SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Federal Agency: U.S. Department of Health and Human Services Program Title: Consolidated Health Centers Assistance Listing Number: 93.224 and 93.527 Award Period: January 1, 2023 to December 31, 2023 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: § 200.320 Methods of procurement to be followed: The non-Federal entity must have and use documented procurement procedures, consistent with the standards of this section and §§ 200.317, 200.318, and 200.319 for any of the approved procurement methods used for the acquisition of property or services required under a Federal award or sub-award. Condition: The Organization did not have documentation of multiple quotes for certain capital purchases as stated under their procurement policy. Questioned costs: None Cause: In certain circumstances the Organization utiliz…

Corrective action: U.S. Department of Health and Human Services Southern Illinois Healthcare Foundation respectfully submits the following corrective action plan for the year ended December 31, 2023. Audit period: January 1, 2023 – December 31, 2023 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS—FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF HEALTH AND HUMAN SERVICES 2023 – 001 Consolidated Health Centers Recommendation: Management should adhere to or revise the Organization’s existing procurement policy and implement a system of processes and internal controls to ensure that the a…

2022-002 PROCUREMENT Federal Agency: U.S. Department of Health and Human Services Program Title: Consolidated Health Centers Assistance Listing Number: 93.224 Award Period: January 1, 2022 to December 31, 2022 Type of Finding: Compliance and Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: ? 200.320 Methods of procurement to be followed: The non-Federal entity must have and use documented procurement procedures, consistent with the standards of this section and ?? 200.317, 200.318, and 200.319 for any of the approved procurement methods used for the acquisition of property or services required under a Federal award or sub-award. Condition: The Organization did not have documentation of multiple quotes for certain capital purchases as stated under their procurement policy. Questioned costs: None Cause: In certain circumstances the Organiza…

Corrective action: U.S. Department of Health and Human Services Southern Illinois Healthcare Foundation (?SIHF?) respectfully submits the following corrective action plan for the year ended December 31, 2022. Audit period: January 1, 2022 ? December 31, 2022 The findings from the schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. FINDINGS?FEDERAL AWARD PROGRAMS AUDITS DEPARTMENT OF HEALTH AND HUMAN SERVICES 2022 ? 002 PROCUREMENT Recommendation: Management should adhere to or revise the Organization?s existing procurement policy and implement a system of processes and internal controls to ensure that the appropria…

2021-001 PROGRAM INCOME REQUIREMENT Federal Agency: U.S. Department of Health and Human Services Program Title: Consolidated Health Centers Assistance Listing Number: 93.224 Award Period: January 1, 2021 to December 31, 2021 Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria or specific requirement: As required by 42 United States Code (USC) Part 254, the Organization must prepare and maintain a schedule of fees or payments for the provision of its services with a discount schedule applied according to the patient?s ability to pay as determined by the US Department of Health and Human Services official poverty guidelines. Condition: For a sample of 60 sliding fee discounts tested, we identified the following: - Four sliding fee discounts were incorrectly applied due to an error in calculating the patient?s income, either due to data entry or judgement er…

Corrective action: Views of responsible officials and planned corrective actions: In 2021 the Organization?s Board of Directors approved a revised Sliding Fee Discount Policy as well as Application, Affidavit, and 2021 FPG Sliding Fee Discount Schedule. These revisions shall assist the Organization in properly implementing the updated slide program. The policies and procedures met all compliance requirements. The Organization will continue to train locations on these policy changes to ensure compliance. In addition, a Sliding Fee Discount Program Operating Procedure Manual and Training Program were implemented. All current and new employees involved in the revenue cycle are required to participate in the train…