Finding type: Significant deficiency. Federal award: 93.912, Rural Health Care Services Outreach. Passthrough organization: Not applicable. Condition: Incomplete procurement policies and procedures. Management concurrence: Management concurs with this finding. Corrective action plan: VAMHAR now has a procurement policy that aligns with the Uniform Guidance and it will be followed for future purchases under federal awards. Name of contact person: Daniel Franklin, Executive Director. Projected completion date: July 1, 2026.