Morgan Chalfant of the Washington Free Beacon documents disturbing news about financial matters involving the U.S. Department of Veterans Affairs.

The Department of Veterans Affairs spends billions of dollars annually on contracts for goods and services without proper oversight and management, according to a government watchdog.

The VA spent roughly $20 billion during fiscal 2015—over a quarter of the agency’s discretionary budget—to procure goods and services for veterans’ health care, and at least $46 billion over a three-year period, according to a new audit by the Government Accountability Office that faults the agency for managing contracts using “outdated and fragmented” policies.

The audit is the latest evidence of mismanagement at the federal agency, which has been widely scrutinized since the secret wait list controversy at government-run hospitals more than two years ago.

The VA spends billions each year on contracts for a wide range of goods and services that include construction, information technology, medical services, and medical supplies.

Auditors discovered shortcomings in the VA’s data systems, policies, oversight, acquisition workforce, and contract management related to the agency’s multi-billion-dollar procurement program.

The agency’s contract management has been repeatedly flagged for shortfalls. An independent assessment mandated by legislation enacted in 2014 following the wait list scandal found the acquisition program to be unduly complex and faulted the agency for not always procuring goods and services at the lowest available price.

A senior official at the agency penned an internal memo, later obtained by the Washington Post, to VA Secretary Robert McDonald in 2015 that said the agency was spending at least $6 billion annually on medical care and supplies in violation of federal contracting regulations.