Audit 297454

FY End
2023-06-30
Total Expended
$29.87M
Findings
4
Programs
30
Organization: Chestnut Health Systems, INC (IL)
Year: 2023 Accepted: 2024-03-25

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
384339 2023-001 Significant Deficiency - B
384340 2023-001 Significant Deficiency - B
960781 2023-001 Significant Deficiency - B
960782 2023-001 Significant Deficiency - B

Programs

ALN Program Spent Major Findings
64.033 Va Supportive Services for Veteran Families Program $992,503 - 0
93.696 Certified Community Behavioral Health Clinic Expansion Grants $848,264 Yes 0
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $619,500 - 0
93.493 Congressional Directives $508,877 - 0
93.958 Block Grants for Community Mental Health Services $432,050 Yes 0
93.273 Alcohol Research Programs $295,788 - 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $260,649 - 0
14.267 Continuum of Care Program $224,903 Yes 0
93.495 Community Health Workers for Public Health Response and Resilient $209,610 - 0
93.667 Social Services Block Grant $207,200 - 0
93.498 Provider Relief Fund $182,522 Yes 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $178,432 - 0
32.006 Covid-19 Telehealth Program $168,895 - 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $159,546 - 0
93.297 Teenage Pregnancy Prevention Program $151,190 - 0
93.788 Opioid Str $120,308 Yes 0
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $120,000 - 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $119,272 - 0
21.027 Coronavirus State and Local Fiscal Recovery Funds $119,060 - 0
93.268 Immunization Cooperative Agreements $112,500 - 0
93.276 Drug-Free Communities Support Program Grants $93,153 - 0
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $83,151 - 0
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $79,140 - 0
93.279 Drug Abuse and Addiction Research Programs $77,936 - 0
93.242 Mental Health Research Grants $65,905 - 0
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $54,000 - 0
93.556 Promoting Safe and Stable Families $30,900 - 0
93.359 Nurse Education, Practice Quality and Retention Grants $20,845 - 0
93.191 Graduate Psychology Education Program and Patient Navigator and Chronic Disease Prevention Program $5,680 - 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $1,730 Yes 0

Contacts

Name Title Type
LT8YKFJDVKJ3 Karen Rettick Auditee
3098276026 Chris Manderfield Auditor
No contacts on file

Notes to SEFA

Title: Note 1 Basis of Presentation Accounting Policies: Expenditures for federal programs are recognized as incurred using the accrual basis of accounting and the cost of accounting principles contained in the Uniform Guidance. Under those cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Chestnut Health Systems has received a federally approved indirect cost rate of 32.8% The accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of Chestnut Health Systems, Inc. and is presented on the accrual basis. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, some amounts presented in this Schedule may differ from amounts presented in, or used in, the preparation of the basic financial statements.
Title: Note 3 Noncash Assistance and Insurance Accounting Policies: Expenditures for federal programs are recognized as incurred using the accrual basis of accounting and the cost of accounting principles contained in the Uniform Guidance. Under those cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Chestnut Health Systems has received a federally approved indirect cost rate of 32.8% Chestnut did not receive or consume any form of noncash assistance or insurance in effect during the fiscal year ended June 30, 2023
Title: Note 4 Loans Outstanding Accounting Policies: Expenditures for federal programs are recognized as incurred using the accrual basis of accounting and the cost of accounting principles contained in the Uniform Guidance. Under those cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Chestnut Health Systems has received a federally approved indirect cost rate of 32.8% Chestnut did not have any loan balances outstanding at June 30, 2023, related to any of the programs included in the federal expenditures presented in the schedule of federal expenditures of federal awards
Title: Note 5 Financial Statement Revenue Accounting Policies: Expenditures for federal programs are recognized as incurred using the accrual basis of accounting and the cost of accounting principles contained in the Uniform Guidance. Under those cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: Chestnut Health Systems has received a federally approved indirect cost rate of 32.8% The consolidated financial statements for the year ended June 30, 2023 and 2022 reflect revenue recognized from the Provider Relief Fund (PRF) of $-0- and $1,423,871, respectively. The Schedule for the year ended June 30, 2023 includes PRF of $1,423,871 which consists of PRF received in Reporting Periods 4 and 5, in accordance with the requirements of the compliance supplement for assistance listing number 93.498.

Finding Details

Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Block Grants for Prevention and Treatment of Substance Abuse Assistance Listing Number: 93.959 Pass-Through Entity: Illinois Department of Human Services Pass-Through Number: 43CBC03483 and 43CBZ03223 Award Periods: July 1, 2022 – June 30, 2023 Type of Finding: Immaterial Noncompliance and Significant deficiency in internal control over compliance Criteria: 2 CFR 200.430 indicates that compensation for personal services includes all remuneration, paid currently or accrued, for services of employees rendered during the period of performance under the Federal Award. Condition: The Organization used an incorrect payroll amount when coding employee payroll expense to the grant causing the expenditures charged to the grant to be overstated. Questioned Costs: $4,555 Context: Two of forty transactions selected for testing. Cause: Oversight Effect: The Organization may draw down funding for a greater amount than expenses they have incurred. Repeat Finding: No. Recommendation: Management should refine its process for tracking costs and charging costs to grants and look for opportunities to automat the process and reduce manual involvement, which creates an opportunity for error. Views of Responsible Officials: There is no disagreement with the audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Block Grants for Prevention and Treatment of Substance Abuse Assistance Listing Number: 93.959 Pass-Through Entity: Illinois Department of Human Services Pass-Through Number: 43CBC03483 and 43CBZ03223 Award Periods: July 1, 2022 – June 30, 2023 Type of Finding: Immaterial Noncompliance and Significant deficiency in internal control over compliance Criteria: 2 CFR 200.430 indicates that compensation for personal services includes all remuneration, paid currently or accrued, for services of employees rendered during the period of performance under the Federal Award. Condition: The Organization used an incorrect payroll amount when coding employee payroll expense to the grant causing the expenditures charged to the grant to be overstated. Questioned Costs: $4,555 Context: Two of forty transactions selected for testing. Cause: Oversight Effect: The Organization may draw down funding for a greater amount than expenses they have incurred. Repeat Finding: No. Recommendation: Management should refine its process for tracking costs and charging costs to grants and look for opportunities to automat the process and reduce manual involvement, which creates an opportunity for error. Views of Responsible Officials: There is no disagreement with the audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Block Grants for Prevention and Treatment of Substance Abuse Assistance Listing Number: 93.959 Pass-Through Entity: Illinois Department of Human Services Pass-Through Number: 43CBC03483 and 43CBZ03223 Award Periods: July 1, 2022 – June 30, 2023 Type of Finding: Immaterial Noncompliance and Significant deficiency in internal control over compliance Criteria: 2 CFR 200.430 indicates that compensation for personal services includes all remuneration, paid currently or accrued, for services of employees rendered during the period of performance under the Federal Award. Condition: The Organization used an incorrect payroll amount when coding employee payroll expense to the grant causing the expenditures charged to the grant to be overstated. Questioned Costs: $4,555 Context: Two of forty transactions selected for testing. Cause: Oversight Effect: The Organization may draw down funding for a greater amount than expenses they have incurred. Repeat Finding: No. Recommendation: Management should refine its process for tracking costs and charging costs to grants and look for opportunities to automat the process and reduce manual involvement, which creates an opportunity for error. Views of Responsible Officials: There is no disagreement with the audit finding.
Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Block Grants for Prevention and Treatment of Substance Abuse Assistance Listing Number: 93.959 Pass-Through Entity: Illinois Department of Human Services Pass-Through Number: 43CBC03483 and 43CBZ03223 Award Periods: July 1, 2022 – June 30, 2023 Type of Finding: Immaterial Noncompliance and Significant deficiency in internal control over compliance Criteria: 2 CFR 200.430 indicates that compensation for personal services includes all remuneration, paid currently or accrued, for services of employees rendered during the period of performance under the Federal Award. Condition: The Organization used an incorrect payroll amount when coding employee payroll expense to the grant causing the expenditures charged to the grant to be overstated. Questioned Costs: $4,555 Context: Two of forty transactions selected for testing. Cause: Oversight Effect: The Organization may draw down funding for a greater amount than expenses they have incurred. Repeat Finding: No. Recommendation: Management should refine its process for tracking costs and charging costs to grants and look for opportunities to automat the process and reduce manual involvement, which creates an opportunity for error. Views of Responsible Officials: There is no disagreement with the audit finding.