| Year | Federal $ expended | Auditor | Opinion | Flags |
|---|---|---|---|---|
| 2025 | $3.9M | BDO USA LLC | Unmodified (clean) | Low-risk auditee |
| 2024 | $2.9M | BDO USA LLP | Unmodified (clean) | Low-risk auditee |
| 2023 | $2.3M | Bdo, USA | Unmodified (clean) | Low-risk auditee |
| 2022 | $2.4M | Bdo, USA | Unmodified (clean) | Low-risk auditee |
| Program | Agency | Expended | Major program | Findings |
|---|---|---|---|---|
| National Bioterrorism Hospital Preparedness Program via Missouri Department of Health and Senior Services | HHS | $1.1M | Yes | 0 |
| National Bioterrorism Hospital Preparedness Program | HHS | $1.1M | Yes | 0 |
| Injury Prevention and Control Research and State and Community Based Programs via Missouri Department of Health and Senior Services | HHS | $387K | Yes | 0 |
| Special Projects of Regional and National Significance via SSM Health Care St. Louis | HHS | $339K | No | 0 |
| Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs | HHS | $225K | No | 0 |
| Opioid STR via University of Missouri - St. Louis | HHS | $217K | No | 0 |
| Opioid STR via Missouri Department of Mental Health | HHS | $193K | No | 0 |
| Special Projects of Regional and National Significance | HHS | $188K | No | 0 |
| The National Cardiovascular Health Program via Missouri Department of Health and Senior Services | HHS | $72K | No | 0 |
| Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs via Missouri Department of Health and Senior Services | HHS | $35K | No | 0 |