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Central District Health DepartmentLocal Government

EIN: 470544125

UEI: G7JUL5A5KGP2

Audited by: Core CPAs

Oversight agency: 93 [Department of Health and Human Services]

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Data as of September 2, 2026

Central District Health Department10 audit years2 findings
10
Audit Years
2
Total Findings
0
Repeat Findings
$2.9M
Federal Awards Expended (FY 2025)

FY 2025-09-30

LOW-RISK AUDITEE$2,939,272 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on January 26, 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 July 26, 2026 (39 days ago).

What is a management decision? →

FY 2024-09-30

MATERIAL NONCOMPLIANCE DISCLOSEDLOW-RISK AUDITEE$2,841,068 federal awards expended

FAC accepted this audit on January 30, 2025 — management decision was due July 30, 2025.

2024-002
Procurement & Suspension/Debarment
SIGNIFICANT DEFICIENCY

Federal Award Identification Assistance Listing Program Title Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Program Number 21.027 Federal Award ID Number and Year SLFRP1965 Federal Agency U.S. Department of the Treasury Pass-Through Entity Nebraska Department of Health and Human Services Significant Deficiency in Internal Control Over Procurement and Suspension and Debarment Criteria The Health Department’s procurement policy states that documentation of procurements shall be retained for seven years and shall include all federally-required elements of procurement transactions. The Health Department’s procurement policy states that it will require all vendors to self-certify that they are not suspended or debarred. The Health Department is to then check that statement against the Federal System for Award Management. This policy is in compliance with 2 CFR 200.212; 2 CFR 200.318(h); 2 CFR 180.300; 48 CFR 52.209-6. Condition The Health Department did not retain evidence of its procurement of a covered transaction. The Health Department entered into a covered transaction prior to verifying whether the contractor was suspended or debarred. Repeat Finding No. Cause The Health Department did not have a system of controls in place to ensure that their procurement policy was followed. Effect or Potential Effect The Health Department may neglect to procure covered transactions. The Health Department may enter into a covered transaction with a debarred, suspended, or otherwise excluded vendor. Questioned Costs No. Statistical Sample No. Context The Health Department entered into a covered transaction during the year to modernize its restrooms. The Health Department followed its procurement policy and requested proposals from an adequate number of vendors. However, despite repeated attempts to obtain multiple bids, the Health Department was only able to obtain a bid from single vendor. The Health Department proceeded with that bid, as evidenced by the publicly-available board minutes, but failed to follow its procurement policy as it pertains to 1) documentation retention requirements and 2) suspension and debarment. In testing this transaction, the auditor performed a search on the System for Award Management website, noting that the vendor is not on the exclusion list. Recommendation The auditor recommends that the Health Department establish a robust system of controls to ensure it complies with its procurement policy when entering into covered transactions. Views of Responsible Officials See Corrective Action Plan, below.

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Full finding narrative

Federal Award Identification Assistance Listing Program Title Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Program Number 21.027 Federal Award ID Number and Year SLFRP1965 Federal Agency U.S. Department of the Treasury Pass-Through Entity Nebraska Department of Health and Human Services Significant Deficiency in Internal Control Over Procurement and Suspension and Debarment Criteria The Health Department’s procurement policy states that documentation of procurements shall be retained for seven years and shall include all federally-required elements of procurement transactions. The Health Department’s procurement policy states that it will require all vendors to self-certify that they are not suspended or debarred. The Health Department is to then check that statement against the Federal System for Award Management. This policy is in compliance with 2 CFR 200.212; 2 CFR 200.318(h); 2 CFR 180.300; 48 CFR 52.209-6. Condition The Health Department did not retain evidence of its procurement of a covered transaction. The Health Department entered into a covered transaction prior to verifying whether the contractor was suspended or debarred. Repeat Finding No. Cause The Health Department did not have a system of controls in place to ensure that their procurement policy was followed. Effect or Potential Effect The Health Department may neglect to procure covered transactions. The Health Department may enter into a covered transaction with a debarred, suspended, or otherwise excluded vendor. Questioned Costs No. Statistical Sample No. Context The Health Department entered into a covered transaction during the year to modernize its restrooms. The Health Department followed its procurement policy and requested proposals from an adequate number of vendors. However, despite repeated attempts to obtain multiple bids, the Health Department was only able to obtain a bid from single vendor. The Health Department proceeded with that bid, as evidenced by the publicly-available board minutes, but failed to follow its procurement policy as it pertains to 1) documentation retention requirements and 2) suspension and debarment. In testing this transaction, the auditor performed a search on the System for Award Management website, noting that the vendor is not on the exclusion list. Recommendation The auditor recommends that the Health Department establish a robust system of controls to ensure it complies with its procurement policy when entering into covered transactions. Views of Responsible Officials See Corrective Action Plan, below.

Corrective Action Plan

Views of Responsible Officials The Health Department agrees with this finding. Corrective Action Plan The Health Department will establish a robust system of controls to ensure it complies with its procurement policy when entering into covered transactions. Name of Responsible Individual Teresa Anderson, Health Director Anticipated Completion Date January 31, 2025

About Procurement and Suspension and Debarment →
2024-003
Cost Allowability
SIGNIFICANT DEFICIENCYQUESTIONED COSTS

Assistance Listing Program Title Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Program Number 21.027 Federal Award ID Number and Year SLFRP1965 Federal Agency U.S. Department of the Treasury Pass-Through Entity Nebraska Department of Health and Human Services Significant Deficiency in Internal Control Over Allowable Costs/Cost Principles; Noncompliance with Allowable Costs/Cost Principles Criteria The subaward from the Nebraska Department of Health and Human Services states that indirect costs shall not be paid as part of the grant. Condition The Health Department requested reimbursement for indirect costs charged to the grant. Repeat Finding No. Cause The Health Department did not have a system of internal controls in place to identify grants which do not allow the reimbursement of indirect costs. Effect The Health Department may be reimbursed for unallowable costs. Questioned Costs Known: $11,909 Statistical Sample No. Context The Health Department routinely administers grants which allow the reimbursement of indirect costs. This subaward from the Nebraska Department of Health and Human Services is the only award administered by the Health Department that does not allow for the reimbursement of indirect costs. This unique circumstance was overlooked by the Health Department staff when requesting reimbursement. Recommendation The auditor recommends that the Health Department establish a system of internal controls to identify grants which do not allow the reimbursement of indirect costs. Views of Responsible Officials See Corrective Action Plan, below.

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Full finding narrative

Assistance Listing Program Title Coronavirus State and Local Fiscal Recovery Funds Assistance Listing Program Number 21.027 Federal Award ID Number and Year SLFRP1965 Federal Agency U.S. Department of the Treasury Pass-Through Entity Nebraska Department of Health and Human Services Significant Deficiency in Internal Control Over Allowable Costs/Cost Principles; Noncompliance with Allowable Costs/Cost Principles Criteria The subaward from the Nebraska Department of Health and Human Services states that indirect costs shall not be paid as part of the grant. Condition The Health Department requested reimbursement for indirect costs charged to the grant. Repeat Finding No. Cause The Health Department did not have a system of internal controls in place to identify grants which do not allow the reimbursement of indirect costs. Effect The Health Department may be reimbursed for unallowable costs. Questioned Costs Known: $11,909 Statistical Sample No. Context The Health Department routinely administers grants which allow the reimbursement of indirect costs. This subaward from the Nebraska Department of Health and Human Services is the only award administered by the Health Department that does not allow for the reimbursement of indirect costs. This unique circumstance was overlooked by the Health Department staff when requesting reimbursement. Recommendation The auditor recommends that the Health Department establish a system of internal controls to identify grants which do not allow the reimbursement of indirect costs. Views of Responsible Officials See Corrective Action Plan, below.

Corrective Action Plan

Views of Responsible Officials The Health Department agrees with this finding. Corrective Action Plan The Health Department will establish a system of internal controls to identify grants which do not allow the reimbursement of indirect costs. After the auditor brought forth this instance of noncompliance, the Health Department immediately contacted the Nebraska Department of Health and Human Services to establish a plan for corrective action. Name of Responsible Individual Teresa Anderson, Health Director Anticipated Completion Date January 31, 2025

About Allowable Costs / Cost Principles →

FY 2023-09-30

LOW-RISK AUDITEE$2,069,377 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 17, 2024 — management decision was due July 17, 2024.

FY 2022-09-30

LOW-RISK AUDITEE$1,752,921 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 25, 2023 — management decision was due July 25, 2023.

FY 2021-09-30

MATERIAL NONCOMPLIANCE DISCLOSEDLOW-RISK AUDITEE$1,874,096 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 18, 2022 — management decision was due July 18, 2022.

FY 2020-09-30

LOW-RISK AUDITEE$1,554,236 federal awards expendedNo findings recorded this year

FAC accepted this audit on February 14, 2021 — management decision was due August 14, 2021.

FY 2019-09-30

LOW-RISK AUDITEE$968,526 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 24, 2020 — management decision was due July 24, 2020.

FY 2018-09-30

LOW-RISK AUDITEE$1,381,706 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 24, 2019 — management decision was due July 24, 2019.

FY 2017-09-30

LOW-RISK AUDITEE$1,383,575 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 2, 2018 — management decision was due September 2, 2018.

FY 2016-09-30

LOW-RISK AUDITEE$1,476,199 federal awards expendedNo findings recorded this year

FAC accepted this audit on January 26, 2017 — management decision was due July 26, 2017.

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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