FAC Explorer

Audit 414267

FY End
2025-12-31
Total Expended
$5.80M
Findings
1
Programs
6
Organization: Regional Health Care Clinic, Inc. D/b/a Katy Trail Community Health (MO)
Year: 2025 Accepted: 2026-09-30
Auditor: ANDERS MINKLER HUBER & HELM LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
1239534 2025-002 Material Weakness Yes N

Programs

ALN Program Spent Major Findings
93.800 ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREENING $515,953 Yes 0
93.778 GRANTS TO STATES FOR MEDICAID $251,666 Yes 0
93.224 HEALTH CENTER PROGRAM $169,430 Yes 0
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $72,959 Yes 0
93.436 WELL-INTEGRATED SCREENING AND EVALUATION FOR WOMEN ACROSS THE NATION (WISEWOMAN) $35,539 Yes 0
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $33,642 Yes 0

Contacts

Name Title Type
WSN8KLTNWVN5 Michelle Hendricks Auditee
6603100816 Jon Waitukaitis Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the "Schedule") includes the federal grant activity of Regional Health Care Clinic, Inc. d/b/a Katy Trail Community Health (a not-for-profit organization) (the "Organization") under programs of the federal government for the year ended December 31, 2025. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of operations of the Organization, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Organization.
The Organization had no federal insurance programs in effect and no loan or loan guarantee programs outstanding during the year ended December 31, 2025.
Federal awards included in the accompanying schedule of expenditures of federal awards are reported as grant revenue in the Organization's consolidated statements of operations and changes in net assets.

Finding Details

Finding 2025-002
Conditions: Patients were given inappropriate sliding scale fee adjustments based on supporting sliding scale fee calculation documentation in accordance with the Organization's policy. Criteria: Out of 3,804 patients who received sliding scale fee adjustments, a sample of 40 patients who received sliding fee adjustments were tested. One patient was billed an inappropriate amount based on the Organization's sliding scale fee adjustment. Cause: Organization personnel recorded inputs to the sliding scale fee calculation, such as family size or annual household income, incorrectly in the medical billing software. Effect: Improper sliding fee adjustments were given. Recommendation: Management should ensure personnel understand the sliding fee policy and adhere to the requirements and guidelines set forth in the policy. Because the policy affects program income, procedures should be implemented to ensure that all patients are billed the appropriate amount based on the sliding fee scale and only individuals who qualify under the policy guidelines receive sliding scale fee adjustments.