Finding 386598 (2023-001)

Material Weakness
Requirement
I
Questioned Costs
$1
Year
2023
Accepted
2024-03-27
Audit: 298885
Organization: Memorial Hermann Health System (TX)

AI Summary

  • Core Issue: The Health System failed to keep adequate records for federal fund procurements, lacking necessary details like procurement rationale and contractor selection.
  • Impacted Requirements: Non-compliance with federal procurement standards, specifically regarding internal controls and documentation as outlined in Title 2, Subtitle A, Chapter II, Part 200.
  • Recommended Follow-Up: Implement a plan to maintain thorough procurement records, including obtaining vendor quotes and documenting justifications for procurement methods.

Finding Text

Federal Program:Research and Development Cluster Assistance Listing Nos.93.432, 93.369, 93.433, 93.421 Federal Award Numbers and Grant Period - see Table. Criteria or specific requirement (including statutory, regulatory or other citation): Title 2, Subtitle A, Chapter II, Part 200, Subpart D, 200.303 – Internal controls. The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Title 2, Subtitle A, Chapter II, Part 200, Subpart D, 200.318(i) – General procurement standards states: The non-Federal entity must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily limited to, the following: Rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Title 2, Subtitle A, Chapter II, Part 200, Subpart D, 200.320 – Methods of procurement to be followed – the non-Federal entity must have and use documented procurements procedures, consistent with the standards of this section and 200.317, 200.318, and 200.319 for any of the following methods of procurement used for the acquisition of property or services required under a Federal award or sub-award: (a) (2) Small purchases – (i) small purchase procedures – the acquisition of property or services, the aggregate dollar amount of which is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If small purchase procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources as determined appropriate by the non-Federal entity. Condition: The Health System did not maintain records for procurements made with federal funds sufficient to detail the history of procurement, including the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Questioned Costs: $149,194 Context: We selected and tested five procurements with expenditures totaling $149,194 from a population of 12 procurements over $10,000 each with expenditures totaling $411,649. For all five procurements, the Health System did not have sufficient evidence to detail the history of procurement, including the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. We did not observe multiple quotes or sole source justification for any of the five procurements. The Health System’s total R&D expenditures were $6,288,755. Of this amount, $513,467 related to procurements of good and services. Effect: The Health System did not comply with the general procurement standards per the OMB to maintain sufficient detail of the history of the procurement, including the rationale of the method of procurement. Cause: The Health System did not have effective internal controls and procedures in place to ensure the Health System maintained records for procurements sufficient to detail the history of procurement, including the rationale for the method of procurement and other required elements. Identification as a repeat finding, if applicable: Not Applicable Recommendation: The Health System should retain written documentation for procurements documenting the history of the procurement prior to the procurement of goods or services including, but not limited to, the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. This would include obtaining quotes from vendors for competitive procurements and documenting sole source justification for procurements, when applicable. Views of responsible officials and planned corrective actions: Management agrees with the finding and has developed a corrective action plan.

Categories

Questioned Costs Procurement, Suspension & Debarment

Other Findings in this Audit

  • 386596 2023-001
    Material Weakness
  • 386597 2023-001
    Material Weakness
  • 386599 2023-001
    Material Weakness
  • 963038 2023-001
    Material Weakness
  • 963039 2023-001
    Material Weakness
  • 963040 2023-001
    Material Weakness
  • 963041 2023-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distributions $20.72M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $19.88M
93.432 Acl Centers for Independent Living $934,237
93.369 Acl Independent Living State Grants $252,828
93.433 Acl National Institute on Disability, Independent Living, and Rehabilitation Research $141,881
93.361 Nursing Research $81,125
93.982 Mental Health Disaster Assistance and Emergency Mental Health $35,123
93.310 Trans-Nih Research Support $31,173
93.213 Research and Training in Complementary and Integrative Health $28,084
93.048 Special Programs for the Aging_title Iv_and Title Ii_discretionary Projects $17,672
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $16,888
12.431 Basic Scientific Research $13,361
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $10,792
12.420 Military Medical Research and Development $500