Audit 324818

FY End
2023-12-31
Total Expended
$2.29M
Findings
2
Programs
21
Organization: Butler County Health Center (MO)
Year: 2023 Accepted: 2024-10-15

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
502748 2023-003 Significant Deficiency - BN
1079190 2023-003 Significant Deficiency - BN

Programs

ALN Program Spent Major Findings
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $484,300 Yes 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $281,708 - 0
93.217 Family Planning Services $167,308 Yes 0
93.917 Hiv Care Formula Grants $117,557 - 0
93.945 Assistance Programs for Chronic Disease Prevention and Control $117,044 - 0
93.940 Hiv Prevention Activities Health Department Based $107,590 - 0
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $99,833 - 0
93.268 Immunization Cooperative Agreements $70,245 - 0
93.991 Preventive Health and Health Services Block Grant $56,512 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $48,221 - 0
93.069 Public Health Emergency Preparedness $46,490 - 0
93.994 Maternal and Child Health Services Block Grant to the States $24,794 - 0
93.767 Children's Health Insurance Program $24,313 - 0
93.778 Medical Assistance Program $21,679 - 0
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $11,853 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $10,993 - 0
93.967 Centers for Disease Control and Prevention Collaboration with Academia to Strengthen Public Health $9,651 - 0
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $3,085 - 0
93.575 Child Care and Development Block Grant $903 - 0
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $812 - 0
10.559 Summer Food Service Program for Children $425 - 0

Contacts

Name Title Type
GL6KJNX3HGY5 Emily Goodin Auditee
5737858478 Anna Luke Auditor
No contacts on file

Notes to SEFA

Title: Note A. Basis of Presentation Accounting Policies: Summary of Significant Accounting Policies - 1) Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. 2) Pass-through entity identifying numbers are presented where available. 3) The Center has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The Center has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of the Butler County Health Center under programs of the federal government for the year ended December 31, 2023. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations, Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of Butler County Health Center, it is not intended to and does not present the financial position, changes in net position, or changes in fund balance of Butler County Health Center. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the basic financial statements.
Title: Note B. Summary of Significant Accounting Policies Accounting Policies: Summary of Significant Accounting Policies - 1) Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. 2) Pass-through entity identifying numbers are presented where available. 3) The Center has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The Center has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. 1) Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. 2) Pass-through entity identifying numbers are presented where available. 3) The Center has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Note C. Vaccine Value Accounting Policies: Summary of Significant Accounting Policies - 1) Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. 2) Pass-through entity identifying numbers are presented where available. 3) The Center has elected to not use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: The Center has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Nonmonetary assistance is reported in the Schedule at fair value of the vaccine received by the Center.

Finding Details

Criteria or Specific Requirement: The Center is responsible for ensuring that internal controls are in place to accurately track and report the vaccine revenue, vaccine expenditures, and vaccine inventory amounts of the Center. Statement of Condition: Internal controls in place at the Center are not adequate to ensure that appropriate reporting and tracking of the vaccine revenue, vaccine expenditures, and vaccine inventory are taking place. Statement of Cause: There were not procedures adequately implemented and followed to ensure that vaccine revenue, vaccine expenditures, and vaccine inventory costs and amounts reported within the financial statements of the Center were accurate. Statement of Effect or Potential Effect: Possible misstatements in the financial statements related to the vaccine revenue, vaccine expenditures, and vaccine inventory could occur and not be prevented or detected in a timely manner. Questioned Costs: None Recommendations: Procedures should be implemented and followed that require a monthly reconciliation of the vaccine revenue received, vaccine expenditures incurred, and the vaccine inventory amount held by the Center. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding, and they will implement the recommended procedures.
Criteria or Specific Requirement: The Center is responsible for ensuring that internal controls are in place to accurately track and report the vaccine revenue, vaccine expenditures, and vaccine inventory amounts of the Center. Statement of Condition: Internal controls in place at the Center are not adequate to ensure that appropriate reporting and tracking of the vaccine revenue, vaccine expenditures, and vaccine inventory are taking place. Statement of Cause: There were not procedures adequately implemented and followed to ensure that vaccine revenue, vaccine expenditures, and vaccine inventory costs and amounts reported within the financial statements of the Center were accurate. Statement of Effect or Potential Effect: Possible misstatements in the financial statements related to the vaccine revenue, vaccine expenditures, and vaccine inventory could occur and not be prevented or detected in a timely manner. Questioned Costs: None Recommendations: Procedures should be implemented and followed that require a monthly reconciliation of the vaccine revenue received, vaccine expenditures incurred, and the vaccine inventory amount held by the Center. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding, and they will implement the recommended procedures.