Finding 618422 (2022-003)

Material Weakness
Requirement
I
Questioned Costs
-
Year
2022
Accepted
2022-10-19
Audit: 46315
Organization: Northwest Health Services, Inc. (MO)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Organization did not follow its own procurement policy when purchasing goods or services with federal funds.
  • Impacted Requirements: Non-compliance with procurement standards outlined in 45 CFR 75.329.
  • Recommended Follow-Up: Review and educate staff on the procurement policy regularly, and conduct annual reviews to align with Uniform Guidance.

Finding Text

Health Center Program Cluster Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award Nos. 1 H8FCS41342-01-00 and 1 C14CS39842-01-00 Program Year 2022 Criteria or Specific Requirement ? Procurement ? 45 CFR 75.329 Condition ? The Organization did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. Questioned Costs ? None Context ? A sample of ten procurements were tested out of a population of ninety-one procurements totaling $1,704,444. The sample was not, and is not intended to be, statistically valid. Of the ten procurements, three procurements in the amount of $248,456 did not follow the Organization?s procurement policy for vendor selection. Effect ? Purchases were made that did not adhere to the Organization?s procurement policy. Cause ? The Organization did not comply with their federal procurement policy. Identification as a Repeat Finding ? Not a repeat finding. Recommendation ? The Organization should review its procurement policy and ensure proper staff education on the policy is established. In addition, the Organization should review the policy on an annual basis to ensure it is consistent with the Uniform Guidance. Views of Responsible Officials and Planned Corrective Actions ? We concur with this finding. Management recognizes the importance of complying with NHS? federal procurement policy. Going forward, the procurement policy will be reviewed on a regular basis to ensure that personnel involved in procurement are educated with regards to the procurement policy and procedures. Additionally, the procurement policy will be reviewed on an annual basis to ensure it is consistent with the Uniform Guidance.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 41976 2022-003
    Material Weakness
  • 41977 2022-003
    Material Weakness
  • 41978 2022-003
    Material Weakness
  • 41979 2022-003
    Material Weakness
  • 41980 2022-003
    Material Weakness
  • 41981 2022-002
    Material Weakness
  • 618418 2022-003
    Material Weakness
  • 618419 2022-003
    Material Weakness
  • 618420 2022-003
    Material Weakness
  • 618421 2022-003
    Material Weakness
  • 618423 2022-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.82M
93.498 Provider Relief Fund $1.87M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.07M
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $398,103
93.778 Medical Assistance Program $36,023
93.461 Covid-19 Testing for the Uninsured $3,696