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Southwest District HealthLocal Government

EIN: 383891552

UEI: FETJC2JYM3W6

Audited by: Zwygart John & Associates

Oversight agency: 10 [Department of Agriculture]

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Data as of September 2, 2026

Southwest District Health6 audit years5 findings1 repeat
6
Audit Years
5
Total Findings
1
Repeat Findings
$10.2M
Federal Awards Expended (FY 2024)

FY 2024-06-30

$10,171,270 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 14, 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 September 14, 2025 (355 days ago).

What is a management decision? →

FY 2023-06-30

UNMODIFIED OPINION, NON-GAAP BASISMATERIAL NONCOMPLIANCE DISCLOSED$9,567,654 federal awards expended

FAC accepted this audit on February 23, 2024 — management decision was due August 23, 2024.

2023-001
Activities Allowed or Unallowed
MODIFIED OPINION

Conditions:There was an individual that recorded home visits to be reimbursed by that State, that did not actually take place. CriteriaAll expenditures allocated to a grant must comply with the cost principles at 45 CFR Part 75, Subpart E, and any other requirements or restrictions on the use of federal funding.Effect or Potential Effect:Due to the overstatement of home visits the District was reimbursed from the State for home visits that did not take place.Recommendations:The District needs to verify that all home visits have actually taken place, before reimbursement is requested.

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Full finding narrative

Conditions:There was an individual that recorded home visits to be reimbursed by that State, that did not actually take place. CriteriaAll expenditures allocated to a grant must comply with the cost principles at 45 CFR Part 75, Subpart E, and any other requirements or restrictions on the use of federal funding.Effect or Potential Effect:Due to the overstatement of home visits the District was reimbursed from the State for home visits that did not take place.Recommendations:The District needs to verify that all home visits have actually taken place, before reimbursement is requested.

Corrective Action Plan

The District discovered fraud during the fiscal year shortly after the incidents had occurred. An individual working for the District recorded making home visits to patients in the Nurse Family Partnership (NFP) program when in fact, the visits were not made nor hade the employee tried to cancel or reschedule the visits with the patients. The incidents of fraud were discovered by the employee's supervisor during a review and follow up with patients assigned to the employee. The issue was immediately reported to the State and billing to the program ceased while an investigation was completed. The State reported the incident to their federal partners and the District has complied in a quick and timely manner with all requests from the State and federal partner. The incidents were also reported to Medicaid because some unverified visits had been billed to Medicaid, and Medicaid was fully reimbursed for all unverified visits. Additionally, the District has put in place additional layers of controls which are above normal industry standards to prevent this type of activity from occurring in the future.

About Activities Allowed or Unallowed →

FY 2022-06-30

NON-GAAP BASIS$17,649,819 federal awards expendedNo findings recorded this year

FAC accepted this audit on April 6, 2023 — management decision was due October 6, 2023.

FY 2020-06-30

NON-GAAP BASIS$7,561,740 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 20, 2021 — management decision was due January 20, 2022.

FY 2019-06-30

NON-GAAP BASIS$16,101,782 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 18, 2021 — management decision was due July 18, 2021.

FY 2017-06-30

NON-GAAP BASIS$18,374,989 federal awards expended

FAC accepted this audit on January 2, 2020 — management decision was due July 2, 2020.

2017-201
Cost Allowability
SIGNIFICANT DEFICIENCYREPEAT OF 2015-101

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2015-101

About Allowable Costs / Cost Principles →
2017-202
Reporting
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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2017-203
Matching, Level of Effort, Earmarking
SIGNIFICANT DEFICIENCYQUESTIONED COSTS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Matching, Level of Effort, Earmarking →
2017-204
Cost Allowability
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

About Allowable Costs / Cost Principles →

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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