Audit 15344

FY End
2023-06-30
Total Expended
$2.34M
Findings
4
Programs
2
Year: 2023 Accepted: 2024-02-02
Auditor: Forvis LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
11513 2023-001 Significant Deficiency - I
11514 2023-001 Significant Deficiency - I
587955 2023-001 Significant Deficiency - I
587956 2023-001 Significant Deficiency - I

Programs

ALN Program Spent Major Findings
93.241 Rural Emergency Hospital Technical Assistance $1.47M Yes 1
93.912 Rural Health Care Services Outreach $868,782 Yes 1

Contacts

Name Title Type
JK3TMEBER423 Gerry Egan Auditee
6109442119 Michael Earls Auditor
No contacts on file

Notes to SEFA

Title: Note 4: Federal Loan Programs Accounting Policies: Note 1: Basis of Presentation: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal awards activity of Rural Health Redesign Center Organization (RHRCO) under programs of the federal government for the year ended June 30, 2023. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of RHRCO, it is not intended to and does not present the financial position, changes in net assets or cash flows of RHRCO. Note 2: Summary of Significant Accounting Policies Expenditures: Reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Note 3: Indirect Cost Rate: RHRCO has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. RHRCO does not have any federal loan programs.
Title: Note 5: Subrecipients Accounting Policies: Note 1: Basis of Presentation: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal awards activity of Rural Health Redesign Center Organization (RHRCO) under programs of the federal government for the year ended June 30, 2023. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of RHRCO, it is not intended to and does not present the financial position, changes in net assets or cash flows of RHRCO. Note 2: Summary of Significant Accounting Policies Expenditures: Reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Note 3: Indirect Cost Rate: RHRCO has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. There were no subrecipients during the year.

Finding Details

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Rural Health Care Services Outreach and Rural Emergency Hospital Technical Assistance Assistance Listing Number: 93.912 and 93.241 Federal Award Program Year: July 1, 2022 – June 30, 2023 Pass-Through Agency: None Pass-Through Number: None Type of Finding: • Significant deficiency in internal control over compliance • Other matter finding Criteria or Specific Requirement – Procurement, Suspension and Debarment: Pursuant to 31 CFR § 19.300, non-Federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended and debarred or whose principals are suspended or debarred. The non-Federal entity must verify that the contracted entity is not suspended or debarred or otherwise excluded. In addition, pursuant to 2 CFR 200.303, which states in part, the non-Federal entity must establish and maintain an effective internal control over the Federal awards that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission. Condition: The Organization could not provide support that it had reviewed the “List of Parties Excluded from Federal Procurement and Nonprocurement Programs” during their procurement procedures on a consistent basis. The Organization had not properly designed or implemented a system of internal controls, which would include appropriate segregation of duties that would likely be effective in preventing, detecting, and correcting, noncompliance. Questioned Costs: None Context: It was noted that the files selected for testing did not have documented evidence supporting that the Organization had determined that the contracted parties were not suspended or debarred. From a population of two files, one was selected for testing. Our sample was not intended to be statistically valid. Effect: The Organization was unable to support vendors were not suspended or debarred. Cause: Failure to maintain sufficient procurement records. Identification as a Repeat Finding: No Recommendation: We recommend that the Organization maintain adequate documentation to ensure compliance with the suspension and debarment requirement. This documentation could include a print out from the Excluded Parties List System maintained by the General Services Administration, collection of a certification from the contracted party, or adding a clause or condition to the covered transaction with the contracted party. Views of Responsible Officials and Planned Corrective Action: The Organization is aware of the compliance requirement and has implemented additional procedures, including certain of those identified in the recommendation above, to be able to support suspension and debarment processes are in place. Persons responsible for implementing: Gerry Egan, Finance Manager Anticipated completion date: Completed.
Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Rural Health Care Services Outreach and Rural Emergency Hospital Technical Assistance Assistance Listing Number: 93.912 and 93.241 Federal Award Program Year: July 1, 2022 – June 30, 2023 Pass-Through Agency: None Pass-Through Number: None Type of Finding: • Significant deficiency in internal control over compliance • Other matter finding Criteria or Specific Requirement – Procurement, Suspension and Debarment: Pursuant to 31 CFR § 19.300, non-Federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended and debarred or whose principals are suspended or debarred. The non-Federal entity must verify that the contracted entity is not suspended or debarred or otherwise excluded. In addition, pursuant to 2 CFR 200.303, which states in part, the non-Federal entity must establish and maintain an effective internal control over the Federal awards that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission. Condition: The Organization could not provide support that it had reviewed the “List of Parties Excluded from Federal Procurement and Nonprocurement Programs” during their procurement procedures on a consistent basis. The Organization had not properly designed or implemented a system of internal controls, which would include appropriate segregation of duties that would likely be effective in preventing, detecting, and correcting, noncompliance. Questioned Costs: None Context: It was noted that the files selected for testing did not have documented evidence supporting that the Organization had determined that the contracted parties were not suspended or debarred. From a population of two files, one was selected for testing. Our sample was not intended to be statistically valid. Effect: The Organization was unable to support vendors were not suspended or debarred. Cause: Failure to maintain sufficient procurement records. Identification as a Repeat Finding: No Recommendation: We recommend that the Organization maintain adequate documentation to ensure compliance with the suspension and debarment requirement. This documentation could include a print out from the Excluded Parties List System maintained by the General Services Administration, collection of a certification from the contracted party, or adding a clause or condition to the covered transaction with the contracted party. Views of Responsible Officials and Planned Corrective Action: The Organization is aware of the compliance requirement and has implemented additional procedures, including certain of those identified in the recommendation above, to be able to support suspension and debarment processes are in place. Persons responsible for implementing: Gerry Egan, Finance Manager Anticipated completion date: Completed.
Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Rural Health Care Services Outreach and Rural Emergency Hospital Technical Assistance Assistance Listing Number: 93.912 and 93.241 Federal Award Program Year: July 1, 2022 – June 30, 2023 Pass-Through Agency: None Pass-Through Number: None Type of Finding: • Significant deficiency in internal control over compliance • Other matter finding Criteria or Specific Requirement – Procurement, Suspension and Debarment: Pursuant to 31 CFR § 19.300, non-Federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended and debarred or whose principals are suspended or debarred. The non-Federal entity must verify that the contracted entity is not suspended or debarred or otherwise excluded. In addition, pursuant to 2 CFR 200.303, which states in part, the non-Federal entity must establish and maintain an effective internal control over the Federal awards that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission. Condition: The Organization could not provide support that it had reviewed the “List of Parties Excluded from Federal Procurement and Nonprocurement Programs” during their procurement procedures on a consistent basis. The Organization had not properly designed or implemented a system of internal controls, which would include appropriate segregation of duties that would likely be effective in preventing, detecting, and correcting, noncompliance. Questioned Costs: None Context: It was noted that the files selected for testing did not have documented evidence supporting that the Organization had determined that the contracted parties were not suspended or debarred. From a population of two files, one was selected for testing. Our sample was not intended to be statistically valid. Effect: The Organization was unable to support vendors were not suspended or debarred. Cause: Failure to maintain sufficient procurement records. Identification as a Repeat Finding: No Recommendation: We recommend that the Organization maintain adequate documentation to ensure compliance with the suspension and debarment requirement. This documentation could include a print out from the Excluded Parties List System maintained by the General Services Administration, collection of a certification from the contracted party, or adding a clause or condition to the covered transaction with the contracted party. Views of Responsible Officials and Planned Corrective Action: The Organization is aware of the compliance requirement and has implemented additional procedures, including certain of those identified in the recommendation above, to be able to support suspension and debarment processes are in place. Persons responsible for implementing: Gerry Egan, Finance Manager Anticipated completion date: Completed.
Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Rural Health Care Services Outreach and Rural Emergency Hospital Technical Assistance Assistance Listing Number: 93.912 and 93.241 Federal Award Program Year: July 1, 2022 – June 30, 2023 Pass-Through Agency: None Pass-Through Number: None Type of Finding: • Significant deficiency in internal control over compliance • Other matter finding Criteria or Specific Requirement – Procurement, Suspension and Debarment: Pursuant to 31 CFR § 19.300, non-Federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended and debarred or whose principals are suspended or debarred. The non-Federal entity must verify that the contracted entity is not suspended or debarred or otherwise excluded. In addition, pursuant to 2 CFR 200.303, which states in part, the non-Federal entity must establish and maintain an effective internal control over the Federal awards that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission. Condition: The Organization could not provide support that it had reviewed the “List of Parties Excluded from Federal Procurement and Nonprocurement Programs” during their procurement procedures on a consistent basis. The Organization had not properly designed or implemented a system of internal controls, which would include appropriate segregation of duties that would likely be effective in preventing, detecting, and correcting, noncompliance. Questioned Costs: None Context: It was noted that the files selected for testing did not have documented evidence supporting that the Organization had determined that the contracted parties were not suspended or debarred. From a population of two files, one was selected for testing. Our sample was not intended to be statistically valid. Effect: The Organization was unable to support vendors were not suspended or debarred. Cause: Failure to maintain sufficient procurement records. Identification as a Repeat Finding: No Recommendation: We recommend that the Organization maintain adequate documentation to ensure compliance with the suspension and debarment requirement. This documentation could include a print out from the Excluded Parties List System maintained by the General Services Administration, collection of a certification from the contracted party, or adding a clause or condition to the covered transaction with the contracted party. Views of Responsible Officials and Planned Corrective Action: The Organization is aware of the compliance requirement and has implemented additional procedures, including certain of those identified in the recommendation above, to be able to support suspension and debarment processes are in place. Persons responsible for implementing: Gerry Egan, Finance Manager Anticipated completion date: Completed.