Finding 1228461 (2024-011)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2026-08-31
Audit: 410112
Organization: Sayre Health Center (PA)
Auditor: CBIZ CPAS PC

AI Summary

  • Core Issue: The Health Center lacks a documented procurement policy, leading to a material weakness in internal controls over compliance with federal requirements.
  • Impacted Requirements: Failure to meet Uniform Guidance standards increases risks of noncompliance, noncompetitive practices, and potential unallowable costs.
  • Recommended Follow-Up: Management should create and enforce a formal procurement policy, ensuring documentation of vendor selection and compliance checks for suspension and debarment.

Finding Text

Procurement and Suspension and Debarment – Lack of Documented Procurement Policy – Material Weakness in Internal Control Over Compliance U.S. Department of Health and Human Services: Health Center Program and American Rescue Plan Act Funding for Health Centers, ALN 93.224; Ending HIV Epidemic – Primary Care HIV Prevention, ALN 93.527. Criteria The Uniform Guidance requires non-federal entities to have documented procurement policies and procedures that reflect applicable federal, state, and local laws and regulations, as well as standards for the purchase of goods and services using federal funds. These requirements are intended to ensure full and open competition, proper cost management, and the allowability and allocability of costs charged to federal awards. In addition, effective internal controls require that procurement activities are properly documented and supported, including evidence of vendor selection, price or cost analyses, and contract terms, to ensure compliance with federal requirements and to support audit and monitoring activities. Condition and Context The Health Center did not have a formally documented procurement policy in place that complies with the Uniform Guidance requirements. During our audit, we were unable to obtain complete procurement documentation for transactions selected for testing, including evidence of vendor selection, competitive bidding, or price analyses. We also noted that searches for suspension and debarment was not completed or maintained to support the purchase of goods and services charged to federal awards. Cause Management did not establish and implement a documented procurement policy in accordance with the Uniform Guidance. In addition, management did not implement controls to ensure that procurement activities were consistently documented and retained. Effect or Potential Effect Without a documented procurement policy and compliance with federal standards, there is an increased risk of noncompliance with the Uniform Guidance requirements, including noncompetitive procurement practices, the potential for unallowable or unreasonable costs to be charged to federal awards, and a lack of fair and open competition. This condition may result in purchases above prevailing market rates, failure to obtain the best value, or conflicts of interest with vendors or contractors not being identified or addressed. Questioned Costs $74,888. Repeat Finding Yes (2023-011). Recommendation Management should develop and implement a formal, documented procurement policy that as a minimum complies with the Uniform Guidance, including requirements for full and open competition, vendor selection, cost or price analysis, and documentation of procurement decisions. This policy should be communicated to relevant personnel and consistently monitored and enforced. Management should also establish controls to ensure that all procurement transactions are properly documented and supported, including maintaining records of vendor selection processes, contracts, approvals, and basis for awarding purchases. In addition, management should suspension and debarment checks. Views of Responsible Officials and Planned Corrective Action See the attached response and corrective action plan.

Corrective Action Plan

Finding No. 2024-011: Procurement and Suspension and Debarment Lack of Documented Procurement Policy We incorporated a Procurement policy that established compliance with the Federal Government whereas, the Health Center will save all bids for three years after the completion of the project or the date after the final FFR is approved (whichever is later) in accordance with 45 CFR 75.361. The health center will provide, to the extent practical and economically feasible, consideration for procurement of materials, supplies, and services will be granted to small and minority businesses, women's business enterprises, and labor surplus area firms in accordance to 45 CFR 75.330. The health center is responsible for oversight of the operations of the federal award-supported activities. The health center must monitor its activities by completing the vendor evaluation form quarterly under federal awards to assure compliance with applicable federal requirements and performance expectations are being achieved in accordance to 45 CFR 75.342. The Procurement policy also takes into consideration the process for micro-purchases (not exceeding $10,000); small purchases ($10,000 to $250,000) large purchases (over $250,000); and sole source award determination and justification. We have also incorporated a policy that establishes compliance with Federal government Suspension & Debarment sections [45 CFR §75.327 and§75.335], SHC will do a check on all employees, providers, vendors, and contractors through www.SAM.gov to determine if they are suspended or debarred from receiving compensation from the Federal Government in such applicable instances.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1228438 2024-006
    Material Weakness Repeat
  • 1228439 2024-007
    Material Weakness Repeat
  • 1228440 2024-008
    Material Weakness Repeat
  • 1228441 2024-009
    Material Weakness Repeat
  • 1228442 2024-010
    Material Weakness Repeat
  • 1228443 2024-011
    Material Weakness Repeat
  • 1228444 2024-006
    Material Weakness Repeat
  • 1228445 2024-007
    Material Weakness Repeat
  • 1228446 2024-008
    Material Weakness Repeat
  • 1228447 2024-009
    Material Weakness Repeat
  • 1228448 2024-010
    Material Weakness Repeat
  • 1228449 2024-011
    Material Weakness Repeat
  • 1228450 2024-006
    Material Weakness Repeat
  • 1228451 2024-007
    Material Weakness Repeat
  • 1228452 2024-008
    Material Weakness Repeat
  • 1228453 2024-009
    Material Weakness Repeat
  • 1228454 2024-010
    Material Weakness Repeat
  • 1228455 2024-011
    Material Weakness Repeat
  • 1228456 2024-006
    Material Weakness Repeat
  • 1228457 2024-007
    Material Weakness Repeat
  • 1228458 2024-008
    Material Weakness Repeat
  • 1228459 2024-009
    Material Weakness Repeat
  • 1228460 2024-010
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $1.34M
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $2,616