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RURAL MEDICAL SERVICES, INC.Non-Profit

EIN: 621102683

UEI: XRDVJB4VLTA8

Audited by: Terry Horne, CPA

Oversight agency: 93 [Department of Health and Human Services]

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Data as of September 2, 2026

RURAL MEDICAL SERVICES, INC.11 audit years2 findings
11
Audit Years
2
Total Findings
0
Repeat Findings
$3.3M
Federal Awards Expended (FY 2026)

FY 2026-03-31

$3,341,233 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on August 14, 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 February 14, 2027 (163 days from today).

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FY 2025-03-31

$3,101,198 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 31, 2025 — management decision was due January 31, 2026.

FY 2024-03-31

$2,826,249 federal awards expended

FAC accepted this audit on August 1, 2024 — management decision was due February 1, 2025.

2024-001
Procurement & Suspension/Debarment
MATERIAL WEAKNESSMODIFIED OPINION

The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Cause: The Organization did not have proper procedures in place to ensure debarment searches were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Questioned Costs: None reported. Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed and documented as required. Views of Responsible Officials: Management concurs. Management will verify that vendors are not suspended, debarred or otherwise excluded from participating in federal programs. Contact Person: George Barton, CEO Anticipated Date of Completion: August 31, 2024

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Full finding narrative

Material Weakness Finding: 2024-001 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster Assistance Listing No. 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Cause: The Organization did not have proper procedures in place to ensure debarment searches were obtained as required. Effect: The Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Questioned Costs: None reported. Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization establish procedures to ensure that the procurement policy is followed and that debarment searches are performed and documented as required. Views of Responsible Officials: Management concurs. Management will verify that vendors are not suspended, debarred or otherwise excluded from participating in federal programs. Contact Person: George Barton, CEO Anticipated Date of Completion: August 31, 2024

Corrective Action Plan

In Finding 2024-001, a condition was noted in which the Organization did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Management recognizes the importance of complying with procurement, debarment, and suspension guidelines. In response to Finding 2024-001, procedures will be implemented to ensure debarment searches are completed and properly documented.

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FY 2023-03-31

$4,497,904 federal awards expendedNo findings recorded this year

FAC accepted this audit on December 12, 2023 — management decision was due June 12, 2024.

FY 2022-03-31

$4,328,810 federal awards expendedNo findings recorded this year

FAC accepted this audit on October 24, 2022 — management decision was due April 24, 2023.

FY 2021-03-31

LOW-RISK AUDITEE$3,814,793 federal awards expended

FAC accepted this audit on August 12, 2021 — management decision was due February 12, 2022.

2021-002
Procurement & Suspension/Debarment
MATERIAL WEAKNESSMODIFIED OPINION

The Organization?s procurement policies were not updated to conform to applicable standards under the Uniform Guidance, and the Organization did not follow their current procurement policy in regard to obtaining competitive quotations for purchases that exceed the Uniform Guidance?s micro-purchase threshold. The Organization also did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Cause: The Organization did not have proper procedures in place to ensure that procurement policies were updated to conform to the requirements identified in the Uniform Guidance, and the Organization did not follow its policies regarding competitive quotations and debarment searches. Effect: The Organization?s procurement policy did not conform to applicable standards under the Uniform Guidance?s procurement limits for micro, small, and simplified purchases. In addition, the Organization did not follow their policy and obtain competitive quotations for purchases that exceeded the Uniform Guidance?s micro-purchase threshold or verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization update its procurement policies to conform to the requirements identified in Uniform Guidance, and that procedures are established to ensure that the Organization?s procurement and debarment policies are followed. Views of Responsible Officials: Management concurs. Policies and procedures will be updated to reflect the Uniform Guidance procurement limits for micro, small, and simplified purchases. The Organization will also establish procedures to ensure that competitive quotations are obtained for purchases that exceed the Uniform Guidance?s micro-purchase threshold and that debarment searches are completed to verify that vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. Contact Person: Amy Bradshaw, CFO Anticipated Date of Completion: September 30, 2021

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Finding: 2021-002 Procurement, Suspension, and Debarment Federal Programs: Department of Health and Human Services Health Center Program Cluster CFDA 93.224 and 93.527 Criteria: Procurement 45 CFR 75.329 and 45 CFR 75.213 Condition: The Organization?s procurement policies were not updated to conform to applicable standards under the Uniform Guidance, and the Organization did not follow their current procurement policy in regard to obtaining competitive quotations for purchases that exceed the Uniform Guidance?s micro-purchase threshold. The Organization also did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Cause: The Organization did not have proper procedures in place to ensure that procurement policies were updated to conform to the requirements identified in the Uniform Guidance, and the Organization did not follow its policies regarding competitive quotations and debarment searches. Effect: The Organization?s procurement policy did not conform to applicable standards under the Uniform Guidance?s procurement limits for micro, small, and simplified purchases. In addition, the Organization did not follow their policy and obtain competitive quotations for purchases that exceeded the Uniform Guidance?s micro-purchase threshold or verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Questioned Costs: None reported Context/Sampling: The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that the Organization update its procurement policies to conform to the requirements identified in Uniform Guidance, and that procedures are established to ensure that the Organization?s procurement and debarment policies are followed. Views of Responsible Officials: Management concurs. Policies and procedures will be updated to reflect the Uniform Guidance procurement limits for micro, small, and simplified purchases. The Organization will also establish procedures to ensure that competitive quotations are obtained for purchases that exceed the Uniform Guidance?s micro-purchase threshold and that debarment searches are completed to verify that vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. Contact Person: Amy Bradshaw, CFO Anticipated Date of Completion: September 30, 2021

Corrective Action Plan

In Finding 2021-002, a condition was noted that the Organization?s procurement policies were not updated to conform to applicable standards under the Uniform Guidance, and the Organization did not follow their current procurement policy in regard to obtaining competitive quotations for purchases that exceed the Uniform Guidance?s micro-purchase threshold. The Organization also did not verify that certain vendors were not suspended, debarred, or otherwise excluded from participating in federal programs before entering into transactions with them. Management recognizes the importance of complying with procurement, debarment, and suspension guidelines. In response to Finding 2021-002, policies and procedures will be updated to reflect the Uniform Guidance procurement limits for micro, small, and simplified purchases. The Organization will also establish procedures to ensure that competitive quotations are obtained for purchases that exceed the Uniform Guidance?s micro-purchase threshold and that debarment searches are completed to verify that vendors subject to debarment requirements are not suspended, debarred, or otherwise excluded from participating in Federal programs before the Organization enters into transactions with them. This review and update will be performed by the Chief Executive Officer and completed by September 30, 2021.

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FY 2020-03-31

LOW-RISK AUDITEE$2,617,083 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 16, 2020 — management decision was due January 16, 2021.

FY 2019-03-31

LOW-RISK AUDITEE$2,723,369 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 2, 2019 — management decision was due January 2, 2020.

FY 2018-03-31

LOW-RISK AUDITEE$2,655,786 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 28, 2018 — management decision was due December 28, 2018.

FY 2017-03-31

LOW-RISK AUDITEE$2,621,084 federal awards expendedNo findings recorded this year

FAC accepted this audit on August 9, 2017 — management decision was due February 9, 2018.

FY 2016-03-31

LOW-RISK AUDITEE$2,540,884 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 13, 2016 — management decision was due March 13, 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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