Audit 11115

FY End
2023-06-30
Total Expended
$72.63M
Findings
4
Programs
36
Organization: Centerstone of America, Inc. (TN)
Year: 2023 Accepted: 2024-01-11
Auditor: Lbmc PC

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
8311 2023-001 Significant Deficiency - L
8312 2023-002 Significant Deficiency - L
584753 2023-001 Significant Deficiency - L
584754 2023-002 Significant Deficiency - L

Programs

ALN Program Spent Major Findings
93.958 Block Grants for Community Mental Health Services $10.54M - 0
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $1.11M Yes 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $1.09M Yes 0
93.600 Head Start $1.06M - 0
93.696 Certified Community Behavioral Health Clinic Expansion Grants $1.00M - 0
93.297 Teenage Pregnancy Prevention Program $724,346 - 0
93.556 Promoting Safe and Stable Families $638,084 - 0
14.218 Community Development Block Grants/entitlement Grants $581,473 - 0
93.191 Graduate Psychology Education Program and Patient Navigator and Chronic Disease Prevention Program $555,496 - 0
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $554,234 Yes 0
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $502,925 - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $460,678 Yes 0
93.732 Mental and Behavioral Health Education and Training Grants $423,207 - 0
93.788 Opioid Str $416,244 - 0
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $400,559 - 0
93.778 Medical Assistance Program $374,297 - 0
93.498 Provider Relief Fund $353,008 Yes 0
14.267 Continuum of Care Program $291,449 - 0
64.033 Va Supportive Services for Veteran Families Program $258,532 - 0
16.575 Crime Victim Assistance $139,996 - 0
93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (sed) $134,828 - 0
93.211 Telehealth Programs $120,929 - 0
93.558 Temporary Assistance for Needy Families $112,216 Yes 0
93.150 Projects for Assistance in Transition From Homelessness (path) $99,934 - 0
14.231 Emergency Solutions Grant Program $95,930 - 0
97.031 Cora Brown Fund $92,036 - 0
97.032 Crisis Counseling $83,458 - 0
93.926 Healthy Start Initiative $81,257 Yes 0
93.136 Injury Prevention and Control Research and State and Community Based Programs $79,979 - 0
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $55,024 - 0
93.087 Enhance Safety of Children Affected by Substance Abuse $43,898 - 0
93.667 Social Services Block Grant $34,536 - 0
16.738 Edward Byrne Memorial Justice Assistance Grant Program $13,213 - 0
93.052 National Family Caregiver Support, Title Iii, Part E $9,000 - 0
93.982 Mental Health Disaster Assistance and Emergency Mental Health $8,948 - 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $8,682 - 0

Contacts

Name Title Type
PQ7XUMZ97JK7 Amanda Vertz Auditee
6154636633 Courtney Bach Auditor
No contacts on file

Notes to SEFA

Title: NOTE A – Basis of Presentation Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Corporation has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The accompanying Schedule of Expenditures of Federal Awards (the “Schedule”) includes the federal award activity of Centerstone of America, Inc. and subsidiaries (collectively, the "Corporation") under programs of the federal government for the year ended June 30, 2023. The information in this schedule is presented in accordance with requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (“Uniform Guidance”).
Title: NOTE B – Summary of Significant Accounting Policies Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Corporation has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Corporation has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: NOTE C – HOME Investment Partnerships Program and Supportive Housing Program Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Corporation has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. The Corporation had the following grant advances outstanding as of June 30, 2023 from HOME Investment Partnerships Program through the Madison County Community Development and the Supportive Housing Program through the U.S. Department of Housing and Urban Development for the construction and renovation of a group home facility. The Corporation also received grant advances from HOME Investment Partnership Program through the Housing and Neighborhood Development Department for construction of an affordable housing apartment community. Madison Country Community Development – HOME Investments Partnership Program 14.239 Theodoro Place – 2011 $ 211,834 U.S. Department of Housing and Urban Development – Supportive Housing Program 14.235 IL01B204001 356,650 Housing and Neighborhood Development Department – HOME Investments Partnership Program 14.239 Kinser Flats 175,000 Total federal grant advances $ 743,484
Title: NOTE D – Other Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Corporation has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. There were no federal awards expended in the form of non-cash assistance and there were no loan guarantees outstanding at year end.
Title: NOTE E – Insurance Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Corporation has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. During the year ended June 30, 2023, the following insurance was in effect: Insurance type Amount Professional liability $ 2,000,000 Professional liability excess 2,000,000 Commercial general liability 2,000,000 Fiduciary liability 5,000,000 Directors’ and officers’ liability 6,000,000 Auto 1,000,000 Auto excess 1,000,000 Workers compensation 1,000,000 Commercial property 262,896,757 Employment practices liability 6,000,000
Title: NOTE F – Provider Relief Fund Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Corporation has elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: Y Rate Explanation: The auditee used the de minimis cost rate. Based on current guidance from the Department of Health and Human Services (HHS), Provider Relief Fund (PRF) expenditures (including lost revenues) are to be reported on the Schedule based upon PRF reports submitted through the Health Resources and Services Administration (HRSA) reporting portal. Therefore, the amount of PRF expenditures included on the June 30, 2023 Schedule is based upon the PRF reporting portal guidelines for Period 4 (payments received from July 1, 2021, to December 31, 2021), as specified by HHS. Centerstone of America, Inc. did not receive Period 5 payments.

Finding Details

Criteria: Management is responsible for the requirements of laws,regulations, contracts, and grants applicable to its federal programs. This requires management to complete the reporting portion associated with the Department of Health and Human Services ("HHS") Provider Relief Fund ("PRF") Portal to report the Corporation's usage of the funds for COVID-related expenses and lost revenues in the applicable period in the PRF Portal. The PRF Portal specifies a timeline for reporting dependent on when the PRF were received. Condition: During our testing, we noted that management did not submit the Period 4 information in the PRF Portal for one of the entity's American Rescue Plan ("ARP") rural distributions. Cause of Condition: The entity that did not report on the Period 4 ARP rural distribution as they thought it was being included in the reporting for the general distribution payment which was reported at the parent. Potential Effects of Condition: For the Period 4 ARP rural distribution, received on November 23, 2021 in the amount of $743,753, the Corporation has not complied with the terms and conditions of the PRF as management did not report the usage of the funds in the PRF Portal for the Period 4 payment. The Period 4 reporting period has closed and management is currently working with the Health Resources and Services Administration ("HRSA") to correct the issue. The $743,753 are considered questioned costs. Recommendation: We recommend that management implement controls to ensure all information is submitted in the PRF Portal by the specified due date. It is our understanding that management has contacted HRSA and is currently working with them to correct the issue and report on the usage of the Period 4 ARP rural distribution. Views of Responsible Officials: Management's response is reported in the "Corrective Action Plan" at the end of the report.
Criteria: Management is responsible for the requirements of laws, regulations, contracts, and grants applicable to its federal programs. This requires management to ensure amounts reported in the HHS PRF Portal agree to underlying accounting records. Condition: During our testing, we noted for two of the Period 4 PRF reported in the PRF Portal, the COVID expenses did not agree to supporting accounting records or were duplicative of previous reporting periods. Cause of Condition: Supporting detail that agreed to the expenses reported in the PRF Portal could not be provided and certain expenses were also reported in previous periods. For these two Period 4 Portal submissions, there are lost revenues to support the usage of the PRF. Potential Effects of Condition: The entity did not complete the PRF Portal submission in accordance with guidance provided by HRSA. As a result, the data included in the PRF Portal submission is not correct. Recommendation: We recommend that management implement controls to ensure all information included in the PRF Portal is supported by and agrees to underlying accounting records and in accordance with the terms and conditions of the PRF. Views of Responsible Officials: Management's response is reported in the "Corrective Action Plan" at the end of the report.
Criteria: Management is responsible for the requirements of laws,regulations, contracts, and grants applicable to its federal programs. This requires management to complete the reporting portion associated with the Department of Health and Human Services ("HHS") Provider Relief Fund ("PRF") Portal to report the Corporation's usage of the funds for COVID-related expenses and lost revenues in the applicable period in the PRF Portal. The PRF Portal specifies a timeline for reporting dependent on when the PRF were received. Condition: During our testing, we noted that management did not submit the Period 4 information in the PRF Portal for one of the entity's American Rescue Plan ("ARP") rural distributions. Cause of Condition: The entity that did not report on the Period 4 ARP rural distribution as they thought it was being included in the reporting for the general distribution payment which was reported at the parent. Potential Effects of Condition: For the Period 4 ARP rural distribution, received on November 23, 2021 in the amount of $743,753, the Corporation has not complied with the terms and conditions of the PRF as management did not report the usage of the funds in the PRF Portal for the Period 4 payment. The Period 4 reporting period has closed and management is currently working with the Health Resources and Services Administration ("HRSA") to correct the issue. The $743,753 are considered questioned costs. Recommendation: We recommend that management implement controls to ensure all information is submitted in the PRF Portal by the specified due date. It is our understanding that management has contacted HRSA and is currently working with them to correct the issue and report on the usage of the Period 4 ARP rural distribution. Views of Responsible Officials: Management's response is reported in the "Corrective Action Plan" at the end of the report.
Criteria: Management is responsible for the requirements of laws, regulations, contracts, and grants applicable to its federal programs. This requires management to ensure amounts reported in the HHS PRF Portal agree to underlying accounting records. Condition: During our testing, we noted for two of the Period 4 PRF reported in the PRF Portal, the COVID expenses did not agree to supporting accounting records or were duplicative of previous reporting periods. Cause of Condition: Supporting detail that agreed to the expenses reported in the PRF Portal could not be provided and certain expenses were also reported in previous periods. For these two Period 4 Portal submissions, there are lost revenues to support the usage of the PRF. Potential Effects of Condition: The entity did not complete the PRF Portal submission in accordance with guidance provided by HRSA. As a result, the data included in the PRF Portal submission is not correct. Recommendation: We recommend that management implement controls to ensure all information included in the PRF Portal is supported by and agrees to underlying accounting records and in accordance with the terms and conditions of the PRF. Views of Responsible Officials: Management's response is reported in the "Corrective Action Plan" at the end of the report.