs: N/A Type of Finding: Noncompliance, Significant Deficiency Compliance Requirement: Procurement Condition: The Health Center did not meet the procurement obligations under the grant during the year. During the audit, it was determined the Health Center did not perform or maintain the support for the required vendor suspension and debarment procedures that are outlined under Uniform Guidance. Criteria: The Health Center is required to follow Suspension & Debarment, Sole Source, and Small Acquisitions procedures to conform to Uniform Guidance standards. Cause: Procurement procedures were not performed for the required vendors and purchases made in 2022. Effect: The Health Center was not in compliance with federal regulation and the Health Center Program grant. Recommendation: We recommend procedures as noted in the Health Center's procurement policy be followed and documented on the required purchases and vendors. View of Responsible Officials: Management acknowledges there were significant capacity issues because of the small accounting team.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 11819 2022-001
    Significant Deficiency Repeat
  • 11820 2022-002
    Significant Deficiency
  • 11821 2022-001
    Significant Deficiency Repeat
  • 11822 2022-002
    Significant Deficiency
  • 11823 2022-001
    Significant Deficiency Repeat
  • 11824 2022-002
    Significant Deficiency
  • 11825 2022-001
    Significant Deficiency Repeat
  • 588261 2022-001
    Significant Deficiency Repeat
  • 588262 2022-002
    Significant Deficiency
  • 588263 2022-001
    Significant Deficiency Repeat
  • 588264 2022-002
    Significant Deficiency
  • 588265 2022-001
    Significant Deficiency Repeat
  • 588266 2022-002
    Significant Deficiency
  • 588267 2022-001
    Significant Deficiency Repeat
  • 588268 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.67M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $590,222
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $500,036
93.137 Community Programs to Improve Minority Health Grant Program $68,381
93.800 Organized Approaches to Increase Colorectal Cancer Screening $51,245
93.558 Temporary Assistance for Needy Families $39,200
21.027 Coronavirus State and Local Fiscal Recovery Funds $22,535
93.959 Block Grants for Prevention and Treatment of Substance Abuse $7,043