Finding 977234 (2023-001)

Significant Deficiency Repeat Finding
Requirement
I
Questioned Costs
-
Year
2023
Accepted
2024-06-13

AI Summary

  • Core Issue: The Organization lacks proper documentation for multiple quotes on capital purchases, violating procurement procedures.
  • Impacted Requirements: Compliance with § 200.320 and related procurement standards is not met, risking vendor selection without fair competition.
  • Recommended Follow-Up: Management should revise procurement policies and strengthen internal controls to ensure proper documentation is maintained moving forward.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Program Title: Consolidated Health Centers Assistance Listing Number: 93.224 and 93.527 Award Period: January 1, 2023 to December 31, 2023 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: § 200.320 Methods of procurement to be followed: The non-Federal entity must have and use documented procurement procedures, consistent with the standards of this section and §§ 200.317, 200.318, and 200.319 for any of the approved procurement methods used for the acquisition of property or services required under a Federal award or sub-award. Condition: The Organization did not have documentation of multiple quotes for certain capital purchases as stated under their procurement policy. Questioned costs: None Cause: In certain circumstances the Organization utilizes a supply chain vendor for equipment and supply acquisitions, however the documentation around multiple quotes was not received and maintained. Effect: The Organization may inadvertently select vendors without regard to fair competition and cost analysis. Recommendation: Management should adhere to or revise the Organization’s existing procurement policy and implement a system of processes and internal controls to ensure that the appropriate level of documentation is maintained based on the procurement methodology selected for a transaction of contract. Views of responsible officials and planned corrective actions: There is no disagreement with the audit finding. Management identified that subsequent to the conclusion of the 2022 audit in May of 2023 procedures were implemented to the procurement process to assure adherence with the Organization’s policy on a go forward basis. The expenditures in question tested for 2023 were spent in the first quarter of 2023 prior to the procedure improvements and therefore caused the repeat finding.

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 400792 2023-001
    Significant Deficiency Repeat
  • 400793 2023-001
    Significant Deficiency Repeat
  • 977235 2023-001
    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) $23.77M
10.766 Community Facilities Loans and Grants $1.33M
93.926 Healthy Start Initiative $1.11M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $943,470
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $492,412
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $409,214
93.917 Hiv Care Formula Grants $158,529
93.322 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $102,738
93.994 Maternal and Child Health Services Block Grant to the States $85,581
93.944 Human Immunodeficiency Virus (hiv)/acquired Immunodeficiency Virus Syndrome (aids) Surveillance $54,518
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $4,680