Finding 571540 (2024-004)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2024
Accepted
2025-07-17
Audit: 362500
Organization: Tca Health, Inc. (IL)

AI Summary

  • Core Issue: The organization failed to keep proper documentation for procurement methods used in one out of five transactions.
  • Impacted Requirements: This raises concerns about compliance with 2 CFR section 200.320, which outlines procurement documentation standards.
  • Recommended Follow-Up: Ensure adherence to documentation policies and consider qualifying multiple vendors to strengthen procurement practices.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Center Program Cluster Assistance Listing Numbers: 93.224 and 93.527 Federal Award Identification Number and Year: H80CS00109-22; H80CS00109-23 Award Period: May 1, 2023 – April 30, 2024; May 1, 2024 – April 30, 2025 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: 2 CFR section 200.320 outlines the acceptable methods of procurement. Purchases below the simplified acquisition threshold, but above the micro-purchase threshold, require that price or rate quotations be obtained from an adequate number of qualified sources as determined appropriate by the non-Federal entity. Noncompetitive procurement can be used in certain circumstances however the non-Federal entity is to maintain appropriate supporting documentation justifying the use of sole source procurement consistent with 2 CFR 200.320(c). Condition: The organization did not maintain appropriate documentation to support the procurement method utilized for a contract selected for testing. Questioned costs: None Context: One (1) of five (5) procurement transactions selected for testing. Cause: The Organization did not create and maintain appropriate documentation to support the method of procurement utilized, including the consideration of an adequate number of qualified sources. Effect: Possible noncompliance with 2 CFR section 200.320(c)(1) - (3) Repeat Finding: No. Recommendation: We recommend the Organization consistently follow its established policies and procedures related to the maintaining of necessary documentation to support the method of procurement utilized. The Organization 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 this finding.

Corrective Action Plan

Recommendation: We recommend the Organization consistently follow its established policies and procedures related to the maintaining of necessary documentation to support the method of procurement utilized. The Organization may also consider qualifying multiple vendors for particular goods/service and then utilizing an approved vendors list. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action planned in response to finding: Management and finance staff will more closely monitor when non-payroll expenditures are charged to federal grants and adhere to procurement policy when over the required threshold that requires board approval over equipment, supplies, and services $10,000 and 3 written bids when over $100,000. Additionally, finance staff will seek out training from contracted third-party consultant when documenting procurement items to ensure that all documentation required is maintained. Further, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated in regards to the policy and procedures. Name(s) of the contact person(s) responsible for corrective action: Jeremy Runde, Controller Planned completion date for corrective action plan: June 2025

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 571538 2024-002
    Material Weakness Repeat
  • 571539 2024-003
    Material Weakness
  • 571541 2024-005
    Material Weakness
  • 1147980 2024-002
    Material Weakness Repeat
  • 1147981 2024-003
    Material Weakness
  • 1147982 2024-004
    Significant Deficiency
  • 1147983 2024-005
    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) $4.41M
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $521,372
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $236,489
14.218 Community Development Block Grants/entitlement Grants $225,897
93.558 Temporary Assistance for Needy Families $220,799
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $211,818
93.495 Community Health Workers for Public Health Response and Resilient $104,175
93.322 Csels Partnership: Strengthening Public Health Laboratories $97,450
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $54,214
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $26,194
93.136 Injury Prevention and Control Research and State and Community Based Programs $4,552
10.572 Wic Farmers' Market Nutrition Program (fmnp) $988