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Roosevelt County Special Hospital DistrictNon-Profit

EIN: 850458844

UEI: R3GXYCKEMHD3

Audited by: CLIFTONLARSONALLEN LLP

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

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Data as of September 2, 2026

Roosevelt County Special Hospital District3 audit years1 findings
3
Audit Years
1
Total Findings
0
Repeat Findings
$1.3M
Federal Awards Expended (FY 2023)

FY 2023-06-30

GOING CONCERN$1,285,615 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on January 17, 2024. 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 July 17, 2024 (782 days ago).

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FY 2022-06-30

$5,620,168 federal awards expendedNo findings recorded this year

FAC accepted this audit on December 15, 2022 — management decision was due June 15, 2023.

FY 2021-06-30

$4,781,406 federal awards expended

FAC accepted this audit on March 21, 2022 — management decision was due September 21, 2022.

2021-002
Special Tests & Provisions
MATERIAL WEAKNESSMODIFIED OPINION

2021-002 Billing Patients with Presumptive or Actual Case of COVID-19 Federal Agency Department of Health of Human Services Assistance Listing Number 93.498 ? Provider Relief Fund Criteria [ ] Significant Deficiency [X] Material Weakness [X] Compliance Finding Under the terms and conditions of the award, the recipient certifies it will not seek to collect from any patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider for patients with presumptive or actual case of COVID-19 from January 31, 2020, through the end of the Public Health Emergency. Condition The District has not documented or implemented its policies and procedures to ensure out-of-network patients with presumptive or actual cases of COVID-19 are not billed for out-of-pocket expenses greater than what the patient would have been required to pay if the patient had been provided services by an innetwork provider. Context This finding appears to be a systemic instance. Effect The District is not in compliance with the terms and conditions of the award. Cause The District does not have documented internal controls in place to ensure compliance with the requirements of the program. Recommendation We recommend management formalize and document policies and procedures surrounding the billing of patients with presumptive or actual cases of COVID-19. Views of responsible officials and planned corrective action Management is aware of the compliance requirement and the District plans to formalize a policy to ensure proper billing procedures are followed in fiscal year 2022.

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Full finding narrative

2021-002 Billing Patients with Presumptive or Actual Case of COVID-19 Federal Agency Department of Health of Human Services Assistance Listing Number 93.498 ? Provider Relief Fund Criteria [ ] Significant Deficiency [X] Material Weakness [X] Compliance Finding Under the terms and conditions of the award, the recipient certifies it will not seek to collect from any patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider for patients with presumptive or actual case of COVID-19 from January 31, 2020, through the end of the Public Health Emergency. Condition The District has not documented or implemented its policies and procedures to ensure out-of-network patients with presumptive or actual cases of COVID-19 are not billed for out-of-pocket expenses greater than what the patient would have been required to pay if the patient had been provided services by an innetwork provider. Context This finding appears to be a systemic instance. Effect The District is not in compliance with the terms and conditions of the award. Cause The District does not have documented internal controls in place to ensure compliance with the requirements of the program. Recommendation We recommend management formalize and document policies and procedures surrounding the billing of patients with presumptive or actual cases of COVID-19. Views of responsible officials and planned corrective action Management is aware of the compliance requirement and the District plans to formalize a policy to ensure proper billing procedures are followed in fiscal year 2022.

Corrective Action Plan

Corrective action planned: Management is aware of the compliance requirement and the District plans to formalize a policy to ensure proper billing procedures are followed. Anticipated completion date: March 2022 Contact person responsible for corrective action: Andrea King, CFO

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