EIN: 411797630
UEI: D1WCP85RJ9K5
Audit also covers EIN: 203669805 · unlinked EINs have no separate FAC filing
Audited by: CliftonLarsonAllen LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 31, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on January 7, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by July 7, 2026 (57 days ago).
What is a management decision? →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.
Show full finding ▾Hide full finding ▴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.
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
FAC accepted this audit on January 13, 2025 — management decision was due July 13, 2025.
FAC accepted this audit on January 31, 2024 — management decision was due July 31, 2024.
FAC accepted this audit on January 9, 2023 — management decision was due July 9, 2023.
FAC accepted this audit on January 12, 2022 — management decision was due July 12, 2022.
FAC accepted this audit on January 10, 2021 — management decision was due July 10, 2021.
FAC accepted this audit on January 1, 2020 — management decision was due July 1, 2020.
FAC accepted this audit on January 2, 2019 — management decision was due July 2, 2019.
FAC accepted this audit on January 11, 2018 — management decision was due July 11, 2018.
FAC accepted this audit on December 21, 2016 — management decision was due June 21, 2017.
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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