Finding 44413 (2022-003)

Material Weakness
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-03-29

AI Summary

  • Core Issue: The Medical Center's procurement policies are outdated and do not meet federal standards.
  • Impacted Requirements: Non-compliance with Title 2 U.S. Code of Federal Regulations Part 200, which mandates proper procurement procedures.
  • Recommended Follow-Up: Update procurement policies and implement a process to obtain quotes for all purchases exceeding the micro purchase threshold.

Finding Text

Department of Health and Human Services Federal Assistance Listing #93.697 COVID-19 Testing and Mitigation for Rural Health Clinics Procurement and Suspension and Debarment Material Weakness in Internal Control Over Compliance and Noncompliance Criteria: Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) requires that a non-Federal entity must use its own documented procurement procedures which reflect applicable state and local laws and regulations, provided that the procurements conform to applicable federal law and standards. Condition: Written procurement policies were not updated to conform to applicable standards under Uniform Guidance. In addition, the Medical Center did not obtain quotes from multiple vendors on purchases over the micro purchase threshold. Cause: The Medical Center did not have proper procedures to ensure its written procurement policies were updated to conform to the requirements identified in Uniform Guidance and to ensure quotes were obtained for all purchases over the micro purchase threshold. Effect: Without an effective policy internal control process in place, a vendor purchase over the micro purchase threshold was made without seeking other quotes first. Questioned Costs: None noted. Context: No sampling was performed as the procurement policy was examined in its entirety and all vendor purchases over the micro purchase threshold were tested. Repeat Finding from Prior Years: No Recommendation: We recommend the Medical Center ensure its written procurement policies are updated to conform to the requirements identified in Uniform Guidance. We also recommend the Medical Center implement a control process which includes ensuring quotes are obtained for all purchases over the micro purchase threshold. Views of Responsible Officials: Management agrees with the finding.

Corrective Action Plan

Finding 2022-003: Procurement and Suspension and Debarment Federal Agency Name: Department of Health and Human Services Program Name: COVID-19 Testing and Mitigation for Rural Health Clinics Federal Financial Assistance Listing/CFDA Number: 93.697 Finding Summary: Written procurement policies were not updated to conform to applicable standards under Uniform Guidance. In addition, the Medical Center did not obtain quotes from multiple vendors on purchases over the micro purchase threshold. Responsible Individuals: Nathan Pickel, Chief Financial Officer Corrective Action Plan: Management agrees with the finding. The Medical Center will enhance our procurement policy to include pertinent Uniform Guidance requirements and will ensure quotes are obtained on federal purchases over the micro purchases threshold. Anticipated Completion Date: June 30, 2023

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 44412 2022-002
    Significant Deficiency
  • 620854 2022-002
    Significant Deficiency
  • 620855 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.697 Covid-19 Testing for Rural Health Clinics $600,000
93.461 Covid-19 Testing for the Uninsured $77,397
21.019 Coronavirus Relief Fund $38,259
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $12,814
93.268 Immunization Cooperative Agreements $6,990
93.889 National Bioterrorism Hospital Preparedness Program $6,419
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $2,418