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Wood River Health Services, Inc.Non-Profit

EIN: 050378071

UEI: E3X5VL8TLM53

Audited by: CohnReznick LLP

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

View federal awards & risk assessment →

Data as of September 2, 2026

Wood River Health Services, Inc.10 audit years4 findings2 repeat
10
Audit Years
4
Total Findings
2
Repeat Findings
$2.6M
Federal Awards Expended (FY 2025)

FY 2025-06-30

$2,624,882 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on December 26, 2025. 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 June 26, 2026 (70 days ago).

What is a management decision? →

FY 2024-06-30

LOW-RISK AUDITEE$2,770,135 federal awards expendedNo findings recorded this year

FAC accepted this audit on May 30, 2025 — management decision was due November 30, 2025.

FY 2023-06-30

$4,944,616 federal awards expended

FAC accepted this audit on January 19, 2024 — management decision was due July 19, 2024.

2023-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCYREPEAT OF 2022-001OTHER MATTERS

Finding 2023-001: Special Tests and Provisions - Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: COVID - 19 - Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID - 19 - Grants for New and Expanded Services under the Health Center Program, Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined based on the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the necessary documentation to support the patient's income and family size in order to determine the sliding fee discount. Context A test of 40 sliding fee discount transactions was performed and resulted in two instances where the Center could not provide the necessary forms to support patient income and family size. Our sample was a statistically valid sample. Questioned Costs None. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discount was calculated and applied based on the Center's sliding fee discount policy. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Wood River Health Services, Inc. Schedule of Findings and Questioned Costs Year Ended June 30, 2023 41 Identification of Repeat Finding Yes - See finding 2022-001 Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated based on patient provided forms. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.

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Full finding narrative

Finding 2023-001: Special Tests and Provisions - Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: COVID - 19 - Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID - 19 - Grants for New and Expanded Services under the Health Center Program, Grants for New and Expanded Services under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Criteria Health centers are required to have a corresponding schedule of discounts applied and adjusted on the basis of patients' ability to pay and their eligibility. A patient's eligibility to pay is determined based on the official poverty guideline, as revised by DHHS (42 CFR Sections 51c, 107(b)(5), 56.108(b)(5) and 56.303(f)). The Center should be implementing and monitoring procedures to properly determine, calculate and review sliding fee discounts issued to patients in accordance with the Center's sliding fee scale. Condition The Center did not always have the necessary documentation to support the patient's income and family size in order to determine the sliding fee discount. Context A test of 40 sliding fee discount transactions was performed and resulted in two instances where the Center could not provide the necessary forms to support patient income and family size. Our sample was a statistically valid sample. Questioned Costs None. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discount was calculated and applied based on the Center's sliding fee discount policy. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Wood River Health Services, Inc. Schedule of Findings and Questioned Costs Year Ended June 30, 2023 41 Identification of Repeat Finding Yes - See finding 2022-001 Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated based on patient provided forms. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.

Corrective Action Plan

November 27, 2023 United States Department of Health and Human Services Wood River Health Services, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2023. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: June 30, 2023 The findings from the June 30, 2023 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS SIGNIFICANT DEFICIENCY 2023.001 – Sliding Fee Scale Documentation Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly documented. Action Taken Wood River Health Services is committed to documenting the sliding fee discounts being applied. Actions we are taking: Re-education of the Sliding Fee Discount Schedule (SFDS) documentation process to all personnel in the Community Resources Area Create review cheat sheets for SFDS including the documentation needed for decision making Review of Community Resource approvals If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please contact Alison Croke acroke@wrhsri.org. Sincerely yours, Alison Croke, MHA President and Chief Executive Officer

Prior Finding References

2022-001

About Special Tests and Provisions →

FY 2022-06-30

$4,069,000 federal awards expended

FAC accepted this audit on December 4, 2022 — management decision was due June 4, 2023.

2022-001
Special Tests & Provisions
SIGNIFICANT DEFICIENCYOTHER MATTERS

Finding 2022.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Criteria In accordance with the Uniform Guidance, the Center must prepare and apply a sliding fee discount policy and schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on a patient's poverty level, which is determined by the patient's income and family size. Condition The Center did not always calculate the correct sliding fee discount based on the sliding fee discount policy and the patient's income and family size. Context A test of 25 sliding fee discount transactions was performed and resulted in one instance where the Center calculated the incorrect sliding fee discount. Our sample was a statistically valid sample. Questioned Costs None. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discount was calculated and applied based on the Center's sliding fee discount policy. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Identification of Repeat Finding No. Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.

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Full finding narrative

Finding 2022.001: Sliding Fee Scale Documentation Grantor: U.S. Department of Health and Human Services Federal Program Names: Health Center Program Cluster: Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services Under the Health Center Program Federal Assistance Listing Numbers: 93.224 and 93.527 Criteria In accordance with the Uniform Guidance, the Center must prepare and apply a sliding fee discount policy and schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on a patient's poverty level, which is determined by the patient's income and family size. Condition The Center did not always calculate the correct sliding fee discount based on the sliding fee discount policy and the patient's income and family size. Context A test of 25 sliding fee discount transactions was performed and resulted in one instance where the Center calculated the incorrect sliding fee discount. Our sample was a statistically valid sample. Questioned Costs None. Cause The Center did not have adequate internal controls in place to effectively ensure that the proper sliding fee discount was calculated and applied based on the Center's sliding fee discount policy. Effect The Center did not comply with the appropriate rules and regulations as per the Uniform Guidance. Identification of Repeat Finding No. Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated. Views of Responsible Officials and Planned Corrective Actions Management agrees with the audit finding and will strengthen internal controls and accountability to correct the deficiency.

Corrective Action Plan

CORRECTIVE ACTION PLAN November 9, 2022 United States Department of Health and Human Services Wood River Health Services, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2022. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: June 30, 2022 The findings from the June 30, 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS SIGNIFICANT DEFICIENCY 2022.001 ? Sliding Fee Scale Discount Recommendation The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated. Action Taken Wood River Health Services is committed to applying the sliding fee discounts appropriately. Actions we are taking: ? Re-education of the Sliding Fee Discount Schedule (SFDS) to all personnel in the front desk area ? Create Front Desk cheat sheets for SFDS and collection of fees ? Review of Community Resource approvals if a slide is revised during a cycle If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please contact Alison Croke acroke@wrhsri.org. ? Sincerely yours, Alison Croke, MHA President and Chief Executive Officer 823

About Special Tests and Provisions →

FY 2021-06-30

$3,032,467 federal awards expended

FAC accepted this audit on January 30, 2022 — management decision was due July 30, 2022.

2021-001
Cost Allowability
MATERIAL WEAKNESSREPEAT OF 2020-001OTHER MATTERS

As of June 30, 2021, we noted various general ledger accounts that were not properly reconciled to the subsidiary ledgers, journals, or schedules. In some cases, reconciliations were performed but variances were not specifically identified. The accounts affected included Federal accounts receivable and revenue, pharmacy revenue accounts receivable and revenue, PPS accounts receivable and revenue and net assets with donor restrictions and related revenue. Cause: The Health Center experienced turnover in the accounting department during fiscal year 2021, and in response, hired a consulting firm to handle a portion of the accounting function late in the fiscal year. As a result of this gap in adequate staffing, material errors were discovered in the revenue, accounts receivable and net assets with donor restriction accounts during the audit. Effect: Unreconciled variances in various revenue and accounts receivable accounts and net assets with donor restrictions and related revenue, caused misstatements in interim financial statements and required journal entries during the audit process. Questioned Costs: There were no questioned costs as a result of the material weakness. Repeated Finding: Yes, of 2020-001 Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Management Response: After the completion of FY2020, Wood River Health Services (?WRHS?, ?we?, ?our?) began to aggressively address the material weakness of our internal controls by contracting with CliftonLarsonAllen (CLA), the 8th largest accountancy firm in the United States. CLA covers our outsourcing accounting needs. The contract began March 2021. WRHS is taking immediate steps to address the General Ledger Management: 1. Reconciliation of significant trial balance accounts on a monthly basis 2. External process review of program revenue cycle, focusing on: a. Proper/consistent provider coding (CPT and ICD-10) b. Effective billing processes from our EHR to the claims sent to the MCO?s c. Appropriate posting and follow up processes 3. View into our 340b program a. Maximize our revenue potential b. Ensure completeness of our prescriptions written with the 340b pharmacy c. Account for revenue and cost reported on the trial balance 4. Develop a monthly calendar based `Work-Day? schedule for financial checklist/punch list: a. Review account rollforwards on a monthly basis b. Reconcile trial balance accounts, including subsidiary ledgers (Paychex Quarterly) and 340b c. Reviewing F/S with WRHS Management Team d. Include grant supporting schedules on a monthly basis e. Develop monthly reporting for our Capital Campaign Monthly reporting will be developed to ensure the Board of Directors, through the Finance Committee, are monitoring and aware of our progress with corrective action plan. We believe these actions will prevent future weaknesses and enable WRHS to have better controls over our financial statements.

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Full finding narrative

Material Weakness General Ledger Maintenance Information on the Federal Program: The material weakness in internal control relates to Federal funds received from the U.S. Department of Health and Human Services, grant number H80CS00059 for fiscal year 2021, under the Health Center Program Cluster assistance listing numbers 93.224 and 93.527 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) and Grants for New and Expanded Services under the Health Center Program. Criteria: The material weakness relates to internal control over compliance with allowable costs and costs principles requirements. Condition: As of June 30, 2021, we noted various general ledger accounts that were not properly reconciled to the subsidiary ledgers, journals, or schedules. In some cases, reconciliations were performed but variances were not specifically identified. The accounts affected included Federal accounts receivable and revenue, pharmacy revenue accounts receivable and revenue, PPS accounts receivable and revenue and net assets with donor restrictions and related revenue. Cause: The Health Center experienced turnover in the accounting department during fiscal year 2021, and in response, hired a consulting firm to handle a portion of the accounting function late in the fiscal year. As a result of this gap in adequate staffing, material errors were discovered in the revenue, accounts receivable and net assets with donor restriction accounts during the audit. Effect: Unreconciled variances in various revenue and accounts receivable accounts and net assets with donor restrictions and related revenue, caused misstatements in interim financial statements and required journal entries during the audit process. Questioned Costs: There were no questioned costs as a result of the material weakness. Repeated Finding: Yes, of 2020-001 Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Management Response: After the completion of FY2020, Wood River Health Services (?WRHS?, ?we?, ?our?) began to aggressively address the material weakness of our internal controls by contracting with CliftonLarsonAllen (CLA), the 8th largest accountancy firm in the United States. CLA covers our outsourcing accounting needs. The contract began March 2021. WRHS is taking immediate steps to address the General Ledger Management: 1. Reconciliation of significant trial balance accounts on a monthly basis 2. External process review of program revenue cycle, focusing on: a. Proper/consistent provider coding (CPT and ICD-10) b. Effective billing processes from our EHR to the claims sent to the MCO?s c. Appropriate posting and follow up processes 3. View into our 340b program a. Maximize our revenue potential b. Ensure completeness of our prescriptions written with the 340b pharmacy c. Account for revenue and cost reported on the trial balance 4. Develop a monthly calendar based `Work-Day? schedule for financial checklist/punch list: a. Review account rollforwards on a monthly basis b. Reconcile trial balance accounts, including subsidiary ledgers (Paychex Quarterly) and 340b c. Reviewing F/S with WRHS Management Team d. Include grant supporting schedules on a monthly basis e. Develop monthly reporting for our Capital Campaign Monthly reporting will be developed to ensure the Board of Directors, through the Finance Committee, are monitoring and aware of our progress with corrective action plan. We believe these actions will prevent future weaknesses and enable WRHS to have better controls over our financial statements.

Corrective Action Plan

CORRECTIVE ACTION PLAN November 29, 2021 Cognizant or Oversight Agency for Audit Wood River Health Services, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2021. Name and address of independent public accounting firm: AAFCPAs 50 Washington Street Westborough, MA 01581 Audit period: July 1, 2020 ? June 30, 2021 The findings from the November 29, 2021 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS - FINANCIAL STATEMENT AUDIT FINDINGS MATERIAL WEAKNESS 2021-001 General Ledger Maintenance Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Action Taken: After the completion of the FY2020, Wood River Health Services (?WRHS?, ?we?, ?our?) began to aggressively address the material weakness of our internal controls by contracting with CliftonLarsonAllen (CLA), the 8th largest accountancy firm in the United States. CLA covers our outsourcing accounting needs. The contract began March 2021. WRHS is taking immediate steps to address the General Ledger Management: 1. Reconciliation of significant Trial Balance accounts on a monthly basis 2. External process review of program revenue cycle, focusing on: a. Proper/consistent provider coding (CPT and ICD-10) b. Effective billing processes from our EHR to the claims sent to the MCO?s c. Appropriate posting and follow up processes. 3. View into our 340b program a. Maximize our revenue potential b. Ensure completeness of our prescriptions written with the 340b pharmacy c. Account for revenue and cost reported on the Trial balance 4. Develop a monthly calendar based `Work-Day? schedule for financial checklist/punch list: a. Review account rollforwards on a monthly basis b. Reconcile Trial Balance accounts, including subsidiary ledgers (Paychex Quarterly) and 340b c. Reviewing F/S with WRHS Management Team d. Include Grant supporting schedules on a monthly basis e. Develop monthly reporting for our Capital Campaign Monthly reporting will be developed to ensure the Board of Directors through the Finance Committee are monitoring and aware of our progress with corrective action plan. We believe these actions will prevent future weaknesses and enable WRHS to have better controls over our financial statements. Management expects to have the above completed by February 28, 2022. FINDINGS-FEDERAL AWARD PROGRAMS AUDITS MATERIAL WEAKNESS DEPARTMENT OF HEALTH AND HUMAN SERVICES 2021-001 Federal Program Identification: Health Center Program Cluster: CFDA 93.224/93.527 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) and Grants for New and Expanded Services under the Health Center Program. Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Action Taken: After the completion of the FY2020, Wood River Health Services (?WRHS?, ?we?, ?our?) began to aggressively address the material weakness of our internal controls by contracting with CliftonLarsonAllen (CLA), the 8th largest accountancy firm in the United States. CLA covers our outsourcing accounting needs. The contract began March 2021. WRHS is taking immediate steps to address the General Ledger Management: 1. Reconciliation of significant Trial Balance accounts on a monthly basis 2. External process review of program revenue cycle, focusing on: a. Proper/consistent provider coding (CPT and ICD-10) b. Effective billing processes from our EHR to the claims sent to the MCO?s c. Appropriate posting and follow up processes. 3. View into our 340b program a. Maximize our revenue potential b. Ensure completeness of our prescriptions written with the 340b pharmacy c. Account for revenue and cost reported on the Trial balance 4. Develop a monthly calendar based `Work-Day? schedule for financial checklist/punch list: a. Review account rollforwards on a monthly basis b. Reconcile Trial Balance accounts, including subsidiary ledgers (Paychex Quarterly) and 340b c. Reviewing F/S with WRHS Management Team d. Include Grant supporting schedules on a monthly basis e. Develop monthly reporting for our Capital Campaign Monthly reporting will be developed to ensure the Board of Directors through the Finance Committee are monitoring and aware of our progress with corrective action plan. We believe these actions will prevent future weaknesses and enable WRHS to have better controls over our financial statements. Management expects to have the above completed by February 28, 2022. If the Department of Health and Human Services has questions regarding this plan, please call Alison Croke at 401-387-9648.

Prior Finding References

2020-001

About Allowable Costs / Cost Principles →

FY 2020-06-30

LOW-RISK AUDITEE$2,559,831 federal awards expended

FAC accepted this audit on March 3, 2021 — management decision was due September 3, 2021.

2020-001
Cost Allowability
MATERIAL WEAKNESSOTHER MATTERS

As of June 30, 2020, we noted various general ledger accounts that were not properly reconciled to the subsidiary ledgers, journals, or schedules. In some cases, reconciliations were performed but variances were not specifically identified. The accounts affected included payroll accruals and related expense, accounts receivable, net assets with donor restrictions and revenue. Cause: The Health Center experienced a full turnover in the accounting department during fiscal year 2020, which led to accounts not being fully reviewed in the level of detail needed. In addition, the Chief Financial Officer left accounts with unidentified variances for numerous months, resulting in backlog of corrections during the audit. Effect: Unreconciled variances in accrued payroll and accrued vacation and accounts receivable and net assets with donor restrictions and related revenue, caused misstatements in interim financial statements and required journal entries during the audit process. Questioned Costs: There were no questioned costs as a result of the material weakness. Repeated Finding: No Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Management should also perform a year end close through the general ledger software to properly close out the fiscal year.

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Full finding narrative

General Ledger Maintenance Information on the Federal Program: The material weakness in internal control relates to the Federal program of the Health Center Program Cluster CFDA 93.224/93.527 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) and Grants for New and Expanded Services under the Health Center Program. Criteria: The material weakness relates to internal control over compliance with allowable costs and costs principles requirements. Condition: As of June 30, 2020, we noted various general ledger accounts that were not properly reconciled to the subsidiary ledgers, journals, or schedules. In some cases, reconciliations were performed but variances were not specifically identified. The accounts affected included payroll accruals and related expense, accounts receivable, net assets with donor restrictions and revenue. Cause: The Health Center experienced a full turnover in the accounting department during fiscal year 2020, which led to accounts not being fully reviewed in the level of detail needed. In addition, the Chief Financial Officer left accounts with unidentified variances for numerous months, resulting in backlog of corrections during the audit. Effect: Unreconciled variances in accrued payroll and accrued vacation and accounts receivable and net assets with donor restrictions and related revenue, caused misstatements in interim financial statements and required journal entries during the audit process. Questioned Costs: There were no questioned costs as a result of the material weakness. Repeated Finding: No Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Management should also perform a year end close through the general ledger software to properly close out the fiscal year.

Corrective Action Plan

Wood River Health Services, Inc. respectfully submits the following corrective action plan for the year ended June 30, 2020. Name and address of independent public accounting firm: AAFCPAs 50 Washington Street Westborough, MA 01581 Audit period: July 1, 2019 ? June 30, 2020 The findings from the November 4, 2020 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS - FINANCIAL STATEMENT AUDIT FINDINGS MATERIAL WEAKNESS 2020-001 General Ledger Maintenance Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Management should also perform a year end close through the general ledger software to properly close out the fiscal year. Action Taken: Wood River Health Services (?WRHS?, ?ours?, ?we?) is taking immediate steps to address the General Ledger Maintenance: The proper close of the prior fiscal year in the General Ledger after audit entries are posted and any subsequent month?s entries in a timely manner; Resolve prior prospective payment system liability to Rhode Island Executive Office of Health and Human Services; Develop a monthly calendar based `Work-Day? schedule for financial checklist/punchlist: Posting Entries with peer review, Reconcile Trial Balance accounts, including subsidiary ledgers, Reviewing Financial Statements with WRHS Management Team, Include Grant supporting schedules on a monthly basis Our long-term action plan is to enhance expertise in accounting to ensure the proper timing for matching of revenue and expenses as well as to be able to meet the other needs of WRHS. The development will be either through training or seeking external resources from expert consultants. We believe these actions will prevent future weaknesses and enable WRHS to have better controls over our financial statements. Management expects to have the above completed by February 28, 2021. FINDINGS - FEDERAL AWARD PROGRAMS AUDITS MATERIAL WEAKNESS 2020-001 General Ledger Maintenance DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Program Identification: Health Center Program Cluster: CFDA 93.224/93.527 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) and Grants for New and Expanded Services under the Health Center Program. Recommendation: As part of the financial reporting process, management should properly reconcile and review activity of all accounts as a part of the monthly close process in addition to reassessing the current monthly closing process to aid in accurate financial reporting. Management should also perform a year end close through the general ledger software to properly close out the fiscal year. Action Taken: Wood River Health Services (?WRHS?, ?ours?, ?we?) is taking immediate steps to address the General Ledger Maintenance: The proper close of the prior fiscal year in the General Ledger after audit entries are posted and any subsequent month?s entries in a timely manner; Resolve prior prospective payment system liability to Rhode Island Executive Office of Health and Human Services; Develop a monthly calendar based `Work-Day? schedule for financial checklist/punchlist: Posting Entries with peer review, Reconcile Trial Balance accounts, including subsidiary ledgers, Reviewing Financial Statements with WRHS Management Team, Include Grant supporting schedules on a monthly basis Our long-term action plan is to enhance expertise in accounting to ensure the proper timing for matching of revenue and expenses as well as to be able to meet the other needs of WRHS. The development will be either through training or seeking external resources from expert consultants. We believe these actions will prevent future weaknesses and enable WRHS to have better controls over our financial statements. Management expects to have the above completed by February 28, 2021.

About Allowable Costs / Cost Principles →

FY 2019-06-30

LOW-RISK AUDITEE$2,136,819 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 9, 2020 — management decision was due July 9, 2020.

FY 2018-06-30

LOW-RISK AUDITEE$1,966,769 federal awards expendedNo findings recorded this year

FAC accepted this audit on December 16, 2018 — management decision was due June 16, 2019.

FY 2017-06-30

LOW-RISK AUDITEE$1,991,264 federal awards expendedNo findings recorded this year

FAC accepted this audit on December 5, 2017 — management decision was due June 5, 2018.

FY 2016-06-30

LOW-RISK AUDITEE$2,055,113 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 5, 2017 — management decision was due July 5, 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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