Audit 364344

FY End
2025-05-31
Total Expended
$1.27M
Findings
4
Programs
6
Year: 2025 Accepted: 2025-08-15

Organization Exclusion Status:

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Contacts

Name Title Type
QL1QNGMQB6S5 Tyler Hunt Auditee
4355643434 Kevin Jones Auditor
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Notes to SEFA

Title: Note A - Basis of Presentation Accounting Policies: (1) 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, if any, shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior year. (2) Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of Federal Awards (the Schedule) includes the federal award activity of Green River Medical Center, Inc. under programs of the federal government for the year ended May 31, 2025. 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 Clinic, it is not intended to, and does not, present the financial position, changes in net assets, or cash flows for the Clinic.
Title: Note B - Summary of Significant Accounting Policies Accounting Policies: (1) 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, if any, shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior year. (2) Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. (1) 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, if any, shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior year. (2) Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Note C - Catalog of Assistance Listing Numbers (ALN) Accounting Policies: (1) 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, if any, shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior year. (2) Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The program titles and assistance listing numbers were obtained from the federal or pass-through grantor or the Federal Assistance Listing at https://beta.sam.gov. When no assistance listing number has been assigned to a program, the two digit federal agency identifier, a period, and the federal contract number were used. When there was no federal contract number, the two-digit agency identifier, a period, and the word “unknown” were used.
Title: Note D - Subrecipients Accounting Policies: (1) 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, if any, shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior year. (2) Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: Green River Medical Center, Inc. has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. Green River Medical Center, Inc. does not pass any Federal Awards to other recipients.

Finding Details

During the year ended May 31, 2025, the Clinic’s controls over income verifications did not consistently result in evidence supporting the patient’s income. In a sample of 40 patient encounters, two instances were identified in which documentation was insufficient or missing to support the patient’s income and assessed sliding fee.
During the year ended May 31, 2025, the Clinic’s controls over income verifications did not consistently result in evidence supporting the patient’s income. In a sample of 40 patient encounters, two instances were identified in which documentation was insufficient or missing to support the patient’s income and assessed sliding fee.
During the year ended May 31, 2025, the Clinic’s controls over income verifications did not consistently result in evidence supporting the patient’s income. In a sample of 40 patient encounters, two instances were identified in which documentation was insufficient or missing to support the patient’s income and assessed sliding fee.
During the year ended May 31, 2025, the Clinic’s controls over income verifications did not consistently result in evidence supporting the patient’s income. In a sample of 40 patient encounters, two instances were identified in which documentation was insufficient or missing to support the patient’s income and assessed sliding fee.