Audit 368314

FY End
2024-12-31
Total Expended
$2.58M
Findings
1
Programs
2
Organization: Tri-State Memorial Hospital (WA)
Year: 2024 Accepted: 2025-09-29
Auditor: Wipfli LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
1155897 2024-001 Material Weakness Yes I

Programs

Contacts

Name Title Type
MLYNU97YA981 Katelyn Litchfield Auditee
5097585511 Wes Thew Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal award activity of Tri-State Memorial Hospital, Inc. and Subsidiaries. The information in the 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 (the “Uniform Guidance”). Because the Schedule presents only a selected portion of the operations of Tri-State Memorial Hospital, Inc. and Subsidiaries, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Tri-State Memorial Hospital, Inc. and Subsidiaries.
Tri-State Memorial Hospital, Inc. and Subsidiaries has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
Tri-State Memorial Hospital, Inc. and Subsidiaries passed no federal awards through to subrecipients.

Finding Details

Finding Number: 2024-001 Repeat Finding: No Type of Finding: Significant Deficiency Description: Procurement and Suspension and Debarment Questioned cost: No Criteria: Under 2 CFR sections 180.220 and 200.318 through 200.326, 45 CFR 75.327 through 75.334 and 45 CFR 75 Part E, the Organization is required to implement certain written Procurement and Suspension and Debarment policies and procedures that adhere to the minimum Federal Procurement standards. The Organization must use its own documented procurement procedures, which reflect applicable State and local laws and regulations, provided that the procurements conform to applicable Federal statutes and the procurement requirements outlined in Uniform Guidance and maintain sufficient records to detail the history of procurements. Condition: The Organization's policy did not meet all of the minimum federal requirements under Uniform Guidance. Cause: Historically the Organization has received few federal grants subject to the Uniform Guidance, and while the Organization maintained a written procurement policy, it did not meet certain requirements of the Guidance. Effect: The Organization was not in compliance with federal regulations. Recommendation: The Organization should update their procurement policy to meet the minimum federal requirements and ensure procurement policies are being followed for all procurement levels with written documentation. View of Responsible Officials: Management has developed a policy in 2025.