Finding 547078 (2024-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2025-03-31
Audit: 351442
Organization: Meadville Medical Center (PA)

AI Summary

  • Core Issue: The Health System lacked a comprehensive procurement policy aligned with Uniform Guidance, leading to inadequate documentation for micro-purchases.
  • Impacted Requirements: Compliance with procurement standards (45 CFR 200.318-200.326) was not met, as documentation for price reasonableness was missing.
  • Recommended Follow-up: Revise procurement controls and policy to ensure proper documentation is maintained for all federally funded purchases.

Finding Text

WIC Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing No. 10.557 U.S. Department of Agriculture Criteria or Specific Requirement – Procurement (45 CFR 200.318-200.326) Condition - The Health System, prior to fiscal year 2025, did not have a comprehensive procurement policy that is in line with Uniform Guidance requirements. In addition, the Health System entered into various professional services contracts for marketing, advertising, and information dissemination that do not exceed the simplified acquisition threshold and are considered micro-purchases, but did not maintain appropriate documentation to document the price reasonableness based on research, experience, and purchase history to support its procurement decisions. Questioned Costs - None Context - We tested one out of a total of four contracts that were considered micro-purchases. The sample was not intended to be, and was not, a statistically valid sample. During our testing of procurement requirements, the two vendor contracts tested over the micro-purchase threshold did not have appropriate documentation to evidence the basis of vendor selection (documentation of the price reasonableness based on research, experience, and purchase history). Effect - Micro-purchases were made without appropriate documentation to comply with Uniform Guidance requirements. Cause - The Health System did not have a comprehensive procurement policy that is in line with Uniform Guidance requirements. Adequate supporting documentation on the procurements were not obtained or maintained within vendor files and vendor contracts do not contain the necessary contract provision and language required by the Uniform Guidance. Repeat Finding - Yes Recommendation - We recommend the Health System revisit controls over this compliance requirement to ensure that appropriate documentation is gathered and retained within its procurement files to support all Federally funded purchasing decisions. We also recommend the Organization perform a comprehensive review of its procurement policy and ensure that it is in compliance and in-line with the procurement requirements of the Uniform Guidance. Views of responsible officials and planned corrective actions – The Organization has developed and implemented a policy and checklist to maintain written documentation of vendor selection and procurement process, along with the review and approval process required under the Uniform Guidance requirements.

Corrective Action Plan

Management has developed a policy and checklist to maintain written documentation of vendor selectin and procurement process, along with the review and approved process required under the Uniform Guidance requirements.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1123520 2024-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $1.06M
93.778 Medical Assistance Program $406,591
93.667 Social Services Block Grant $76,546
93.217 Family Planning Services $11,593
93.301 Small Rural Hospital Improvement Grant Program $11,112
93.994 Maternal and Child Health Services Block Grant to the States $5,214
93.943 Epidemiologic Research Studies of Acquired Immunodeficiency Syndrome (aids) and Human Immunodeficiency Virus (hiv) Infection in Selected Population Groups $2,040
93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance $1,085