Finding 609773 (2022-001)

Significant Deficiency Repeat Finding
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-08-20

AI Summary

  • Core Issue: The Organization did not follow its own procurement and conflict of interest policies when approving leases with related parties, leading to potential compliance risks.
  • Impacted Requirements: Compliance with procurement policies and conflict of interest regulations as mandated by HRSA is essential to avoid administrative penalties.
  • Recommended Follow-Up: Ensure all lease agreements receive Board approval and notify HRSA of corrective actions taken to maintain compliance.

Finding Text

Finding 2022-001 Compliance Requirement: PROCUREMENT AND SUSPENSION AND DEBARMENT Major Program: CFDA 93.224, Health Center Program Federal Agency: U.S. Department of Health and Human Services Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Category: Procurement, Conflict of Interest Questioned Costs: N/A Status: Corrective action implemented/resolved June 13, 2022 Condition: The Organization has lease commitments under three leases with a related party, a real estate company managed by a Board member of the Organization, in which $190,482 was paid for the year ended June 30, 2022 and two leases with another related party, CEO of the Organization, in which $39,000 was paid during the year ended June 30, 2022. Criteria: The Organization is required to ensure activities, relationships, and financial interests are proper and in accordance with the Organization?s procurement policies and the Organization?s conflict of interest policy pursuant to 34 C.F.R. ? 75.112. Cause: Management did not properly follow the Organization?s procurement and conflict of interest policies in the approval of lease agreements. Effect or Potential Effect: Failure to maintain compliance with Organization procurement and conflict of interest policies may result in the Organization?s ability to detect and prevent misstatements within the Organization?s financial statements. Failure to maintain compliance with Health Resources & Services Administration (?HRSA?) requirements may lead to adverse administrative action which may include reimbursement of grant funds, penalties, suspension or termination of the eligibility of the Organization?s Federally Qualified Health Center (?FQHC?). Recommendations: The Organization should implement procedures to ensure Board approval of all procurement contracts for leases in accordance with Organization procurement and conflict of interest policies pursuant to HRSA guidelines and regulations. The Organization should provide notification to HRSA concerning these conditions and corrective action taken. View of Responsible Officials and Corrective Action Plan: Management agrees with the finding and believes these leases were executed in the best interest of the Organization, specifically, due to the lease fee being at the low end of market value for financial benefit to the Organization. The Organization will ensure that the annual conflict of interest disclosure form is completed by all employees and Board members and any actual or perceived conflicts of interest shall be addressed by the Board. All lease agreements will be approved through the competitive bids process, per the Organization?s procurement policy. Any Board member or officer of the Organization with an actual or perceived conflict of interest will remove themselves from any discussions concerning proposed transaction or arrangement discussions and refrain from voting on any associated matters. On June 13, 2022, management implemented these corrective action procedures and submitted notification to HRSA in accordance with HRSA regulations.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 33331 2022-001
    Significant Deficiency Repeat

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) $2.63M
93.011 National Organizations of State and Local Officials $900,000
84.002 Adult Education - Basic Grants to States $624,189
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $563,052
93.516 Affordable Care Act (aca) Public Health Training Centers Program $387,310
84.287 Twenty-First Century Community Learning Centers $375,454
20.516 Job Access and Reverse Commute Program $334,343
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $264,889
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $260,090
17.259 Wia Youth Activities $239,894
21.019 Coronavirus Relief Fund $230,000
14.231 Emergency Solutions Grant Program $221,669
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $149,580
93.276 Drug-Free Communities Support Program Grants $138,187
93.959 Block Grants for Prevention and Treatment of Substance Abuse $120,375
16.807 Recovery Act - Voca Crime Victim Assistance Discretionary Grant Program $108,322
93.217 Family Planning_services $105,000
97.010 Citizenship Education and Training $89,768
93.752 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations Financed in Part by Prevention and Public Health Funds $83,150
10.596 Pilot Projects to Reduce Dependency and Increase Work Requirements and Work Effort Under Snap $81,978
93.940 Hiv Prevention Activities_health Department Based $75,000
84.425 Education Stabilization Fund $72,097
93.387 National and State Tobacco Control Program (b) $50,000
93.566 Refugee and Entrant Assistance_state Administered Programs $42,807
16.016 Culturally and Linguistically Specific Services Program $40,615
93.939 Hiv Prevention Activities_non-Governmental Organization Based $32,868
93.576 Refugee and Entrant Assistance_discretionary Grants $27,157
93.558 Temporary Assistance for Needy Families $26,662
93.185 Immunization Research, Demonstration, Public Information and Education_training and Clinical Skills Improvement Projects $25,000
14.218 Community Development Block Grants/entitlement Grants $25,000
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $13,000
93.431 Networking2save: Cdcs National Network Approach to Preventing and Controlling Tobacco-Related Cancers in Special Populations $12,500
14.169 Housing Counseling Assistance Program $2,200