EIN: 431229761
UEI: U45KNL9ZA1M4
Audited by: Forvis Mazars, LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on October 29, 2024. 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 April 29, 2025 (489 days ago).
What is a management decision? →COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Assistance Listing No. 21.027 U.S. Department of Treasury Criteria or Specific Requirement – Procurement, Suspension and Debarment – 45 CFR 75.329 Condition – The Hospital did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. In addition, the Hospital does not have formal policies and procedures in place to ensure vendors are not suspended or debarred from federal activities. Questioned Costs - Unknown Context – One procurement was tested out of a population of one. The Hospital did not procure a general contractor for its $16MM Radiation Oncology project. This project was funded through multiple sources, including contributions, internally generated funds, and local, state, and federal grants. Cause – The Hospital did not comply with their federal procurement policy to seek competitive bids from atleast three sources. Effect – Contractor was not procured according to Hospital’s policy. Verification that contractor was not suspended or debarred was not performed by the Hospital. Identification as a Repeat Finding - No Recommendation – The Hospital should review its procurement policy and ensure that vendors are being procured according to the policy. In addition, the Hospital should include procedures to verify vendors are not suspended or debarred from federal activities.
Show full finding ▾Hide full finding ▴COVID-19 Coronavirus State and Local Fiscal Recovery Funds Federal Assistance Listing No. 21.027 U.S. Department of Treasury Criteria or Specific Requirement – Procurement, Suspension and Debarment – 45 CFR 75.329 Condition – The Hospital did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. In addition, the Hospital does not have formal policies and procedures in place to ensure vendors are not suspended or debarred from federal activities. Questioned Costs - Unknown Context – One procurement was tested out of a population of one. The Hospital did not procure a general contractor for its $16MM Radiation Oncology project. This project was funded through multiple sources, including contributions, internally generated funds, and local, state, and federal grants. Cause – The Hospital did not comply with their federal procurement policy to seek competitive bids from atleast three sources. Effect – Contractor was not procured according to Hospital’s policy. Verification that contractor was not suspended or debarred was not performed by the Hospital. Identification as a Repeat Finding - No Recommendation – The Hospital should review its procurement policy and ensure that vendors are being procured according to the policy. In addition, the Hospital should include procedures to verify vendors are not suspended or debarred from federal activities.
GVMH created a new procurement policy effective 3.10.22 that provides more detailed guidance on federal regulations and requirements. Training has been provided to all leaders with more detailed training to Director of Materials Management and Information Technology. This information has also been communicated to the Chief Executive Officer who approved the contractor. This did take place prior to applying for any federal grants for the project.
Rural Economic Development Loans and Grants Federal Assistance Listing No. 10.854 U.S. Department of Agriculture Criteria or Specific Requirement – Procurement, Suspension, and Debarment – 45 CFR 75.329 Condition – The Hospital did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. In addition, the Hospital does not have formal policies and procedures in place to ensure vendors are not suspended or debarred from federal activities. Questioned Costs - Unknown Context – One procurement was tested out of a population of one. The Hospital did not procure a general contractor for its $16MM Radiation Oncology project. This project was funded through multiple sources, including contributions, internally generated funds, and local, state, and federal grants. Cause – The Hospital did not comply with their federal procurement policy to seek competitive bids from atleast three sources. Effect – Contractor was not procured according to Hospital’s policy. Verification that contractor was not suspended or debarred was not performed by the Hospital. Identification as a Repeat Finding - No Recommendation – The Hospital should review its procurement policy and ensure that vendors are being procured according to the policy. In addition, the Hospital should include procedures to verify vendors are not suspended or debarred from federal activities.
Show full finding ▾Hide full finding ▴Rural Economic Development Loans and Grants Federal Assistance Listing No. 10.854 U.S. Department of Agriculture Criteria or Specific Requirement – Procurement, Suspension, and Debarment – 45 CFR 75.329 Condition – The Hospital did not follow its policy governing procurement requirements for the purchase of goods or services charged to federal awards. In addition, the Hospital does not have formal policies and procedures in place to ensure vendors are not suspended or debarred from federal activities. Questioned Costs - Unknown Context – One procurement was tested out of a population of one. The Hospital did not procure a general contractor for its $16MM Radiation Oncology project. This project was funded through multiple sources, including contributions, internally generated funds, and local, state, and federal grants. Cause – The Hospital did not comply with their federal procurement policy to seek competitive bids from atleast three sources. Effect – Contractor was not procured according to Hospital’s policy. Verification that contractor was not suspended or debarred was not performed by the Hospital. Identification as a Repeat Finding - No Recommendation – The Hospital should review its procurement policy and ensure that vendors are being procured according to the policy. In addition, the Hospital should include procedures to verify vendors are not suspended or debarred from federal activities.
GVMH created a new procurement policy effective 3.10.22 that provides more detailed guidance on federal regulations and requirements. Training has been provided to all leaders with more detailed training to Director of Materials Management and Information Technology. This information has also been communicated to the Chief Executive Officer who approved the contractor. This did take place prior to applying for any federal grants for the project.
FAC accepted this audit on November 30, 2023 — management decision was due May 30, 2024.
FAC accepted this audit on November 2, 2022 — management decision was due May 2, 2023.
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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