Finding 574976 (2024-001)

Significant Deficiency
Requirement
I
Questioned Costs
$1
Year
2024
Accepted
2025-08-28

AI Summary

  • Core Issue: Methodist failed to maintain adequate records for procurements, lacking necessary details like rationale and contractor selection.
  • Impacted Requirements: This non-compliance with 2 CFR 200.318 jeopardizes adherence to federal procurement standards.
  • Recommended Follow-Up: Methodist should implement processes to ensure proper documentation for all procurement activities and address gaps during the ERP transition.

Finding Text

Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation): 2 CFR 200.303 requires that 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 and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 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.” Condition: Methodist did not maintain records for procurements 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. Cause: Methodist did not have effective internal controls and procedures in place to ensure Methodist maintained records for procurements sufficient to detail the history of procurement, including the rationale for the method of procurement and other required elements. Effect or Potential Effect: Methodist did not comply with the general procurement standards and methods of procurement to be followed per the Uniform Guidance to maintain sufficient detail of the history of the procurement, including the rationale of the method of procurement. Questioned Costs: $12,807 Context: EY selected and tested 10 procurements over $10,000 with expenditures totaling $182,415 from a population of $1,289,446 procurements over $10,000 during the year ended December 31, 2024. Of the 10 expenditures selected for testing 1 procurement totaling $12,807 did not have evidence of sole source justification Identification as a Repeat Finding: This is not a repeat finding. Recommendation: Methodist 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. Views of Responsible Officials: Methodist recognizes the current gap between Supply Chain Services and the Research Institute related to retaining documents for procurement activities. Supply Chain Services will develop processes to retain written documentation for procurement activities in accordance with regulatory standards. As Methodist is in transition to a new ERP system in Quarter 1, 2026, Supply Chain Services will include strategies to address the needs in both the short term and long term.

Corrective Action Plan

Methodist recognizes the current gap between Supply Chain Services and the Research Institute related to retaining documents for procurement activities. Supply Chain Services will develop processes to retain written documentation for procurement activities in accordance with regulatory standards. As Methodist is in transition to a new ERP system in Quarter 1, 2026, Supply Chain Services will include strategies to address the needs in both the short term and long term.

Categories

Questioned Costs Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1151418 2024-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $19.93M
93.395 Cancer Biology Research $3.88M
93.393 Cancer Cause and Prevention Research $1.37M
12.RD W911sr2490002 $1.08M
93.121 Oral Diseases and Disorders Research $825,113
93.859 Biomedical Research and Research Training $693,970
93.226 Research on Healthcare Costs, Quality and Outcomes $561,943
93.RD Hhsn272201700040i/ 75n93022f00006 $538,227
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $529,523
93.242 Mental Health Research Grants $381,350
43.001 Science $367,691
93.RD 75n91019d00020/ 75n91021f00003 $337,124
93.384 Advanced Research Projects Agency for Health (arpa-H) $335,185
93.RD 75n91019d00020/ 75n91022f00004 $328,291
93.866 Aging Research $326,087
93.RD 75n91019d00021/ 75n91023f00002 $289,357
93.839 Blood Diseases and Resources Research $261,429
12.351 Scientific Research - Combating Weapons of Mass Destruction $195,703
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $172,284
93.083 Prevention of Disease, Disability, and Death Through Immunization and Control of Respiratory and Related Diseases $135,261
93.273 Alcohol Research Programs $131,318
93.RD 75a50123c00020 $125,221
93.RD 75n93019c00045 $121,167
47.070 Computer and Information Science and Engineering $87,061
93.310 Trans-Nih Research Support $84,532
93.RD 7200aa22ca00002 $78,800
93.398 Cancer Research Manpower $77,353
93.395 Cancer Treatment Research $72,634
93.350 National Center for Advancing Translational Sciences $69,807
93.RD 75n91019d00020/ 75n91020f00001 $59,008
93.838 Lung Diseases Research $54,004
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $43,901
93.855 Allergy and Infectious Diseases Research $39,319
93.RD 75n91024d00005/ 75n91024f00002 $35,222
12.420 Military Medical Research and Development $32,352
93.879 Medical Library Assistance $32,068
93.394 Cancer Detection and Diagnosis Research $24,421
93.867 Vision Research $22,130
93.989 International Research and Research Training $18,943
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $15,021
93.837 Cardiovascular Diseases Research $10,607
93.361 Nursing Research $8,790
93.396 Cancer Biology Research $8,183
93.397 Cancer Centers Support Grants $7,827
93.433 Acl National Institute on Disability, Independent Living, and Rehabilitation Research $5,775
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $3,679
93.113 Environmental Health $3,082
47.041 Engineering $2,295
47.049 Computer and Information Science and Engineering $2,254