Audit 43266

FY End
2022-09-30
Total Expended
$4.78M
Findings
2
Programs
6
Year: 2022 Accepted: 2023-04-02
Auditor: Eide Bailly LLP

Organization Exclusion Status:

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Contacts

Name Title Type
N12LV23TG3J8 Ben Baxter Auditee
6029309371 Renee Gravalin Auditor
No contacts on file

Notes to SEFA

Title: 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 Organizations summary of significant accounting policies is presented in Note 1 in the Organizations financial statements. No federal financial assistance has been provided to a subrecipient. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award activity of Horizon Health and Wellness, Inc. (Organization) under programs of the federal government for the year ended September 30, 2022. The information in this Schedule 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.
Title: Provider Relief Fund and American Rescue Plan Rural Distribution 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 Organizations summary of significant accounting policies is presented in Note 1 in the Organizations financial statements. No federal financial assistance has been provided to a subrecipient. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis 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 Rural Distribution (PRF) program (Federal Financial Assistance Listing/CFDA #93.498). The Organization incurred eligible expenditures, including lost revenue, and therefore, recognized revenues totaling $587,547 for the year ended September 30, 2022 on the financial statements. The PRF expenditures are recognized on the Schedule when the expenditures were included in the reporting to HHS for the calendar year ended December 31, 2021, as required under the PRF program. This resulted in $603,318 being recognized in the Schedule for the year ended September 30, 2022 and the remaining $587,547 will not be recognized on the Schedule until they are included in the reporting to HHS for the calendar year ended December 31, 2022. The following summarizes the Provider Relief funds and the timing of when the amounts were recognized in the financial statements. (See chart in report)

Finding Details

2022-001 Federal Communications Commission Federal Financial Assistance Listing/Federal CFDA #32.006 COVID-19 Telehealth Program Procurement, Suspension and Debarment Material Weakness in Internal Control over Compliance Criteria ? Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) Sections 200.318 through 200.326 set forth the procurement, suspension and debarment standards non-federal entities other than states must follow when operating federal programs and the procurement, suspension and debarment procedures required depending on the dollar amount of the transaction. In addition, the Uniform Guidance requires contracts contain the applicable provisions described in Appendix II to Part 200 for contracts under federal awards. Condition ? During the course of our engagement, we identified that there was no observable procurement policy or suspension and debarment policy to indicate that the required procurement, suspension and debarment procedures were performed on vendors. There is a purchasing policy; however, the purchasing policy does not contain all of the required elements identified in the Uniform Guidance. The purchasing policy does require three quotes are obtained for purchases exceeding $50,000; however, the Small Purchase Threshold within Uniform Guidance requires that an entity obtain and document a reasonable number of quotes (defined as three) for purchases between $10,000 and under $250,000. Discussions with management noted that suspension and debarment procedures occurred, but there is no retained documentation of those procedures, nor are the suspension and debarment procedures updated periodically. Cause ?The Organization did not have adequate internal controls to ensure the procurement policy and the suspension and debarment policy were in place and contained all of the applicable provisions prior to entering into all covered transactions. Effect ? A lack of established policies increases the overall risk that the Organization is contracting and awarding contracts which may not be the most cost advantageous to the Organization or that the Organization may be contracting with suspended or debarred vendors. Questioned Costs ? None reported Context/Sampling ? The Organization did not have a procurement policy or a suspension and department policy, so no review could be done. In addition, the Organization did not retain supporting documentation that management completed suspension and debarment procedures before entering covered transactions. Repeat Finding from Prior Year ? No Recommendation ? We recommend that management implement a procurement policy that conforms to the requirements contained in the Uniform Guidance as well as contains the applicable provisions described in Appendix II to Part 200, which include administrative, contractual, or legal remedies in instances where contractors violate or breach terms. In addition, we recommend that management implement a suspension and debarment policy to ensure the Organization does not contract with suspended or debarred vendors, including a requirement to retain the documentation of these procedures. Views of Responsible Officials ? Management agrees with the finding.
2022-001 Federal Communications Commission Federal Financial Assistance Listing/Federal CFDA #32.006 COVID-19 Telehealth Program Procurement, Suspension and Debarment Material Weakness in Internal Control over Compliance Criteria ? Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) Sections 200.318 through 200.326 set forth the procurement, suspension and debarment standards non-federal entities other than states must follow when operating federal programs and the procurement, suspension and debarment procedures required depending on the dollar amount of the transaction. In addition, the Uniform Guidance requires contracts contain the applicable provisions described in Appendix II to Part 200 for contracts under federal awards. Condition ? During the course of our engagement, we identified that there was no observable procurement policy or suspension and debarment policy to indicate that the required procurement, suspension and debarment procedures were performed on vendors. There is a purchasing policy; however, the purchasing policy does not contain all of the required elements identified in the Uniform Guidance. The purchasing policy does require three quotes are obtained for purchases exceeding $50,000; however, the Small Purchase Threshold within Uniform Guidance requires that an entity obtain and document a reasonable number of quotes (defined as three) for purchases between $10,000 and under $250,000. Discussions with management noted that suspension and debarment procedures occurred, but there is no retained documentation of those procedures, nor are the suspension and debarment procedures updated periodically. Cause ?The Organization did not have adequate internal controls to ensure the procurement policy and the suspension and debarment policy were in place and contained all of the applicable provisions prior to entering into all covered transactions. Effect ? A lack of established policies increases the overall risk that the Organization is contracting and awarding contracts which may not be the most cost advantageous to the Organization or that the Organization may be contracting with suspended or debarred vendors. Questioned Costs ? None reported Context/Sampling ? The Organization did not have a procurement policy or a suspension and department policy, so no review could be done. In addition, the Organization did not retain supporting documentation that management completed suspension and debarment procedures before entering covered transactions. Repeat Finding from Prior Year ? No Recommendation ? We recommend that management implement a procurement policy that conforms to the requirements contained in the Uniform Guidance as well as contains the applicable provisions described in Appendix II to Part 200, which include administrative, contractual, or legal remedies in instances where contractors violate or breach terms. In addition, we recommend that management implement a suspension and debarment policy to ensure the Organization does not contract with suspended or debarred vendors, including a requirement to retain the documentation of these procedures. Views of Responsible Officials ? Management agrees with the finding.