Audit 348442

FY End
2024-12-31
Total Expended
$1.37M
Findings
4
Programs
19
Year: 2024 Accepted: 2025-03-26

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
537239 2024-001 Material Weakness - I
537240 2024-001 Material Weakness - I
1113681 2024-001 Material Weakness - I
1113682 2024-001 Material Weakness - I

Programs

ALN Program Spent Major Findings
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $227,238 Yes 1
93.917 Hiv Care Formula Grants $154,712 - 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $111,210 - 0
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $99,010 - 0
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $76,387 Yes 0
93.967 Cdc's Collaboration with Academia to Strengthen Public Health $70,086 - 0
93.940 Hiv Prevention Activities_health Department Based $65,380 - 0
93.069 Public Health Emergency Preparedness $23,071 - 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $16,837 - 0
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $13,701 - 0
93.994 Maternal and Child Health Services Block Grant to the States $8,543 - 0
93.008 Medical Reserve Corps Small Grant Program $8,443 - 0
93.767 Children's Health Insurance Program $6,001 - 0
93.268 Immunization Cooperative Agreements $5,058 - 0
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $1,131 - 0
10.559 Summer Food Service Program for Children $1,050 - 0
93.575 Child Care and Development Block Grant $1,020 - 0
93.778 Medical Assistance Program $838 - 0
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $783 - 0

Contacts

Name Title Type
CNYKV3EEEU39 Autumn Grim, Mph, Cpha Auditee
5733357846 Jeffrey C. Stroder, CPA Auditor
No contacts on file

Notes to SEFA

Title: Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the modified cash 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: Y Rate Explanation: The Center has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. The accompanying Schedule of Expenditures of Federal Awards (the "Schedule") includes the federal award activity of the Cape Girardeau County Public Health Center under programs of the federal government for the year ended December 31, 2024. 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 the Cape Girardeau County Public Helath Center, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Center.
Title: Summary of Significant Accounting Policies Accounting Policies: Expenditures reported on the Schedule are reported on the modified cash 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: Y Rate Explanation: The Center has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. Expenditures reported on the Schedule are reported on the modified cash 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years.
Title: Federal Assurances Accounting Policies: Expenditures reported on the Schedule are reported on the modified cash 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: Y Rate Explanation: The Center has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. The Cape Girardeau County Public Health Center did not have federal insurance in effect during the year or have federal loans or loan guarantees outstanding at year end which are reqired to be reported in accordance with the Uniform Guidance.
Title: Subrecipients Accounting Policies: Expenditures reported on the Schedule are reported on the modified cash 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: Y Rate Explanation: The Center has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. The Center's grant programs involve reimbursement of the Center's actual costs of administering the programs, and therefore, the Center did not provide any funding to other subrecipients.
Title: Indirect Cost Rate Accounting Policies: Expenditures reported on the Schedule are reported on the modified cash 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. De Minimis Rate Used: Y Rate Explanation: The Center has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance. TheCenter has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.

Finding Details

Federal Program: U.S. Department of Health and Human Services passed through Missouri Department of Health and Senior Services: Epidemiology and Laboratory Capacity for Infectious Diseases (#93:323). Criteria: When a sub-recipient of federal awards uses federal money to acquire goods and services expected to cost more than $25,000, the sub-recipient must determine if the vendor is suspended, debarred, or otherwise excluded from doing business with the federal government. Condition: The Center purchased goods from two vendors totaling greater than $25,000 that required the Center to determine the vendor's status with the federal government. The vendors were, in fact, not excluded parties, but that determination was not made prior to making the disbursements. Cause: The Center was unaware of the requirement because most of the Center's grants are for payroll costs and the Center rarely makes a disbursement with grant funds that would exceed $25,000. Effect: The Center did comply with the federal compliance requirements. However, internal controls were such that noncompliance could occur and go undetected. Questioned Costs: None. Context: Actual expenditures of the program were $282,810 during the fiscal year ended December 31, 2024. Repeat Finding: No. Recommendation: We recommend the Center verify a vendor's status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and to keep supporting documentation of the verification of the vendor's status. Views of Responsible Officials: The Center will verify all vendors' status using the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and keep all supporting documentation.
Federal Program: U.S. Department of Health and Human Services passed through Missouri Department of Health and Senior Services: Epidemiology and Laboratory Capacity for Infectious Diseases (#93:323). Criteria: When a sub-recipient of federal awards uses federal money to acquire goods and services expected to cost more than $25,000, the sub-recipient must determine if the vendor is suspended, debarred, or otherwise excluded from doing business with the federal government. Condition: The Center purchased goods from two vendors totaling greater than $25,000 that required the Center to determine the vendor's status with the federal government. The vendors were, in fact, not excluded parties, but that determination was not made prior to making the disbursements. Cause: The Center was unaware of the requirement because most of the Center's grants are for payroll costs and the Center rarely makes a disbursement with grant funds that would exceed $25,000. Effect: The Center did comply with the federal compliance requirements. However, internal controls were such that noncompliance could occur and go undetected. Questioned Costs: None. Context: Actual expenditures of the program were $282,810 during the fiscal year ended December 31, 2024. Repeat Finding: No. Recommendation: We recommend the Center verify a vendor's status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and to keep supporting documentation of the verification of the vendor's status. Views of Responsible Officials: The Center will verify all vendors' status using the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and keep all supporting documentation.
Federal Program: U.S. Department of Health and Human Services passed through Missouri Department of Health and Senior Services: Epidemiology and Laboratory Capacity for Infectious Diseases (#93:323). Criteria: When a sub-recipient of federal awards uses federal money to acquire goods and services expected to cost more than $25,000, the sub-recipient must determine if the vendor is suspended, debarred, or otherwise excluded from doing business with the federal government. Condition: The Center purchased goods from two vendors totaling greater than $25,000 that required the Center to determine the vendor's status with the federal government. The vendors were, in fact, not excluded parties, but that determination was not made prior to making the disbursements. Cause: The Center was unaware of the requirement because most of the Center's grants are for payroll costs and the Center rarely makes a disbursement with grant funds that would exceed $25,000. Effect: The Center did comply with the federal compliance requirements. However, internal controls were such that noncompliance could occur and go undetected. Questioned Costs: None. Context: Actual expenditures of the program were $282,810 during the fiscal year ended December 31, 2024. Repeat Finding: No. Recommendation: We recommend the Center verify a vendor's status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and to keep supporting documentation of the verification of the vendor's status. Views of Responsible Officials: The Center will verify all vendors' status using the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and keep all supporting documentation.
Federal Program: U.S. Department of Health and Human Services passed through Missouri Department of Health and Senior Services: Epidemiology and Laboratory Capacity for Infectious Diseases (#93:323). Criteria: When a sub-recipient of federal awards uses federal money to acquire goods and services expected to cost more than $25,000, the sub-recipient must determine if the vendor is suspended, debarred, or otherwise excluded from doing business with the federal government. Condition: The Center purchased goods from two vendors totaling greater than $25,000 that required the Center to determine the vendor's status with the federal government. The vendors were, in fact, not excluded parties, but that determination was not made prior to making the disbursements. Cause: The Center was unaware of the requirement because most of the Center's grants are for payroll costs and the Center rarely makes a disbursement with grant funds that would exceed $25,000. Effect: The Center did comply with the federal compliance requirements. However, internal controls were such that noncompliance could occur and go undetected. Questioned Costs: None. Context: Actual expenditures of the program were $282,810 during the fiscal year ended December 31, 2024. Repeat Finding: No. Recommendation: We recommend the Center verify a vendor's status by checking the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and to keep supporting documentation of the verification of the vendor's status. Views of Responsible Officials: The Center will verify all vendors' status using the System for Award Management (SAM) maintained by the General Services Administration before making purchases expected to exceed $25,000 and keep all supporting documentation.