Finding 1240339 (2023-005)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2023
Accepted
2026-10-13
Audit: 414865
Organization: Loretto Hospital (IL)
Auditor: DZA PLLC

AI Summary

  • Core Issue: The Hospital lacks a documented procurement policy that meets federal standards outlined in 2 CFR 200.318 through 200.327.
  • Impacted Requirements: Noncompliance with Uniform Guidance increases the risk of questioned costs and disallowed expenditures.
  • Recommended Follow-Up: Management should create and implement a compliant procurement policy and ensure all transactions are properly documented.

Finding Text

2023-005 Procurement Program Information Federal Organization Federal Communications Commission Assistance Listing Numbers 32.006 COVID-19 Telehealth Program Award Numbers CA2067511 Criteria [ ] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Entities receiving federal awards must have documented policies and procedures that comply with the procurement standards set out at 2 CFR 200.318 through 200.327. They must use their own documented procurement procedures, which reflect applicable state and local laws and regulations, provided that the procurements also conform to applicable federal statutes and the procurement requirements identified in 2 CFR Part 200. Condition The Hospital did not have a documented procurement policy in place that complied with the Uniform Guidance requirements. Cause Management had not researched and implemented the procurement policy requirements prescribed by the Uniform Guidance, resulting in the Hospital not having a documented procurement policy in place. Effect The absence of a documented procurement policy that complies with Uniform Guidance increases the risk of noncompliance with federal procurement requirements and may result in questioned costs or disallowed expenditures. Questioned Costs None. Context During our testing of procurement compliance, we reviewed the Hospital’s policies and procedures to determine compliance with Uniform Guidance requirements. We noted that the Hospital had not adopted a documented procurement policy addressing the procurement standard required. Recommendation We recommend that management develop, adopt, and implement a documented procurement policy that complies with Uniform Guidance requirements. Management should also establish procedures to ensure procurement transactions are documented and performed in accordance with federal requirements. Views of responsible officials and planned corrective action Management is in agreement with this finding and will implement the suggested actions as outlined in the corrective action plan.

Corrective Action Plan

Views of responsible officials and corrective action planned: Findings: The Hospital did not have a documented procurement policy in place that complied with the Uniform Guidance requirements. Management agrees with the findings. Corrective action planned: Management will develop, adopt and implement a documented procurement policy that complies with the Uniform Guidance requirements. Management to establish procedures to ensure procurement transactions are documented and performed in accordance with federal requirements. Anticipated completion date: December 31, 2026 Contact person responsible for corrective action: Roger Russell, CFO

Categories

Procurement, Suspension & Debarment Material Weakness Significant Deficiency

Other Findings in this Audit

  • 1240338 2023-004
    Material Weakness Repeat
  • 1240340 2023-006
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $2.85M
93.498 PROVIDER RELIEF FUND AND AMERICAN RESCUE PLAN (ARP) RURAL DISTRIBUTION $1.43M
32.006 COVID-19 TELEHEALTH PROGRAM $823,600
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $160,861
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $82,214
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $15,000
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $4,844