Audit 299772

FY End
2023-06-30
Total Expended
$4.68M
Findings
2
Programs
4
Year: 2023 Accepted: 2024-03-28
Auditor: Forvis LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
387717 2023-002 Material Weakness - ABL
964159 2023-002 Material Weakness - ABL

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $4.38M Yes 1
84.063 Federal Pell Grant Program $229,163 - 0
84.268 Federal Direct Student Loans $61,797 - 0
64.027 Post-9/11 Veterans Educational Assistance $3,926 - 0

Contacts

Name Title Type
WC1HPCYZ89P3 Alisa Rucker Auditee
7242233004 David Taylor Auditor
No contacts on file

Notes to SEFA

Title: Note 1:        Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Washington Health Care Services, Inc. and Affiliates has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award activity of Washington Health Care Services, Inc. and Affiliates under programs of the federal government for the year ended June 30, 2023. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the Health System, it is not intended to and does not present the consolidated financial position, results of operations, changes in net assets, or cash flows of the Health System.
Title: Note 2:        Summary of Significant Accounting Policies Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Washington Health Care Services, Inc. and Affiliates has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years.
Title: Note 3:        Indirect Cost Rate Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Washington Health Care Services, Inc. and Affiliates has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Washington Health Care Services, Inc. and Affiliates has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance.
Title: Note 4:        Federal Loan Programs Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Washington Health Care Services, Inc. and Affiliates has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Washington Health Care Services, Inc. and Affiliates did not have any federal loan programs during the year ended June 30, 2023.
Title: Note 5:        Personal Protective Equipment (PPE) (Unaudited) Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: N Rate Explanation: Washington Health Care Services, Inc. and Affiliates has elected not to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. Washington Health Care Services, Inc. and Affiliates did not receive any federally donated Personal Protective Equipment (PPE) during the year ended June 30, 2023.

Finding Details

COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement – Reporting (45 CFR 75.42) and Activities Allowed/Unallowed and Allowable Costs/Cost Principles (Pub. L No 116-136, 134 Stat. 563 and Pub L. No 116-139, 134 Stat. 622 and 623 ) Condition – The Health System elected Option i to report lost revenues to the U.S. Department of Health and Human Services (DHHS) for reporting Provider Relief Funds for Period 4. Under Option i, lost revenues are determined to be the difference between 2019 actual patient service revenue and current year actual patient service revenue. The Health System made certain adjustments to patient service revenue similar to Option iii which are not allowed under Option i reporting. Questioned Costs – Unknown. Context –The Provider Relief Fund report for Period 4 was obtained and it was determined that Option i was elected to report lost revenues. The Health System made certain adjustments to patient revenues which were not prescribed under Option i. Effect – The Health System’s reporting of lost revenues to DHHS for Period 4 was not prepared in accordance with the requirements determined by DHHS. In addition, the lost revenues were not properly supported by utilizing Option i. Cause – Management of the Health System did not fully understand the various methods and requirements of each of the three options to determine and report lost revenues. Identification as a Repeat Finding – Not applicable. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure lost revenues are prepared in accordance with the terms and conditions of the Provider Relief Funds. Views of Responsible Officials and Planned Corrective Actions – Management will review any future reporting requirements and revise future reports as necessary. We have researched the applicable reporting requirements and developed a plan to ensure accurate reports are submitted for any future reporting periods as necessary.
COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement – Reporting (45 CFR 75.42) and Activities Allowed/Unallowed and Allowable Costs/Cost Principles (Pub. L No 116-136, 134 Stat. 563 and Pub L. No 116-139, 134 Stat. 622 and 623 ) Condition – The Health System elected Option i to report lost revenues to the U.S. Department of Health and Human Services (DHHS) for reporting Provider Relief Funds for Period 4. Under Option i, lost revenues are determined to be the difference between 2019 actual patient service revenue and current year actual patient service revenue. The Health System made certain adjustments to patient service revenue similar to Option iii which are not allowed under Option i reporting. Questioned Costs – Unknown. Context –The Provider Relief Fund report for Period 4 was obtained and it was determined that Option i was elected to report lost revenues. The Health System made certain adjustments to patient revenues which were not prescribed under Option i. Effect – The Health System’s reporting of lost revenues to DHHS for Period 4 was not prepared in accordance with the requirements determined by DHHS. In addition, the lost revenues were not properly supported by utilizing Option i. Cause – Management of the Health System did not fully understand the various methods and requirements of each of the three options to determine and report lost revenues. Identification as a Repeat Finding – Not applicable. Recommendation: Policies and procedures over federal grant reporting should be modified to ensure lost revenues are prepared in accordance with the terms and conditions of the Provider Relief Funds. Views of Responsible Officials and Planned Corrective Actions – Management will review any future reporting requirements and revise future reports as necessary. We have researched the applicable reporting requirements and developed a plan to ensure accurate reports are submitted for any future reporting periods as necessary.