So, it's roughly [clears throat] two yearsish. [snorts] >> All right. Anyone have any exciting questions about software renewal and whatnot for data center storage? >> Come on. Anybody? [laughter] I will entertain a motion to authorize the renewal of support and maintenance for the district's data center storage for a two-year term in a total amount of not to exceed $65,000. >> So moved by Rob. >> Second by Danielle. >> Yes. >> Daniel. Cindy, please lead us in a roll call vote. >> Yes. >> Thomas, >> yes. >> Arlandu, >> yes. >> Siki, >> yes. >> Sliger, >> yes. Yes. >> Meadows. >> Yes. Motion passes. All right. Item eight, board discussion. So item 8.1 is uh talking about potential the next um kind of facet or development or whatever you want to think of the student ambassador program or whether it becomes a student board member program.
Go to the next slide. We look at top end percentages. What are the expected outcomes? If we're saving a 20% discount off your pharmaceutical spend, it's a win. Um I would say with the level of health that we were able to derive from the data that was provide provided to us from the PBM uh I think the opportunity could be even more significant looking closer to that 25 to 30% because of the health group I think you know really that's kind of where we are. Do we have what kind of questions comments concerns can I get from the board or anybody in the crowd? Can you give me a scenario like [laughter] so one of our like say a patient is going to their physician does the physician call this into this location or do how does that work? How's that process? >> So great question.
So that's a quick summary but I'll get into a little bit more details in a few slides. Uh so just the scope of audit services. So uh we're engaged to perform an audit in accordance with government auditing standards uniform guidance uh and then also complete that questionnaire that I mentioned previously previously. Go ahead. Uh this slide just signifies that there are a lot of standards that guide the annual audit. So there are federal standards that guide a lot of compliance related items, governmental accounting standards uh that guide financial reporting for the district, uh auditing standards that we follow and then more specifically there's government auditing standards that we follow. So just a lot of standards. Uh additionally uh just as part of the external audit just notating uh responsibilities of us the auditors uh and district management. So uh just knowing that as part of the audit we do have fraud uh inquiries and uh uh uh discussions with different levels of management just inquiring of knowledge of those types of items.
So it's currently the student ambassador program. So really what was asked at a previous board meeting is that we have a bit of a discussion about it. Give everybody a chance to kind of look into it, figure it out. Kristen, did you go to like a one of the sessions on it if I remember correctly? >> I did not. No. >> Okay. Somebody I thought did. Okay. Katie did. Okay. So, um, that's, you know, I think part of this discussion, I'm just going to turn it over to you guys to kind of start it is to kind of maybe understand what, you know, what we see it evolving into and what we think it should be and kind of just an open discussion. So, >> if I could start to have the discussion if that's okay, just kind of give you guys a little bit more >> of an understanding of why um, I felt was important.
So the way it happens, so let's say they have a great primary care physician here in the town of Auburn and let's say I go to that primary care position and he looks at me and says, "Pete, you need this GLP1." And there and a big driver a lot of those costs are the GLP1s and I can say, "Hey, I'm on this. I'm on OP." And I'm not going to say whether or not what the savings are on that because it's not for me to say at this moment, but you're on OEP. I get the prescription. What I can do is two things. I'm going to go fill it the first time and in that case what'll happen is there will be a trigger at the at the third party the TPA they'll reach out to us to fill the second time. So that is what happens most commonly.
um but that ultimately the responsibility for fraud rests with management and the board of the district. Uh additionally auditors responsibilities. So we provide reasonable uh but not absolute assurance as with all things in life. Uh but with the audit as well and that the financial statements that are audited and issued each year those are ultimately the responsibility of management. Uh so as well uh within the letter to governance so the letter that's directed directly to the board uh we have notated that we have not had any significant audit adjustments uh that were necessary this year to the financial statement. So uh if there were any they'd be notated in this letter and they usually would result in an audit finding. Uh so none of uh nothing came rose to that level this past year. other required communications. So these are also included in the letter.
Um, this is something I've definitely thought about pretty much my entire time on the board. I love our ambassador program. You guys do an amazing job. And I I don't know what it would form into or if it's separate because I think that whether we I think there's a difference in having an ambassador program and having a board member and um I would love to give the students a little bit more empowerment to um specifically connect with their peers in in various ways and to give them a voice at the table. Um, one of the things that I kind of come back to, um, through my various times on committees and being on the board is that student voices, while we may seek them out at times, we're not getting the voice from the students themselves. And the only times that we do um, is often if they do come up to the podium, they address the board.
Now with the proactive outreach like we plan on doing we will get that what's called first fill. So, you know, if we know these individuals who are unhealthy or we know these individuals who are on these other drugs might prescribe that drug, they will have a Cameron card which just will say script well Cameron preferred pharmacy partner. They'll have a number to call and a group number. If they get a script, they can call us to say, "Hey, does this drug qualify for the program?" Um, we're developing a lookup tool as well, but that probably won't be active for, you know, another six months. So what if a patient has they already have a special pharmacy that they're using like you said optim >> so how do they transfer like how would >> they do that that's what that appointment's for so we proactively outreach to transfer them from optimum >> to the script while pharmacy >> and that's what that appointment for manage their One of the one of the big benefits that we've seen as a small company a lot of times smaller companies insurance cost is expensive.
Uh but we had no disagreements with management over financial accounting reporting or other audit matters. Uh the management uh representation letter that's signed at the end of the audit that signifies their approval of uh the report that is attached to uh the letter to governance as well. uh and that we just uh are continually assessing uh compliance and ethical requirements and independence in relation to the audit in general. Okay. So, digging into the annual comprehensive financial report. So, again, that is the district's audited financial statements. not going to have you open up the report and dig into any pages specifically, but just notating some key pages here. Uh if you do want to reference them, uh page 13 is that independent auditor's reports or audit opinion. Go ahead to the next one. Uh single audit reporting package. So no material weaknesses, no material weaknesses were noted.
And with that, we're not really having an exchange. We're not really kind of taking in their comments into necessarily what our decisions are. Other times that they are brought to us, they're brought to us through adult voices, through administration voices, and that is not going I just I don't think that's we're we're not going to get the same outcome, honesty, um effect as we would if we allowed the students at the table and to have a voice. Um, you know, I've done plenty of of look on and actually when I attended my first triple eye, I went to one and I don't remember what the district was. Um, but they had two student board members, I think, and they had been doing it for maybe like five years. Um, so they would do like a junior and a senior and they would kind of cycle them around and it was just I'm always inspired and in awe with our with our students.
It just is because we just don't have enough people offset the cost. Um we've gotten so much positive feedback that somebody actually called these individuals to help them with their health care issues that they came in. We didn't have to have the list because they came in and said thank you to the management team for having somebody call and help them. Then the cost savings came in and we got another thank you. So it's a for us it's been a huge PR positive within our organization that a increase in inflation is through the roof and you guys are out there trying to help us save money. I mean we've got people our program is a little bit different but it's very [clears throat] similar. >> Yeah. But we have people that are saving $300 a month. >> And and the way we'll roll this out will be that targeted beginning and hopefully by the end of the year as we're working with Melissa.
There was one significant deficiency reported this year over federal procurement. Uh so within the single audit reporting package there is that finding noted. Uh as part of that uh management puts together a corrective action that then is included in there and included in the report when it is submitted. Uh the major federal programs we tested uh so the federal grants we tested were the child nutrition clusters. So the federal food service dollars that flow in and then the coronavirus state and local fiscal reach recovery funds. So the WIFA monies that flowed to the district for various projects. So we tested those two specifically this past year. And then finally the USFR questionnaire. So uniform system of financial records. So again, this is a questionnaire all school districts have and are required to complete by their external auditors. It includes us looking at a host of different departments and areas of uh district operations and we're required to answer about 170 questions in that questionnaire.
um they don't vote. Although there are um various districts across the nation that do give them an advisory vote, which means like let's say if we were saying, "Hey, we're going to be talking about this one thing. Student board member, would you possibly work to pull your peers?" And then they could come back to the table and as an advisory vote give their vote on that issue. And it's not a vote actually that you know is between the seven of us, but it's something so we can understand where the students stand and it's um a way for them to kind of be tasked with going and seeking their peer voices. Um, so I, uh, West Aurora, East Aurora, they have probably more like ambassadors, but um, I did do a bit more diving through. Um, and I just wanted to kind of put out here with what the student voices stated that it felt for them, like what and influenced it, like what it what it did for them, you know, what are the benefits, what did it look like?
We'll put flyers up in cafeteria in the in the teachers lounges. We'll send out communication. Um we do have a monthly newsletter that we work with with our direct partners and that'll be up to Mark and will be up to HR whether or not they want us to send those out. Um, we detail these programs very specifically to whatever the employer needs and looks for because the more they're very rarely our triple wins anymore in healthcare. But for us, we keep these dollars local. So they go to Angola, they serve, you know, Decal County, especially through Ashley. Um, we serve St. Joe area quite a bit with the Cameronet work platform. Um, then the cost savings goes back directly into the employees pockets that they spend locally and it goes back to the district. So it win for everybody involved and that's hard to find these days.
Uh next slide. There were uh approximately 20 no answers and so these questions are black or white. So if we sample uh uh transactions if we find one error or one mistake uh the answer is a no. It's black or white yes or no. So 20 no answers and the minor items noted were just related to the areas notated on this slide but uh uh in general I would say that's the number of nos is not out of the ordinary. Um, and uh, I think just this past year, typically when we come across no answers in the questionnaire, it's due to turnover or just human error. Um, but if they were to rise to a a greater issue, uh, they would, uh, be reported in the single audit as well.
And so I think the main feedback things were that they just really felt like there was pride. They were able to say I sit at a table and I help kind of make that decision whether their students their student body knew that they were on the board or not. They were part of organic and genuine conversations that were happening in their classrooms in the sport like in different sports in extracurricular activities and friend groups. So they were able to get this feedback that none of us would ever get. They truly felt that they were the the re the we've often said like what are the stories behind the data, right? They're they're able to give us those stories. We're not able to understand why our numbers are the way that they are, but the students are living the experience. The students are the ones who can tell us what what the the story is behind the data.
>> So am I right in understanding that the employee at first doesn't have to do anything. You'll contact them to help them get >> the slow roll to start. Yes. And again the district, you know, as far as like the administrative side of the district, I can't reerate this enough. the district will not have the names of the individuals that that patient information is scrubbed on that end. So there especially working in a blueco collar community there is always a little bit of nervousness if you will because we do the we do this for I think three local factories in Steu Ben County surrounding areas that's always the biggest um once we can get past that first hurdle with four or five people then we see the true benefit to both the employees. So it is a white glove service. It a pharmacy service. Um it's handled all locally and you know the individuals here can go pick up their prescription if they want.
So, those are my prepared remarks, but if you have any questions on any of the reports, I'm happy to answer them if you have any >> board members. Any questions, comments, or wonderings that we may have. >> Good to see you. Thanks for coming again. >> Yes. >> Thank you. >> All right. It doesn't look like we have any. Thank you so much for your time. >> Thank you. >> Appreciate it, Josh. Oh my god. >> I just throw a finance like zinger out there. >> Do you have questions for Josh? >> No, I think they did they did as always an excellent job. Um I do really want to give a shout out to um uh Mr. Dominic Ruth and his team. Um they do lead the interactions with the audit. While the audit does uh go in its oversight over multiple departments, uh Mr.
And I think that can help us. And it's it's one thing that we've ran into over and over. We kind of fall like we don't ever invite that that that voice to the the table. The equity committee had been on it several different times. It was never done. It was never done. And I will never understand why. Why are we not going to invite that in in an actual powerful and meaning and meaningful way? [snorts] And it's like it's it's not just to bring their voice to the table now. It gives them the sense of belonging. It gives them an experience into democracy. It gives them the ability to actually be like, "Yeah, we were part of the decision." And even if we make a decision and it's not what the student voice kind of overwhelmingly said, they still can feel like, you know what, the adults heard us.
They can have mail delivered. Um but right now we don't do a delivery service because there's no order. >> So if they pick them up, where do they go? >> The retail pharmacy. >> Okay. >> But again, we just step back. What is this program for? High c high cost maintenance brand name prescriptions. >> Yeah. So the the free generics that we mentioned earlier is just an added benefit for those who have access to the Cameron retail. Okay. >> So if they were already on a generic does what does that do then? uh if they are on a maintenance generic. So let's say you're on like u you have an inhaler, right? Um we alerall is on you can then have albol mail ordered to your house but again they have to evaluate the cost like usually that cost is between you know $30 and $50 depending on your insurance.