Finding 499456 (2024-006)

Material Weakness
Requirement
I
Questioned Costs
$1
Year
2024
Accepted
2024-09-30
Audit: 322303
Organization: Outpatient Medical Center, Inc. (LA)
Auditor: Dza PLLC

AI Summary

  • Core Issue: The Organization's procurement policy allows noncompetitive bids in situations not permitted by federal regulations, leading to potential overpayments.
  • Impacted Requirements: Compliance with Title 2 CFR 200.320 is necessary for procurement methods, including obtaining price quotes for certain purchases.
  • Recommended Follow-Up: Ensure proper documentation is maintained to support procurement decisions and align the policy with federal regulations.

Finding Text

2024-006 Procurement Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS00513, H8FCS41684, H8GC48547, H8LCS51197 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Entities receiving federal awards must have and use their documented procurement policies. Title 2 CFR 200.320 outlines the acceptable methods of procurement and establishes the maximum thresholds allowed. 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 only in certain circumstances as allowed for in 2 CFR 200.320(c). Condition The Organization’s procurement policy allows the Board to authorize noncompetitive procurement for certain types expenditures which are outside the circumstances allowing for noncompetitive bids under 2 CFR 200.320(c). In addition, the Organization did not follow its documented procurement policy. Cause The Organization’s procurement policy was not compared with the federal regulations when it was developed. Management did not follow its established procurement policy and documentation was not maintained evidencing its compliance with the policy. Effect The Organization may overpay for goods and services due to selecting vendors without appropriate consideration of the competitive bids and cost analysis. Questioned Costs $514,086 (of which $318,272 was previously reported in findings 2024-004 and 2024-005 above) Context In a sample of sixty invoices, we noted fourteen with issues related to the procurement process. Four of these related to the Organization’s procurement policy being non-compliant with the federal requirements. Two of these were due to the Organization not following their established procurement policy and eight were due to the lack of appropriate documentation of the competitive bids. Recommendation We recommend the Organization maintain documentation supporting reports filed with awarding agencies. Views of responsible officials and planned corrective action Management is in agreement with this finding and will take corrective action as outlined below.

Categories

Questioned Costs Procurement, Suspension & Debarment

Other Findings in this Audit

  • 499446 2024-004
    Material Weakness
  • 499447 2024-004
    Material Weakness
  • 499448 2024-004
    Material Weakness
  • 499449 2024-004
    Material Weakness
  • 499450 2024-005
    Material Weakness
  • 499451 2024-005
    Material Weakness
  • 499452 2024-005
    Material Weakness
  • 499453 2024-005
    Material Weakness
  • 499454 2024-006
    Material Weakness
  • 499455 2024-006
    Material Weakness
  • 499457 2024-006
    Material Weakness
  • 499458 2024-007
    Material Weakness Repeat
  • 499459 2024-007
    Material Weakness Repeat
  • 499460 2024-007
    Material Weakness Repeat
  • 499461 2024-007
    Material Weakness Repeat
  • 499462 2024-008
    Material Weakness
  • 499463 2024-008
    Material Weakness
  • 499464 2024-008
    Material Weakness
  • 499465 2024-008
    Material Weakness
  • 1075888 2024-004
    Material Weakness
  • 1075889 2024-004
    Material Weakness
  • 1075890 2024-004
    Material Weakness
  • 1075891 2024-004
    Material Weakness
  • 1075892 2024-005
    Material Weakness
  • 1075893 2024-005
    Material Weakness
  • 1075894 2024-005
    Material Weakness
  • 1075895 2024-005
    Material Weakness
  • 1075896 2024-006
    Material Weakness
  • 1075897 2024-006
    Material Weakness
  • 1075898 2024-006
    Material Weakness
  • 1075899 2024-006
    Material Weakness
  • 1075900 2024-007
    Material Weakness Repeat
  • 1075901 2024-007
    Material Weakness Repeat
  • 1075902 2024-007
    Material Weakness Repeat
  • 1075903 2024-007
    Material Weakness Repeat
  • 1075904 2024-008
    Material Weakness
  • 1075905 2024-008
    Material Weakness
  • 1075906 2024-008
    Material Weakness
  • 1075907 2024-008
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $598,681
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $122,157
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $15,473