Finding 1240340 (2023-006)

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 failed to document vendor checks to ensure they are not suspended or debarred before awarding contracts.
  • Impacted Requirements: This violates federal regulations under Title 2 CFR 200.214 and Title 2 CFR 180.300 regarding vendor verification for contracts over $25,000.
  • Recommended Follow-Up: Ensure proper documentation of vendor verification is maintained to comply with federal requirements, as agreed upon in the management's corrective action plan.

Finding Text

2023-006 Suspension and Debarment Program Information Federal Organization Federal Communications Commission Assistance Listing Numbers 32.006 COVID-19 Telehealth Program Award Numbers CA2067511 Criteria [ ] Compliance Finding [X] Significant Deficiency [ ] Material Weakness Title 2 CFR 200.214 and Title 2 CFR 180.300 require that organizations “verify that the person with whom you intend to do business is not excluded or disqualified” before entering into covered transactions (procurement contracts, purchase orders, or agreements greater than or equal to $25,000) with persons or vendors. Condition The Hospital did not maintain adequate documentation of the required search to verify that vendors were not suspended or debarred before awarding federally funded contracts. Cause The Hospital did not follow its documented policies and procedures. Effect The Hospital may enter into covered transactions with vendors that are suspended or debarred, resulting in noncompliance with federal regulations and potential questioned costs. Questioned Costs None. Context During our testing of suspension and debarment, we noted that the Hospital had not maintained adequate documentation to verifying a SAM.gov search. Recommendation Verification should be documented and retained to demonstrate compliance with applicable 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

2023-006 – Suspension and Debarment Views of responsible officials and corrective action planned: Findings: The Hospital did not maintain adequate documentation of the required search to verify that vendors were not suspended or debarred before awarding federally funded contracts. SAM.gov Search. Management agrees with the findings. Corrective action planned: Management to create a process to validate vendors prior to being created and establish a quarterly review of all vendors. Anticipated completion date: December 31, 2026 Contact person responsible for corrective action: Roger Russell, CFO

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1240338 2023-004
    Material Weakness Repeat
  • 1240339 2023-005
    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