Finding 1208226 (2025-002)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-04-20
Audit: 399166
Organization: North Central Family Medicine (AL)

AI Summary

  • Core Issue: The Organization made purchases over the small purchase threshold without proper bid documentation.
  • Impacted Requirements: This violates Federal procurement regulations outlined in 2 CFR 200.320 and 2 CFR 180.
  • Recommended Follow-Up: Revise the Procurement Policy to align with Federal requirements and train finance staff on the new procedures.

Finding Text

Health Center Program Cluster – Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 6 C16CS50476-01-03 Program Year 2025 Criteria or Specific Requirement – Procurement, Suspension, & Debarment – 2 CFR 200.320 and 2 CFR 180. Condition – The Organization completed purchases exceeding the small purchase threshold for which bid solicitation, evaluation, and selection documents were not completed. The Organization’s Procurement Policy does not explicitly identify all purchase types included in 2 CFR 200.320 and 2 CFR 180. Cause – The Procurement Policy is not consistent with Federal regulations and was not properly applied during the year. Effect or Potential Effect – Purchases were made without adhering to Federal procurement requirements. Questioned Costs – Unknown. Context – A sample of two purchases were tested from a population of eleven transactions subject to procurement requirements, representing $606,467 in federal expenditures. The sample was not, and is not intended to be, statistically valid. Of the two purchases tested, neither transaction, totaling $211,018, was documented in accordance with Federal procurement requirements. Identification as a Repeat Finding, if Applicable – Not a repeat finding. Recommendation – The Organization should revise its Procurement Policy to reflect the purchase types included in 2 CFR 200.320 and 2 CFR 180. Finance department staff should be trained on the revised policy and procedure with a system of internal controls developed to improve compliance.

Corrective Action Plan

Management concurs with the finding. Dir of Finance will take responsibility for ensuring adherence to follow all procurement policies and procedures. In addition, the VP of Finance will perform an Inservice to all key stakeholders within the facility under all procurement policies and procedures. The Dir of Finance is leading targeted training initiatives for finance staff and relevant personnel on the revised policy and procedures to ensure proper application. Quarterly we will review all purchases to ensure compliance with policies and procedures. These processes will be supervised by the VP of Finance/Director of Finance and were completed in February 2026.

Categories

Procurement, Suspension & Debarment

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) $2.93M
93.224 FY 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE) $504,342
93.224 FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION $121,735
93.527 FY 2023 BRIDGE ACCESS PROGRAM $40,500