A new audit of the Johnson County Health Department contains harsh phrases that county residents aren’t used to seeing when it comes to their generally smooth-running government.

Phrases like “ineffective management,” “erroneous budget submissions,” “general lack of knowledge,” “poor or non-existent record-keeping,” and “circumventing county policy.”

Add it all up, and County Auditor Bill Miller found an agency that for years made up its own rules in collecting and spending public funds.

The problems have damaged the Health Department’s ability to help prevent the spread of disease and to encourage residents to follow healthy habits. It provides flu shots and family planning services for low- and moderate-income people.

The agency wrote off bad debt from some patients that could have been collected. And Miller said it appeared some patients who could pay had “learned how to work the system” to avoid even getting bills from the county.

The Health Department staff agreed with most of Miller’s recommendations on how to improve the management of public funds.

The department has been without a permanent director since late last year. The county needs to hire a highly qualified leader who will properly oversee a $10 million annual budget to help provide a safety net of services for Johnson Countians.