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 filed 10 single audits between 2016 and 2025; the most recently observed auditor is FORVIS, LLP (2025), and the 2025 report lists 5 findings, including 1 material weakness. Data as of 2026-09-18.
Data as of Sep 18, 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.
| Audit year | Fiscal year end | Federal expended | Threshold applied | Auditor observed | Findings | MW / SD | FAC report |
|---|---|---|---|---|---|---|---|
| 2025 | 2025-05-31 | $11,382,984 | $750,000 | FORVIS, LLP | 5 | MW / SD | 2025-05-GSAFAC-0000374409 |
| 2024 | 2024-05-31 | $13,103,824 | $750,000 | FORVIS, LLP | 10 | SD | 2024-05-GSAFAC-0000353135 |
| 2023 | 2023-05-31 | $10,470,412 | $750,000 | FORVIS, LLP | 1 | MW | 2023-05-GSAFAC-0000005550 |
| 2022 | 2022-05-31 | $10,412,117 | $750,000 | FORVIS, LLP | 11 | MW / SD | 2022-05-CENSUS-0000066346 |
| 2021 | 2021-05-31 | $8,683,264 | $750,000 | FORVIS, LLP | 8 | MW / SD | 2021-05-CENSUS-0000066346 |
| 2020 | 2020-05-31 | $6,771,045 | $750,000 | FORVIS, LLP | 0 | — | 2020-05-CENSUS-0000066346 |
| 2019 | 2019-05-31 | $5,843,423 | $750,000 | FORVIS, LLP | 0 | SD | 2019-05-CENSUS-0000066346 |
| 2018 | 2018-05-31 | $5,878,158 | $750,000 | FORVIS, LLP | 1 | SD | 2018-05-CENSUS-0000066346 |
| 2017 | 2017-05-31 | $4,787,475 | $750,000 | FORVIS, LLP | 1 | MW | 2017-05-CENSUS-0000066346 |
| 2016 | 2016-05-31 | $3,047,508 | $750,000 | FORVIS, LLP | 0 | — | 2016-05-CENSUS-0000066346 |
Which federal programs did this organization report?
From the most recent accepted report. "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 and the requirement letter are the ones the auditor used. The finding text itself is not reproduced here; the FAC report linked above carries it in full.
| Reference | Requirement | Severity | Repeat |
|---|---|---|---|
| 2025-003 | AB | Significant deficiency / Questioned costs | No |
| 2025-004 | C | Material weakness | No |
| 2025-005 | C | Significant deficiency / Questioned costs | No |
| 2025-006 | I | Material weakness / Questioned costs | Yes |
| 2025-007 | 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.
- 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
- 2026-09-17
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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. D/ Single Audits.” https://getauditradar.com/single-audits/mo/big-springs-medical-association-inc-d-b-a-missouri-highlands-health-care-431068291/. Data as of 2026-09-18.