Audit 295917

FY End
2023-06-30
Total Expended
$1.85M
Findings
6
Programs
9
Organization: Hillcrest Family Services, INC (IA)
Year: 2023 Accepted: 2024-03-19
Auditor: Eide Bailly LLP

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
381191 2023-004 Significant Deficiency Yes CL
381192 2023-005 Significant Deficiency Yes ABH
381193 2023-006 Significant Deficiency Yes I
957633 2023-004 Significant Deficiency Yes CL
957634 2023-005 Significant Deficiency Yes ABH
957635 2023-006 Significant Deficiency Yes I

Contacts

Name Title Type
FC54GCNCTM15 Gary Ward Auditee
5635837357 Brian Unsen Auditor
No contacts on file

Notes to SEFA

Title: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Accounting Policies: Basis of Presentation The accompanying Schedule of Expenditures of Federal Awards (Schedule) includes the federal award activity of Hillcrest Family Services, Inc. (Organization) under programs of the federal government for the year ended June 30, 2023. The information is presented in accordance with the 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). Because the Schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Organization. Summary of Significant Accounting Policies Expenditures reported on the Schedule are reported on the accrual basis of accounting, when applicable. 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. No federal financial assistance has been provided to a subrecipient. De Minimis Rate Used: N Rate Explanation: The Organization has not elected to use the 10% de minims cost rate. The Organization received amounts from the U.S. Department of Health and Human Services (HHS) through the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) program (Federal Financial Assistance Listing #93.498) during the year ended June 30, 2022. The Organization incurred eligible expenses (including lost revenue) and, therefore recognized revenue totaling $271,225 for the year ended June 30, 2022, on the financial statements. However, the PRF expenditures were not recognized on the Schedule until the expenditures were included in the reporting to HHS, as required under the PRF program. This resulted in $271,225 being recognized in the Schedule for the year ended June 30, 2023. The amount of PRF expenditures included in the Schedule requires management to make estimates and assumptions that affect the reported amounts. Accordingly, such expenditures are considered a significant estimate. Estimates and assumptions may include reducing actual expenses by amounts that have been reimbursed or are obligated to be reimbursed by other sources and estimating marginal increases in expenses related to coronavirus. Actual amounts could differ from those estimates.

Finding Details

U.S. Department of Health and Human Services Federal Financial Assistance Listing Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services ‐ 6H79SM083306‐01M002 Cash Management and Reporting Significant Deficiency in Internal Control over Compliance Criteria: The OMB Compliance Supplement requires that non‐federal entities receiving federal awards establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Condition: During our testing of reimbursement requests and reporting, there was no documentation available for the review and approval procedures performed. Cause: The Organization did not have an adequate internal control policy to require the documentation of the reimbursement requests’ and reports review and approval. Effect: Inaccurate reimbursement requests or reports may be prepared, which could lead to amounts received or reported in error. Questioned Costs: None. Context/Sampling: There was a total of two reimbursement requests and one report prepared for the year ended June 30, 2023 all of which were selected for testing. None of the reimbursement requests or reports contained documentation of the request being reviewed or approved. Repeat Finding from Prior Year(s): Yes for cash management, but no for reporting. Recommendation: We recommend the Organization enhance internal control policies to require documentation of the review and approval procedures performed in the preparation and review of reimbursement requests and reports. Views of Responsible Individuals: Management agrees with the finding.
U.S. Department of Health and Human Services Federal Financial Assistance Listing Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services ‐ 6H79SM083306‐01M002 Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Period of Performance Significant Deficiency in Internal Control over Compliance Criteria: The OMB Compliance Supplement requires that non‐federal entities receiving federal awards establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Condition: During our testing, there was no documentation of review and approval of employee timecards for a portion of the sample selected. Cause: The Organization did not have an adequate internal control policy to ensure review and approval of employee timecards was documented. Effect: The lack of adequate policies governing employee timecards increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. Questioned Costs: None. Context/Sampling: A nonstatistical sample of 65 expenditures submitted for reimbursement were selected for testing. Of these 65, 1 did not show evidence of proper review and approval prior to payment. Repeat Finding from Prior Year(s): Yes. Recommendation: We recommend that the Organization enhance internal control policies to ensure all employee timecards are reviewed and approved prior to payment to ensure that all payments are necessary and correct. Views of Responsible Individuals: Management agrees with the finding.
U.S. Department of Health and Human Services Federal Financial Assistance Listing Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services ‐ 6H79SM083306‐01M002 Procurement and Suspension and Debarment Significant Deficiency in Internal Control over Compliance Criteria: The Uniform Guidance, Section 200.303 Internal Controls, requires the non‐federal entity must establish and maintain effective internal controls over federal awards that provide reasonable assurance that awards are being managed in compliance with federal statutes, regulations and the terms and conditions of the federal award. The non‐Federal entity must have and use documented procurement procedures, consistent with State, local, and tribal laws and regulations and the standards of this section, for the acquisition of property or services required under a Federal award or subaward. The non‐ Federal entity's documented procurement procedures must conform to the procurement standards identified in §§ 200.318 through 200.327. Condition: The Organization did not have a written procurement policy that was consistent with Federal, State, local, and tribal laws and regulations. Cause: There is a lack of controls over the written procurement, suspension and debarment policy. Effect: Failure to maintain a written procurement policy that was consistent with Federal, State, local, and tribal laws and regulations may result in disallowed costs. Questioned Costs: None. Context/Sampling: EB reviewed the procurement, suspension and debarment policy. Repeat Finding from Prior Year(s): Yes. Recommendation: We recommend that management implement a written procurement, suspension and debarment policy that meets Federal, State, local, and tribal laws and regulations. We also recommend that management review this policy regularly to confirm that it meets the requirements. Views of Responsible Individuals: Management agrees with the finding.
U.S. Department of Health and Human Services Federal Financial Assistance Listing Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services ‐ 6H79SM083306‐01M002 Cash Management and Reporting Significant Deficiency in Internal Control over Compliance Criteria: The OMB Compliance Supplement requires that non‐federal entities receiving federal awards establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Condition: During our testing of reimbursement requests and reporting, there was no documentation available for the review and approval procedures performed. Cause: The Organization did not have an adequate internal control policy to require the documentation of the reimbursement requests’ and reports review and approval. Effect: Inaccurate reimbursement requests or reports may be prepared, which could lead to amounts received or reported in error. Questioned Costs: None. Context/Sampling: There was a total of two reimbursement requests and one report prepared for the year ended June 30, 2023 all of which were selected for testing. None of the reimbursement requests or reports contained documentation of the request being reviewed or approved. Repeat Finding from Prior Year(s): Yes for cash management, but no for reporting. Recommendation: We recommend the Organization enhance internal control policies to require documentation of the review and approval procedures performed in the preparation and review of reimbursement requests and reports. Views of Responsible Individuals: Management agrees with the finding.
U.S. Department of Health and Human Services Federal Financial Assistance Listing Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services ‐ 6H79SM083306‐01M002 Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Period of Performance Significant Deficiency in Internal Control over Compliance Criteria: The OMB Compliance Supplement requires that non‐federal entities receiving federal awards establish and maintain internal controls designed to reasonably ensure compliance with federal laws, regulations, and program compliance requirements. Condition: During our testing, there was no documentation of review and approval of employee timecards for a portion of the sample selected. Cause: The Organization did not have an adequate internal control policy to ensure review and approval of employee timecards was documented. Effect: The lack of adequate policies governing employee timecards increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. Questioned Costs: None. Context/Sampling: A nonstatistical sample of 65 expenditures submitted for reimbursement were selected for testing. Of these 65, 1 did not show evidence of proper review and approval prior to payment. Repeat Finding from Prior Year(s): Yes. Recommendation: We recommend that the Organization enhance internal control policies to ensure all employee timecards are reviewed and approved prior to payment to ensure that all payments are necessary and correct. Views of Responsible Individuals: Management agrees with the finding.
U.S. Department of Health and Human Services Federal Financial Assistance Listing Number 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services ‐ 6H79SM083306‐01M002 Procurement and Suspension and Debarment Significant Deficiency in Internal Control over Compliance Criteria: The Uniform Guidance, Section 200.303 Internal Controls, requires the non‐federal entity must establish and maintain effective internal controls over federal awards that provide reasonable assurance that awards are being managed in compliance with federal statutes, regulations and the terms and conditions of the federal award. The non‐Federal entity must have and use documented procurement procedures, consistent with State, local, and tribal laws and regulations and the standards of this section, for the acquisition of property or services required under a Federal award or subaward. The non‐ Federal entity's documented procurement procedures must conform to the procurement standards identified in §§ 200.318 through 200.327. Condition: The Organization did not have a written procurement policy that was consistent with Federal, State, local, and tribal laws and regulations. Cause: There is a lack of controls over the written procurement, suspension and debarment policy. Effect: Failure to maintain a written procurement policy that was consistent with Federal, State, local, and tribal laws and regulations may result in disallowed costs. Questioned Costs: None. Context/Sampling: EB reviewed the procurement, suspension and debarment policy. Repeat Finding from Prior Year(s): Yes. Recommendation: We recommend that management implement a written procurement, suspension and debarment policy that meets Federal, State, local, and tribal laws and regulations. We also recommend that management review this policy regularly to confirm that it meets the requirements. Views of Responsible Individuals: Management agrees with the finding.