Finding 1240223 (2026-001)

Material Weakness Repeat Finding

Requirement

Questioned Costs

Year

2026

Accepted

2026-10-09

Audit: 414820

Organization: Green River Medical Center, Inc. (UT)

Auditor: HAFEN BUCKNER EVERETT AND GRAFF PC

AI Summary

Issue: The Clinic's income verification controls were inconsistent, leading to insufficient evidence for patient income in some cases.
Trend: Out of 40 patient encounters reviewed, 1 case had missing or inadequate documentation for income verification.
Follow-up: Review and strengthen income verification processes to ensure all patient income assessments are properly documented.

Finding Text

During the year ended May 31, 2026, 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, one instance was identified in which documentation was insufficient or missing to support the patient’s income and assessed sliding fee.

Corrective Action Plan

Upon Management s review of the finding it was decided that the Chief Operations Officer and the Chief Financial Officer will each audit 10 sliding fee scale patient profiles per month (totaling 20 per month) to determine if necessary documentation has been filed. This practice will help management discover deficiencies in the execution of our sliding fee scale policies and to implement corrective practices accordingly.

Other Findings in this Audit

1240222 2026-001

Material Weakness Repeat

Programs in Audit

ALN	Program Name	Expenditures
93.224	HEALTH CENTER PROGRAM	$1.55M