EIN: 581437980
UEI: JKK2JK6RC3N3
Data as of August 19, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 11, 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 September 11, 2026 (22 days from today).
What is a management decision? →During our review of siding fee discounts, we noted the Center is not properly documenting eligibility for participation in the sliding fee program. We noted the majority of samples we selected for testing; the sliding fee discounts applied were not properly calculated. Due to the errors in the calculation for the discounts, the discounts are either over or under applied to the patient’s bill and management was not able to prevent or detect and correct the discounts on a timely basis. The amount of known questioned costs is $369 and likely questioned costs is $106,486.
We have reviewed the sliding fee calculations calculated by the system and have implemented internal control procedures to ensure the discount fees are calculated and applied correctly. Implementation date: June 16, 2025
During our review of activities allowed and allowable costs, we noted the Center did not retain certain documentation related to disbursements made. In addition, the Center was also not able to provide documentation related to supporting the approvals on the disbursement prior to the disbursement being made.
We have implemented internal controls to ensure disbursements are properly reviewed and approved and all documentation and are retained on file based on the Center’s documentation retention policy. Implementation date: June 16, 2025
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on August 20, 2023. 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 20, 2024, which was (912 days ago).
What is a management decision? →Finding 2022-001 Compliance Requirement: PROCUREMENT AND SUSPENSION AND DEBARMENT Major Program: CFDA 93.224, Health Center Program Federal Agency: U.S. Department of Health and Human Services Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Category: Procurement, Conflict of Interest Questioned Costs: N/A Status: Corrective action implemented/resolved June 13, 2022 Condition: The Organization has lease commitments under three leases with a related party, a real estate company managed by a Board member of the Organization, in which $190,482 was paid for the year ended June 30, 2022 and two leases with another related party, CEO of the Organization, in which $39,000 was paid during the year ended June 30, 2022. Criteria: The Organization is required to ensure activities, relationships, and financial interests are proper and in accordance with the Organization?s procurement policies and the Organization?s conflict of interest policy pursuant to 34 C.F.R. ? 75.112. Cause: Management did not properly follow the Organization?s procurement and conflict of interest policies in the approval of lease agreements. Effect or Potential Effect: Failure to maintain compliance with Organization procurement and conflict of interest policies may result in the Organization?s ability to detect and prevent misstatements within the Organization?s financial statements. Failure to maintain compliance with Health Resources & Services Administration (?HRSA?) requirements may lead to adverse administrative action which may include reimbursement of grant funds, penalties, suspension or termination of the eligibility of the Organization?s Federally Qualified Health Center (?FQHC?). Recommendations: The Organization should implement procedures to ensure Board approval of all procurement contracts for leases in accordance with Organization procurement and conflict of interest policies pursuant to HRSA guidelines and regulations. The Organization should provide notification to HRSA concerning these conditions and corrective action taken. View of Responsible Officials and Corrective Action Plan: Management agrees with the finding and believes these leases were executed in the best interest of the Organization, specifically, due to the lease fee being at the low end of market value for financial benefit to the Organization. The Organization will ensure that the annual conflict of interest disclosure form is completed by all employees and Board members and any actual or perceived conflicts of interest shall be addressed by the Board. All lease agreements will be approved through the competitive bids process, per the Organization?s procurement policy. Any Board member or officer of the Organization with an actual or perceived conflict of interest will remove themselves from any discussions concerning proposed transaction or arrangement discussions and refrain from voting on any associated matters. On June 13, 2022, management implemented these corrective action procedures and submitted notification to HRSA in accordance with HRSA regulations.
Finding Number: 2022-001 CFDA Number: 93.224, Health Center Program Federal Agency: U.S. Department of Health and Human Services Questioned Cost: N/A Responsible Persons, Title: Chaiwon Kim, CEO Keun Kim, Chief Compliance Officer Corrective Action Implementation/Resolution Date: June 13, 2022 The Organization implemented corrective action procedures to ensure that the annual conflict of interest disclosure form is completed by all employees and Board members and any actual or perceived conflicts of interest shall be addressed by the Board. All lease agreements will be approved through the competitive bids process, per the Organization?s procurement policy. Any Board member or officer of the Organization with an actual or perceived conflict of interest will remove themselves from any discussions concerning proposed transaction or arrangement discussions and refrain from voting on any associated matters. On June 13, 2022, management implemented these corrective action procedures and submitted notification to HRSA in accordance with HRSA regulations.
2021-002
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on July 10, 2022. 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 January 10, 2023, which was (1318 days ago).
What is a management decision? →Compliance Requirement: PROCUREMENT AND SUSPENSION AND DEBARMENT Major Program: CFDA 93.224, Health Center Program Cluster Federal Agency: U.S. Department of Health and Human Services Internal Control Impact: Significant Deficiency Compliance Impact: Nonmaterial Noncompliance Category: Conflict of Interest Questioned Costs: $143,520 Condition: The Organization has lease commitments under two leases with a related party, a real estate company managed by a Board member of the Organization, in which $143,520 was paid for the year ended June 30, 2021. In addition a third related party lease was entered subsequent to the year ended June 30, 2021 with this related party. Criteria: The Organization is required to establish and maintain a conflict of interest policy pursuant to 34 C.F.R. ? 75.112; and ensure activities, relationships, and financial interests are proper and in accordance with these policies. Cause: Management did not properly follow the Organization?s procurement and conflict of interest policies in the approval of lease agreements. Effect or Potential Effect: Failure to maintain compliance with Health Resources & Services Administration (?HRSA?) requirements may lead to adverse administrative action which may include reimbursement of grant funds, penalties, suspension or termination of the eligibility of the Organization?s Federally Qualified Health Center (?FQHC?). Recommendations: The Organization should implement procedures to ensure Board approval of all procurement contracts for leases in accordance with Organization procurement and conflict of interest policies pursuant to HRSA guidelines and regulations. The Organization should provide notification to HRSA concerning these conditions and corrective action taken. View of Responsible Officials and Corrective Action Plan: Management agrees with the finding and believes these leases were executed in the best interest of the Organization, specifically, due to the management fee being at the low end of market value for financial benefit to the Organization and due to all properties for HRSA programs under the lease commitments having been earmarked for donation to the Organization by the CEO. The Organization will ensure that the annual conflict of interest disclosure form is completed by all employees and any actual or perceived conflicts of interest shall be addressed by the Board. All lease agreements will be approved through the competitive bids process, per the Organization?s procurement policy. Any Board member or officer of the Organization with an actual or perceived conflict of interest will remove themselves from any discussions concerning proposed transaction or arrangement discussions and refrain from voting on any associated matters. Management has submitted notification to HRSA concerning these conflicts of interest in accordance with HRSA regulations.
CFDA Number: 93.224 Federal Agency: U.S. Department of Health and Human Services Responsible Person, Title: Keun Kim, Chief Compliance Officer Questioned Cost: $143,520 Anticipated Completion Date: June 30, 2022 The Organization will ensure that the annual conflict of interest disclosure form is completed by all employees and any actual or perceived conflicts of interest shall be addressed by the Board. All lease agreements will be approved through the competitive bids process, per the Organization?s procurement policy. Any Board member or officer of the Organization with an actual or perceived conflict of interest will remove themselves from any discussions concerning proposed transaction or arrangement discussions and refrain from voting on any associated matters. Management has submitted notification to HRSA concerning these conflicts of interest in accordance with HRSA regulations.
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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