Finding 1206410 (2025-005)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-04-10
Audit: 398404
Organization: Santa Fe Recovery Center, Inc. (NM)
Auditor: SJT GROUP LLC

AI Summary

  • Core Issue: SFRC failed to obtain required written quotes for purchases over $10,000, violating its own procurement policies.
  • Impacted Requirements: Non-compliance with 2 CFR Part 200 and SFRC’s P&P Manual, particularly for contracts exceeding $250,000.
  • Recommended Follow-Up: SFRC should strengthen internal controls to ensure adherence to procurement procedures and consider staffing adjustments to improve compliance.

Finding Text

2025-005 – Procurement Federal program information: Funding agency: U.S. Department of Health and Human Services Title: All major programs Assistance listing numbers: 93.696, 93.912 Award year: 7/1/2024 – 6/30/2025 Criteria: According to 2 CFR Part 200.318 through 200.327, non-federal entities must use their own documented procurement procedures, which reflect applicable state and local laws and regulations, provided that the procurements conform to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. SFRC’s P&P Manual requires two written quotes for purchases between $10,000 and $250,000. Purchases over $250,000 require advertisement in the local newspaper, bid opening/evaluation, and the Board of Directors shall approve purchases in excess of $250,000 prior to contract signing. Condition: For one vendor paid in excess of $10,000 during fiscal year 2025, no written quotes were obtained for the services. There was also no purchase order approved with this vendor and there is no evidence that the Board of Directors approved the purchase. The contract signed with this vendor exceeded $250,000, and there is also no evidence that the Board of Directors approved this contract. One additional vendor was also paid in excess of $10,000 during fiscal year 2025, and there were no written quotes were obtained for the goods purchased. Context: One of ten vendors tested under ALN 93.696 and two of ten vendors tested under ALN 93.912. Questioned Costs: None Cause: SFRC has not implemented the requirements of its P&P Manual over procurement. Effect: SFRC is not in compliance with its P&P Manual and SFRC could be paying more for goods and services than if bids/quotes had been obtained. Auditor’s Recommendation: SFRC should enforce internal control procedures to ensure that all purchases are made in a manner consistent with its P&P Manual. Management’s Response: Management reviewed existing accounting staffing structure, revised position descriptions, and have advertised to fill two of three open positions; Accounts Payable Specialist and Controller. Management feels with these revised position descriptions, more focus on accounting operations, procedures, and property and equipment management.

Corrective Action Plan

2025-005 – Procurement Corrective action plan: Management reviewed existing accounting staffing structure, revised position descriptions, and have advertised to fill two of three open positions. Management feels with these revised position descriptions, more focus on accounting operations, procedures, and property and equipment management. Personnel responsible for corrective action: Heather King, Interim Chief Operating Officer Estimated corrective action completion date: March 2026

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1206404 2025-004
    Material Weakness Repeat
  • 1206405 2025-004
    Material Weakness Repeat
  • 1206406 2025-004
    Material Weakness Repeat
  • 1206407 2025-005
    Material Weakness Repeat
  • 1206408 2025-005
    Material Weakness Repeat
  • 1206409 2025-005
    Material Weakness Repeat
  • 1206411 2025-006
    Material Weakness Repeat
  • 1206412 2025-006
    Material Weakness Repeat
  • 1206413 2025-006
    Material Weakness Repeat
  • 1206414 2025-007
    Material Weakness Repeat
  • 1206415 2025-007
    Material Weakness Repeat
  • 1206416 2025-007
    Material Weakness Repeat
  • 1206417 2025-007
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.696 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS $1.02M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $266,588
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $127,553