Finding 612714 (2022-003)

Significant Deficiency
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2023-04-12
Audit: 36781
Organization: Hunter Health Clinic, Inc. (KS)
Auditor: Redw LLC

AI Summary

  • Core Issue: The Center failed to obtain three quotes for purchases over $10,000, violating procurement requirements.
  • Impacted Requirements: Noncompliance with OMB Uniform Guidance and the Center's own procurement policy.
  • Recommended Follow-up: Strengthen monitoring of procurement processes and ensure adherence to policies with the new finance team in place.

Finding Text

Type of Finding: Significant Deficiency and Noncompliance Federal program information: Funding agency: U.S. Department of Health and Human Services Title: Consolidated Health Centers Assistance listing number: 93.224 Criteria: Requirements for procurement are contained in the OMB Uniform Guidance, federal awarding agency regulations, and terms of the award. Procurement transactions should be conducted in a manner providing full and open competition in according with the Center?s procurement policy. The Center?s procurement policy requires three quotes or more of any purchases over $10,000. Condition: The program made purchases in excess of $10,000 without obtaining three quotes. Questioned Costs: None. Context: Five out of twenty-five transactions tested. Cause and effect: Controls over procurement as documented in the Center?s procurement policy have not been followed. The Center was not in compliance with the procurement requirements. Auditor?s Recommendations: Enforce policies and procedures that will promote adequate monitoring of the procurement and bidding process. Management?s Response: In March of 2022, both the CFO and Accounting Manager terminated employment with Hunter Health. During the latter half of the fiscal year, Hunter Health contracted with a temporary CFO and Controller, both of whom had FQHC experience, for three months. The current CFO and Controller were onboarded late Q3/early Q4. During this time of transition, the procurement procedures were not maintained at the normal standard. With the new finance team in place, the Finance team has reviewed the procedures and retrained the leadership team to ensure compliance. Submittal of purchasing requests has been centralized within the Finance Department to ensure an extra level of oversight.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 36271 2022-002
    Significant Deficiency
  • 36272 2022-003
    Significant Deficiency
  • 36273 2022-002
    Significant Deficiency Repeat
  • 612713 2022-002
    Significant Deficiency
  • 612715 2022-002
    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) $6.06M
93.193 Urban Indian Health Services $1.61M
93.193 Covid-19 - Urban Indian Health Services $904,067
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $93,256
93.498 Provider Relief Fund $20,340