Finding 384771 (2023-005)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2023
Accepted
2024-03-26
Audit: 297887
Organization: Legacy Medical Care Inc. (IL)

AI Summary

  • Core Issue: Legacy failed to keep proper documentation for procurement methods, violating 2 CFR section 200.320.
  • Impacted Requirements: This affects compliance with procurement standards, risking noncompetitive vendor selection.
  • Recommended Follow-Up: Legacy should adhere to its documentation policies and consider qualifying multiple vendors for better procurement practices.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Grants for New and Expanded Services Under the Health Center Program Assistance Listing Number: 93.224/93.527 Federal Award Identification Number: L2C42352-01-00; Award Periods: July 1, 2021 – June 30, 2023; Type of Finding: Material weakness in internal control over compliance Criteria: 2 CFR section 200.320 outlines the acceptable methods of procurement. Purchases below the simplified acquisition threshold, but above the micro-purchase threshold, require price or rate quotations to be obtained from an adequate number of qualified sources. Noncompetitive procurement can be used in certain circumstances however the non-Federal entity is to maintain appropriate documentation justifying the use of sole source procurement consistent with 2 CFR 200.320(c). Condition: Legacy did not maintain appropriate documentation to support the procurement method utilized for procurements selected for testing. Questioned Costs: Unknown. Context: Five (5) of five (5) procurement transactions selected for testing. Cause: Legacy did not maintain appropriate documentation based on the method of procurement utilized. Effect: Legacy may inadvertently select vendors without regard to fair competition and cost analysis. Repeat Finding: Yes. Prior Year Finding: 2022-002. Recommendation: We recommend Legacy consistently follow its established policies and procedures related to maintaining necessary documentation to support the method of procurement utilized. Legacy may also consider qualifying multiple vendors for particular goods/service and then utilizing an approved vendors list. Views of Responsible Officials: There is no disagreement with the audit finding.

Corrective Action Plan

Action taken in response to finding: • LMC will provide better training for procurement procedures • Staff will retain copies of the documentation for price quotes

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 384770 2023-002
    Significant Deficiency
  • 384772 2023-006
    Significant Deficiency Repeat
  • 384773 2023-003
    Significant Deficiency
  • 384774 2023-004
    Significant Deficiency Repeat
  • 961212 2023-002
    Significant Deficiency
  • 961213 2023-005
    Material Weakness Repeat
  • 961214 2023-006
    Significant Deficiency Repeat
  • 961215 2023-003
    Significant Deficiency
  • 961216 2023-004
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.268 Immunization Cooperative Agreements $210,112
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $82,636
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $64,146
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $34,711