BIG SPRINGS MEDICAL ASSOCIATION, INC. D/B/A MISSOURI HIGHLANDS HEALTH CARE: Single Audit Reports and Findings
BIG SPRINGS MEDICAL ASSOCIATION, INC. D/B/A MISSOURI HIGHLANDS HEALTH CARE's most recent single audit in the Federal Audit Clearinghouse covers fiscal year 2025, accepted February 28, 2026; the auditor observed on that filing is Forvis Mazars, LLP. It reported 5 findings, including a material weakness. 10 filings from 2016 to 2025 are on record. Data as of 2026-11-06.
Data as of Nov 6, 2026 · Source: Federal Audit Clearinghouse (public data)
Single audits by year
One row per audit year as the Federal Audit Clearinghouse accepted it. The auditor named is the one observed on that filing; BIG SPRINGS MEDICAL ASSOCIATION, INC. D/B/A MISSOURI HIGHLANDS HEALTH CARE is recorded in ELLINGTON, Missouri under EIN 431068291, and the Clearinghouse records it as a nonprofit. Each report opens on the Clearinghouse itself; how to search the Federal Audit Clearinghouse explains the rest of the reporting package.
| Audit year | Fiscal year end | Federal expended | Threshold applied | Auditor observed | Opinion | Findings | MW / SD | FAC report |
|---|---|---|---|---|---|---|---|---|
| 2025 | 2025-05-31 | $11,382,984 | $750,000 | Forvis Mazars, LLP | Unmodified | 5 | MW / SD | 2025-05-GSAFAC-0000374409 |
| 2024 | 2024-05-31 | $13,103,824 | $750,000 | Forvis Mazars, LLP | Unmodified | 4 | SD | 2024-05-GSAFAC-0000353135 |
| 2023 | 2023-05-31 | $10,470,412 | $750,000 | Forvis Mazars, LLP | Unmodified | 1 | MW | 2023-05-GSAFAC-0000005550 |
| 2022 | 2022-05-31 | $10,412,117 | $750,000 | Forvis Mazars, LLP | Unmodified | 3 | MW / SD | 2022-05-CENSUS-0000066346 |
| 2021 | 2021-05-31 | $8,683,264 | $750,000 | Forvis Mazars, LLP | Unmodified | 2 | MW / SD | 2021-05-CENSUS-0000066346 |
| 2020 | 2020-05-31 | $6,771,045 | $750,000 | Forvis Mazars, LLP | Unmodified | 0 | — | 2020-05-CENSUS-0000066346 |
| 2019 | 2019-05-31 | $5,843,423 | $750,000 | Forvis Mazars, LLP | Unmodified | 0 | SD | 2019-05-CENSUS-0000066346 |
| 2018 | 2018-05-31 | $5,878,158 | $750,000 | Forvis Mazars, LLP | Unmodified | 1 | SD | 2018-05-CENSUS-0000066346 |
| 2017 | 2017-05-31 | $4,787,475 | $750,000 | Forvis Mazars, LLP | Unmodified | 1 | MW | 2017-05-CENSUS-0000066346 |
| 2016 | 2016-05-31 | $3,047,508 | $750,000 | Forvis Mazars, LLP | Unmodified | 0 | — | 2016-05-CENSUS-0000066346 |
When is the next single audit due?
If BIG SPRINGS MEDICAL ASSOCIATION, INC. D/B/A MISSOURI HIGHLANDS HEALTH CARE is again required to have a single audit for the fiscal year ending May 31, 2026, the reporting package is due to the Federal Audit Clearinghouse by Mar 1, 2027 at the latest.
Whether an audit is required depends on federal awards expended in that year (the single audit threshold). The rule, 2 CFR 200.512(a): the reporting package is due within 30 calendar days after the auditee receives the auditor's report or nine months after the end of the audit period, whichever is earlier; the date above is the nine-month date, moved to Monday when it falls on a weekend. Last verified: 2026-11-15.
Which federal programs did this organization report?
From the most recent accepted report, as listed on its schedule of expenditures of federal awards (SEFA). "Major" is the designation the auditor made under 2 CFR 200.518, not ours.
| ALN | Program | Expended | Major |
|---|---|---|---|
| 93.224 | HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) | $5,111,890 | No |
| 93.912 | RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT | $3,733,240 | Yes |
| 10.768 | BUSINESS AND INDUSTRY GUARANTEED LOANS | $1,480,477 | Yes |
| 93.526 | GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS | $453,418 | No |
| 93.268 | IMMUNIZATION COOPERATIVE AGREEMENTS | $223,443 | No |
| 93.778 | MEDICAL ASSISTANCE PROGRAM | $135,220 | No |
| 93.332 | COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES | $102,152 | No |
| 21.027 | CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS | $56,916 | No |
| 93.527 | GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM | $42,852 | No |
| 93.323 | EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) | $34,666 | No |
| 93.898 | CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS | $8,710 | No |
What findings did the auditor report?
The reference is the auditor’s; the requirement is the Compliance Supplement category the auditor selected. The finding text itself is not reproduced here; the FAC report linked above carries it in full. What the two severity levels mean: material weakness vs significant deficiency.
| Reference | Requirement | Severity | Repeat |
|---|---|---|---|
| 2025-003 | Activities allowed or unallowed (A); Allowable costs / cost principles (B) | Significant deficiency / Questioned costs | No |
| 2025-004 | Cash management (C) | Material weakness | No |
| 2025-005 | Cash management (C) | Significant deficiency / Questioned costs | No |
| 2025-006 | Procurement and suspension and debarment (I) | Material weakness / Questioned costs | Yes |
| 2025-007 | Eligibility (E) | Significant deficiency / Questioned costs | No |
Form 990 and IRS registration
Form 990 "accounting fees" (Part IX line 11c) cover all accounting services reported by the organization and are not the price of an audit engagement.
Where to find the return itself, and what our Form 990 data covers: Form 990 lookup.
- Most recent return
- 990 for 2025-05
- Total revenue
- $43,452,434
- Total assets
- $30,464,594
- Accounting fees (Part IX line 11c)
- $350,637
- Paid preparer
- Forvis Mazars LLP
- IRS object id
- 202641059349301484
- Exempt under
- 501(c)(3)
- Ruling year
- 1976
- BMF release
- 2026-10-20
Read next
- CPA firms that audit Missouri nonprofits
- Missouri single audit statistics
- Missouri nonprofit audit requirements
How we computed this
Every row comes from the Federal Audit Clearinghouse record named beside it, one report per audit year, with a resubmission superseding the filing it replaces. The auditor is the one named on that filing — it is not a statement about who audits BIG SPRINGS MEDICAL ASSOCIATION, INC. D/B/A MISSOURI HIGHLANDS HEALTH CARE now. Form 990 figures come from the IRS e-filed return named by its object id. This page exists because the organization filed at least two single audits, or one with a finding.
Cite this page
AuditRadar. “Big Springs Medical Association, Inc. Single Audit FY2025 (MO).” https://getauditradar.com/single-audits/mo/big-springs-medical-association-inc-d-b-a-missouri-highlands-health-care-431068291/. Data as of 2026-11-06.