EIN: 382679075
UEI: NFZJHM5SV1W7
Audited by: CliftonLarsonAllen LLP
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on February 20, 2026. 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 August 20, 2026 (16 days ago).
What is a management decision? →FAC accepted this audit on February 17, 2025 — management decision was due August 17, 2025.
FAC accepted this audit on February 26, 2024 — management decision was due August 26, 2024.
FAC accepted this audit on February 19, 2023 — management decision was due August 19, 2023.
FAC accepted this audit on March 6, 2022 — management decision was due September 6, 2022.
The organization did not verify that certain vendors were not suspended, debarred or otherwise excluded from or ineligible for participation in Federal programs or activities before entering into transactions with them. Questioned Costs: None. Context: The condition affected five of five parties selected for testing. The Organization did ultimately verify that the contracted parties were not suspended or debarred, however it was after initially contracting with them. Cause: The Organization did not have a suspension and debarment policy or process that complied with 2 CFR part 180. Effect: Ineligible parties could possibly participate in and be reimbursed by a federal program through the Organization. Repeat Finding: No. Recommendation: Management should ensure it has a policy which complies with the Uniform Guidance for determining whether certain parties are suspended or debarred from Federal programs or activities before entering into transactions with them and that staff are trained to follow the established policy. Views of responsible officials: There is no disagreement with the audit finding.
Show full finding ▾Hide full finding ▴Finding 2021-001 ? Suspension and Debarment Federal Agency: U.S. Department of Health and Human Services Federal Program title: Health Centers Cluster Assistance Listing Number: 93.224 and 93.527 Award Period: May 1, 2020 ? April 30, 2021; May 1, 2021 ? April 30, 2022 Type of Finding: Material weakness in internal control over compliance Criteria: Non-Federal entities are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR part 180. The regulations in 2 CFR part 180 restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in Federal assistance programs or activities. Condition: The organization did not verify that certain vendors were not suspended, debarred or otherwise excluded from or ineligible for participation in Federal programs or activities before entering into transactions with them. Questioned Costs: None. Context: The condition affected five of five parties selected for testing. The Organization did ultimately verify that the contracted parties were not suspended or debarred, however it was after initially contracting with them. Cause: The Organization did not have a suspension and debarment policy or process that complied with 2 CFR part 180. Effect: Ineligible parties could possibly participate in and be reimbursed by a federal program through the Organization. Repeat Finding: No. Recommendation: Management should ensure it has a policy which complies with the Uniform Guidance for determining whether certain parties are suspended or debarred from Federal programs or activities before entering into transactions with them and that staff are trained to follow the established policy. Views of responsible officials: There is no disagreement with the audit finding.
Action taken in response to finding: Grace Health documented and verified that no vendors appear on the Sam.gov debarment/ suspension list. Grace Health is updating its procurement policy to include the required debarment/suspension list documentation. Grace Health created a new form and process to ensure that the debarment/suspension list is checked and documented prior to the purchase of any products or services with federal funds.
The Organization assigned one patient an incorrect sliding fee discount based on incorrect family size or income information provided at the time of visit. Questioned Costs: None. Context: The condition affected one of twenty-five encounters selected for testing and resulted in an understatement of patient service revenue. Cause: Intake process assigned the patient the Organization?s highest sliding fee discount at the time of visit due to an oversight. Effect: Applicants assessed are not charged according to the Organization?s sliding fee scale and their ability to pay. Repeat Finding: No. Recommendation: Management should expand its internal audits of patient visits, hold additional trainings for front desk staff, and review and update current sliding fee policies as necessary. Views of responsible officials: There is no disagreement with the audit finding
Show full finding ▾Hide full finding ▴Finding 2021-002 ? Special Provisions Federal Agency: U.S. Department of Health and Human Services Federal program Title: Health Centers Cluster Assistance Listing Number: 93.224 and 93.527 Award Period: May 1, 2020 ? April 30, 2021; May 1, 2021 ? April 30, 2022 Type of Finding: Compliance and significant deficiency in internal control over compliance Criteria: Health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. (42 USC 254(k)(3)(E), (F), and (G); 42 CFR Sections 51c.303(e), (f), and (g); and 42 CFR Sections 56.303(e), (f), and (g)). Condition: The Organization assigned one patient an incorrect sliding fee discount based on incorrect family size or income information provided at the time of visit. Questioned Costs: None. Context: The condition affected one of twenty-five encounters selected for testing and resulted in an understatement of patient service revenue. Cause: Intake process assigned the patient the Organization?s highest sliding fee discount at the time of visit due to an oversight. Effect: Applicants assessed are not charged according to the Organization?s sliding fee scale and their ability to pay. Repeat Finding: No. Recommendation: Management should expand its internal audits of patient visits, hold additional trainings for front desk staff, and review and update current sliding fee policies as necessary. Views of responsible officials: There is no disagreement with the audit finding
Action taken in response to finding: Grace Health implemented a system generated internal auditing report. This report is utilized to verify the accuracy of a patient selected for sliding fee category. If the report identifies a discrepancy, it is corrected in a timely manner by the billing department staff.
FAC accepted this audit on August 1, 2021 — management decision was due February 1, 2022.
FAC accepted this audit on February 26, 2020 — management decision was due August 26, 2020.
FAC accepted this audit on February 13, 2019 — management decision was due August 13, 2019.
FAC accepted this audit on February 13, 2018 — management decision was due August 13, 2018.
FAC accepted this audit on March 1, 2017 — management decision was due September 1, 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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