EIN: 481159633
UEI: CRU7P3BVEWD6
Audited by: Swindoll, Janzen, Hawk & Loyd, LLC
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 August 4, 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 February 4, 2027 (155 days from today).
What is a management decision? →FAC accepted this audit on July 30, 2025 — management decision was due January 30, 2026.
FAC accepted this audit on July 31, 2024 — management decision was due January 31, 2025.
FAC accepted this audit on August 6, 2023 — management decision was due February 6, 2024.
FAC accepted this audit on August 25, 2022 — management decision was due February 25, 2023.
FAC accepted this audit on August 8, 2021 — management decision was due February 8, 2022.
FAC accepted this audit on August 9, 2020 — management decision was due February 9, 2021.
Program income based on a client?s ability to pay was not properly calculated based on documentation provided at the time of the visit resulting in the client not receiving a discount that should have been provided. Questioned Costs: None were noted. Context: Out of the 40 client?s files selected for testing, 1 had fees incorrectly calculated based on the provided income support. The sample size was determined based upon guidelines provided by the AICPA which was not a statistically valid sample. Cause: Client income was not properly analyzed for a discount at the time of their appointment. Effect: Clients could be charged the incorrect amount or not have a discount applied. Recommendations: We recommend that GraceMed perform reviews of the client information entered and analyzed within the billing software. Views of Responsible Officials (Unaudited): GraceMed Health Clinic management will continue to train staff on proper procedures for calculating and reviewing income to determine sliding scale eligibility.
Show full finding ▾Hide full finding ▴Finding 2019-001 (Significant Deficiency): CFDA #93.224/93.527: Consolidated Health Centers Cluster, U.S. Department of Health and Human Services, Passed through Health Resources and Services Administration. Criteria: Health centers must have a schedule of fees or payments for the provision of their health services consistent with locally prevailing rates or charges and designed to cover their reasonable costs of operation. Per 42 USC 254(k)(3)(E)(F)(G), they are also required to have a corresponding schedule of discounts applied and adjusted based on the patient?s ability to pay. The patient?s ability to pay is determined based on the official poverty guidelines, per 42 CFR sections 51c.303(e)(f)(g) and 42 CFR sections 56.303(e)(f)(g), as revised annually by HHS. Condition: Program income based on a client?s ability to pay was not properly calculated based on documentation provided at the time of the visit resulting in the client not receiving a discount that should have been provided. Questioned Costs: None were noted. Context: Out of the 40 client?s files selected for testing, 1 had fees incorrectly calculated based on the provided income support. The sample size was determined based upon guidelines provided by the AICPA which was not a statistically valid sample. Cause: Client income was not properly analyzed for a discount at the time of their appointment. Effect: Clients could be charged the incorrect amount or not have a discount applied. Recommendations: We recommend that GraceMed perform reviews of the client information entered and analyzed within the billing software. Views of Responsible Officials (Unaudited): GraceMed Health Clinic management will continue to train staff on proper procedures for calculating and reviewing income to determine sliding scale eligibility.
Corrective Action Plan Year Ended 12/31/2019 Finding Number: 2019-001 Finding: Program income not properly calculated Contact Person: David Wuthnow Planned Corrective Action: 1. Operations, Billing and QA teams will meet to discuss audit findings and current POI guidelines and update them as needed. 2. They will then ensure any updates to the guidelines are also updated in the PSR Manual. 3. QA team and Operations clinic managers will meet and go over updates and implement plans to distribute POI Guidelines to PSR staff. 4. Updated POI Guidelines will then be added to the PSR training Manual and distributed to staff to be referenced by PSRs. 5. Quality team conducted an internal audit the second quarter of the year, to ensure quality of POI process. 6. The results of the audit from the quality team was shared with the Operations clinic managers and they will not be doing further audits to monitor the POI with front desk staff and incorporate that process into yearly reviews for PSRs. Anticipated Completion Date: 10/01/2020 Signature: Venus Lee CEO
FAC accepted this audit on August 4, 2019 — management decision was due February 4, 2020.
FAC accepted this audit on July 30, 2018 — management decision was due January 30, 2019.
FAC accepted this audit on August 21, 2017 — management decision was due February 21, 2018.
GSA_MIGRATION
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Show full finding ▾Hide full finding ▴GSA_MIGRATION
GSA_MIGRATION
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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