Finding 587775 (2023-001)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2023
Accepted
2024-02-01
Audit: 15166
Organization: Broadlawns Medical Center (IA)

AI Summary

  • Core Issue: The Medical Center failed to obtain required quotes for a purchase exceeding the micro-purchase threshold, violating federal procurement rules.
  • Impacted Requirements: This finding relates to 2 CFR Part 200 §200.320, which mandates specific procurement methods and documentation for federal awards.
  • Recommended Follow-Up: Ensure the Medical Center obtains necessary quotes for larger purchases and maintains proper documentation to demonstrate compliance with procurement policies.

Finding Text

Federal agency: U.S. Department of Agriculture Federal program title: Special Supplemental Nutrition Program for Women, Infants, and Children Assistance Listing Number: 10.557 Pass-Through Agency: Iowa Department of Public Health, Division of Family and Community Health Pass-Through Numbers: 5883AO31 and 5881AO90E Award Period: October 1, 2017 through September 30, 2023 Type of Finding: Significant Deficiency in Internal Control over Compliance Other Matters Criteria or specific requirement: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award contains various requirements for procurements made under federal awards. §200.318 requires a procurement policy be in place with specific requirements. §200.320 specifies the methods of procurement to be followed, including micropurchases,small purchases, sealed bids, competitive proposals, and noncompetitive proposals. Each procurement method has a threshold where quotes or bids are required to be obtained. Condition: During our testing, we noted one purchase over the micro-purchase threshold which did not have quotes as required. Context: During our testing, we noted one vendor tested over the micro purchase threshold did not have quotes obtained as required. Cause: The Medical Center contracted with the vendor who has previously done projects and remodeling for the facility to ensure the project was completed consistently with the rest of the building. As a result, the Medical Center did not obtain a second quote for the project. Effect: The Medical Center is not in compliance with the requirements of 2 CFR Part 200 §200.320. Recommendation: We recommend the Medical Center obtain quotes or bids as necessary for purchases that exceed the micro-purchase threshold. Additionally, we recommend the Medical Center maintain documentation of all quotes and bids to support the vendor chosen. In situations where there is an alternative method utilized, we recommend clearly documenting that process to ensure compliance.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 11333 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $2.83M
21.027 Hcbs Ameriacn Rescue Plan Act Recruitment and Retention Grant $276,501
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children: Peer Counseling $155,537
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children: Breast Pump Reimbursement $38,837
93.074 Hospital Preparedness Program (hpp) and Public Health Emergency Preparedness (phep) Aligned Cooperative Agreements $19,456
10.572 Iowa Farmers' Market Nutrition Program $5,167
93.426 Hypertension & Cholesterol Improvement Project $2,500