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The Impact of Form I-9 Challenges on the Healthcare Industry


Feb 13, 2024 

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The Impact of Form I-9 Challenges on the Healthcare Industry

In the fast-paced world of healthcare, where every moment counts in saving lives, administrative tasks like Form I-9 compliance may seem like a secondary concern. However, overlooking these crucial documents can lead to significant consequences for healthcare institutions, ranging from hefty fines to damaged reputations. In this article, we delve into the challenges healthcare organizations face in maintaining Form I-9 compliance and explore strategies to mitigate these risks.


The Importance of Form I-9 Compliance in Healthcare


Hospitals, urgent cares, and other healthcare facilities are not exempt from federal employment regulations, despite their altruistic mission. The Form I-9, used to verify the identity and employment authorization of individuals hired for employment in the United States, is a critical component of hiring practices in all industries, including healthcare.


Common Challenges in Form I-9 Compliance


Healthcare institutions encounter several challenges when it comes to Form I-9 compliance, including:



  • Incomplete Forms: In the hustle and bustle of healthcare settings, completing administrative tasks thoroughly can sometimes take a back seat. Incomplete Form I-9s, featuring unfinished fields or missing signatures, are common pitfalls that can lead to compliance violations during audits.
  • Deadline Compliance: The Form I-9 must be completed within specific timelines, including Section 1 by the employee on their first day of work and Section 2 by the employer within three business days of the employee's start date. Failure to meet these deadlines can result in compliance issues during audits.
  • Expired Work Authorizations: Healthcare organizations often employ individuals with various visa statuses or work authorizations. Ensuring that work authorizations are up to date and renewed promptly is crucial to avoid compliance violations.
  • Storage and Retention: Correctly storing and retaining completed Form I-9s is essential for compliance. Failure to maintain proper records can lead to penalties during audits.


Consequences of Non-Compliance


The federal government takes Form I-9 compliance seriously, and violations can result in significant penalties for healthcare organizations. According to the Department of Homeland Security, fines for paperwork violations can range from $272 to $2,701 per incident. Additionally, penalties for knowingly hiring unauthorized workers can start at $676 for a first offense and escalate to $27,108 for third offenses per violation.


Strategies for Mitigating Form I-9 Compliance Risks


To avoid compliance violations and the associated fines, healthcare organizations can implement the following strategies:


  • Education and Training: Invest time in educating and training human resources staff on proper hiring protocols for Form I-9 compliance. Ensure that staff are aware of deadlines, required documentation, and best practices for completing and retaining Form I-9s.
  • Regular Audits and Reviews: Conduct regular internal audits to identify any potential Form I-9 errors or discrepancies proactively. Implement a review process to ensure all forms are completed accurately and on time.
  • Utilize Electronic Systems: Consider using electronic Form I-9 systems to streamline the process and reduce the risk of errors. Electronic systems can help track deadlines, flag missing information, and securely store completed forms for easy access during audits.
  • Stay Informed: Stay up to date with changes to Form I-9 regulations and requirements. Regularly review guidance from the U.S. Citizenship and Immigration Services (USCIS) to ensure compliance with the latest standards.


In conclusion, Form I-9 compliance is a critical aspect of running a healthcare organization effectively. By addressing common challenges, staying informed about regulations, and implementing robust compliance strategies, healthcare institutions can minimize risks and focus on their primary mission of providing quality care to patients.


Get in touch with GryphonHR to discover how our tailored solutions can assist healthcare systems and providers in overcoming Form I-9 and E-Verify compliance challenges. Our services streamline and expedite tedious processes, simplifying the entire procedure for you, while helping to ensure compliance with employment eligibility requirements.


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Authored By: GryphonHR Blog Contributor


GryphonHR blog contributors include , consultants, researchers, and other subject-matter experts who’ve written content for our blog.

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