Finding 614354 (2022-003)

Significant Deficiency
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2023-09-29
Audit: 31352
Organization: Butler County Health Center (MO)

AI Summary

  • Core Issue: Butler County Health Center lacks adequate segregation of duties, increasing the risk of undetected financial misstatements.
  • Impacted Requirements: Internal control standards are not being met, particularly within the Immunization Cooperative Agreements program.
  • Recommended Follow-Up: Regularly review and enhance segregation of duties; implement monitoring changes where benefits outweigh costs.

Finding Text

2022-001 Criteria: In any system of internal control, one primary goal is adequate segregation of duties. Statement of Condition: The adequate segregation of duties is not present within Butler County Health Center. Statement of Cause: Employee turnover of key positions limits the application of adequate segregation of duties. Statement of Effect or Potential Effect: In the normal course of operations, possible misstatements to the financial statements could occur and not be detected in a timely manner by employees. Questioned Costs: None Perspective Information: An understanding of the District?s internal controls was obtained through observation, inquiry, and walkthroughs of key areas related to both the financial statements and the major programs. Recommendations: These areas should be reviewed periodically and consideration given to improving the segregation of duties or addition of monitoring and implement those changes it deems appropriate for which benefits are determined to exceed costs. Views of Responsible Officials and Planned Corrective Actions: Butler County Health Center agrees with the finding and they will continue to strive to improve this deficiency. 2022-003 Immunization Cooperative Agreements - Assistance Listing No. 93.268; Grant period ? Year Ended December 31, 2022. Significant Deficiency: As discussed at Finding 2022-001, adequate segregation of duties is not present with Butler County Health Center, including duties within the Immunization Cooperative Agreements federal program. These areas should be reviewed periodically and consideration given to improving the segregation of duties within the Center.

Categories

Internal Control / Segregation of Duties Subrecipient Monitoring Significant Deficiency

Other Findings in this Audit

  • 37912 2022-003
    Significant Deficiency
  • 37913 2022-002
    Significant Deficiency Repeat
  • 614355 2022-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.268 Immunization Cooperative Agreements $409,693
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $403,830
93.217 Family Planning_services $241,048
93.940 Hiv Prevention Activities_health Department Based $230,608
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $226,392
93.917 Hiv Care Formula Grants $106,191
93.767 Children's Health Insurance Program $48,802
93.994 Maternal and Child Health Services Block Grant to the States $48,694
93.136 Injury Prevention and Control Research and State and Community Based Programs $44,124
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $42,252
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $27,378
93.069 Public Health Emergency Preparedness $24,774
93.778 Medical Assistance Program $20,179
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $2,137
93.575 Child Care and Development Block Grant $1,724
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $933