Finding 1168144 (2025-001)

Material Weakness Repeat Finding
Requirement
I
Questioned Costs
-
Year
2025
Accepted
2026-01-07

AI Summary

  • Core Issue: The organization failed to verify the suspension and debarment status of two contractors before entering into contracts.
  • Impacted Requirements: Compliance with 2 CFR section 180.300, which mandates checking for exclusions to avoid contracting with suspended or debarred entities.
  • Recommended Follow-Up: Implement and document suspension and debarment checks consistently before contract execution to ensure compliance.

Finding Text

Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Rural Health Cooperative Agreement FAL Number: 93.241 Pass-Through Agency: N/A Pass-Through Number(s): N/A Award Period: 9/1/22 – 8/31/27 Type of Finding:  Significant Deficiency in Internal Control over Compliance, and Other Matters Criteria or Specific Requirement: When a non-Federal entity enters into a covered transaction with an entity at a lower tier, the non-Federal entity must verify that the entity, as defined in 2 CFR section 180.995 and agency adopting regulations, is not suspended or debarred or otherwise excluded from participating in the transaction. This verification may be accomplished by (1) checking the System for Award Management (SAM) Exclusions maintained by the General Services Administration (GSA) and available at https://www.sam.gov/portal/public/SAM/ (2) collecting a certification from the entity, or (3) adding a clause or condition to the covered transaction with that entity (2 CFR section 180.300). Condition: During our testing we noted the Organization did not apply its suspension and debarment procedures for two contractors sampled prior to entering into the contract. Questioned Costs: N/A Context: Two out of five selections did not have any suspension/debarment procedures followed until after entering into the covered transaction. Cause: Management was aware of the suspension and debarment requirements dictated by the Uniform Guidance, however, did not follow their policy. Effect: Potential for the Organization to do business with entities that are suspended or debarred which is not allowed per Uniform Guidance. Repeat Finding: No Recommendation: The Organization should ensure they follow their policy to check for suspension and debarment prior to entering into the contract. Views of responsible officials and planned corrective actions: There are no disagreements with the audit finding. The Organization will ensure they follow their suspension and debarment policy moving forward and documentation is retained.

Corrective Action Plan

Medicare Rural Hospital Flexibility Program Evaluation-Cooperative Agreement (Rural Health Cooperative Agreement) Federal Assistance Listing #93.241 Recommendation: The Organization should ensure they follow their policy to check for suspension and debarment prior to entering into the contract. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Organization will ensure they follow their suspension and debarment policy moving forward and documentation is retained. In addition, contracting and suspension and debarment policies and procedures are being updated by the Organization to further strengthen compliance with all requirements of Title 2 U.S. Code of Federal Regulations Part 200. Name(s) of the contact person(s) responsible for corrective action: Dan Herstad, Controller Planned completion date for corrective action plan: 12/31/2025

Categories

Procurement, Suspension & Debarment

Other Findings in this Audit

  • 1168143 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.155 RURAL HEALTH RESEARCH CENTERS $576,669
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $22,514
93.241 STATE RURAL HOSPITAL FLEXIBILITY PROGRAM $12,293