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    During the two years
    examined in this audit, Pilsen paid over $57,000 in property taxes for which it was
    exempt. 
      
      
      
      
      
      
      
    Pilsen overcharged
    State funded programs $108,000 becuase all sources of program funds were not consistently
    allocated administrative overhead. 
      
      
      
      
      
    Pilsen providee 97
    employee bonuses totaling $20,951 which were not reported on the employees' W-2 forms. 
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
    Political contributions
    made by Pilsen during Fiscal Year 1997 could jeopardize its tax-exempt status as a
    not-for-profit. 
      
      
      
      
      
      
      
      
      
      
      
    The Chief Executive
    Officer (CEO) and the Chief Financial Oficer (CFO) recieved reimbursement for expense
    without adequate documentation to support the necessity of the expenditure. 
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
    We could not find
    evidence that Pilsen had reported usage of the van in tac year 1997 as additional income
    for the CEO. 
      
      
      
      
      
    Pilsen issued the CEO a
    $15,000 interest free lean in December 1996 that was processed as a pay advance. 
      
      
      
      
      
      
      
    Over a two year period,
    we identified $11,383 in questionable travel expenditures. 
      
      
      
      
      
      
    We identified a
    potential related party transaction between Pilsen and the Alliance for the Development of
    Latino Communites - an organization that leased and sold properties to Pilsen. 
      
      
      
      
      
      
      
      
      
      
      
      
    Pilsen's Chief
    Executive Officer conducts business on behalf of the Alliance. 
      
      
      
      
      
      
      
    The Office of the
    Attorney General will be reviewing the real estate transactions of the Alliance.  | 
    REPORT
    CONCLUSIONS 
    Pilsen-Little Village Community Mental
    Health Center, Inc. (Pilsen) provides social and mental health services to the primarily
    Hispanic community of Pilsen-Little Village and to the Chicago Metropolitan area at large.
    Pilsen received 91 percent of its grant funding from the State in Fiscal Year 1998,
    primarily from the Department of Human Services. Pilsen also received funding from the
    Departments of Children and Family Services and Public Aid. 
    State agencies have conducted reviews of Pilsens operations over the past three
    years, including reviews of audited financial statements and on-site visits to examine
    case files. However, none of the agencies have conducted a detailed review of
    Pilsens expenditures, as we were directed to do pursuant to House Resolution Number
    385. 
    Our audit identified expenditures which were inappropriately charged to State programs.
    We also found that documentation to support many of the expenditures sampled was lacking
    information on the amount, date, place, and essential character of the expense. 
    Specific findings noted in this audit were: 
    
      
        - Over $57,000 in property taxes paid on Pilsen-owned buildings were charged primarily to
          State-funded programs in Fiscal Years 1997 and 1998. Pilsen has been exempt from paying
          property taxes since 1995. 
 
        - Pilsens inconsistent allocation of indirect costs resulted in overcharges to
          State-funded programs totaling almost $108,000 during Fiscal Years 1997 and 1998. 
 
        - Pilsen made $800 in political contributions and failed to disclose the contributions on
          its federal Internal Revenue Service (IRS) return. As a 501(c)(3) not-for-profit
          organization, IRS regulations prohibit such organizations from making political
          contributions.
 
        - Pilsens payroll administration was the subject of numerous findings. The
          allocation of salaries was not consistently applied to both State and non-State-funded
          programs resulting in State-funded programs being overcharged payroll expenses. Pilsen
          paid over $16,000 in wages to an employee who was apparently on unauthorized absence. An
          undetected error in processing the payroll resulted in a contractual psychiatrist
          receiving both a payroll check and a contractual services check. Further, 31 percent of
          our sample of instances where employees were away from work on agency business lacked
          proper support. Finally, we found that Pilsen classified nearly $21,000 in bonuses as
          Office Expense and did not report it on employee W-2 forms as income.
 
        - Almost $31,000 in business expense reimbursements to Pilsen administrators were
          questioned due to a misclassification of expenses or a lack of documentation to support
          the expenditure.
 
        - Nearly $11,400 in travel expenditures were questioned due to unsubstantiated necessity
          of the travel or payments made for unallowable costs. Additionally, we questioned the
          appropriateness of expenditures for a cellular telephone account ($8,232) and recreation
          and crafts ($4,063.50). 
 
        - Cash management practices need to be strengthened. Pilsen regularly made payments to
          employees who then paid vendors for goods and services, which is contrary to State
          guidelines. Lack of support, including receipts dated ten months after a check was issued
          to an employee, caused us to question $12,532. Also, the agency granted a $15,000 interest
          free loan to an employee. The employee repaid the loan and then issued himself a $17,500
          bonus four days after repayment.
 
        - Pilsen has not performed a physical inventory of all its property and equipment, some
          purchased with State funds. Without maintaining an accurate inventory of all its property
          and equipment, Pilsen is not in a position to exercise adequate control over its equipment
          to prevent its loss from abuse or misappropriation. 
 
        - Pilsen purchased and leased buildings from an entity with which Pilsens Chief
          Executive Officer served as President or Trustee. If such relationships constitute related
          party transactions, they need to be disclosed in Pilsens financial statements, as
          required by auditing standards. The Office of Attorney General will be reviewing these
          real estate transactions. 
 
       
     
    In light of the above findings, we recommended that the Departments of Human Services,
    Public Aid, and Children and Family Services follow up on these findings and determine
    whether State funds should be recovered.  
    BACKGROUND 
    Pilsen-Little Village Community Mental Health Center (Pilsen), located in Chicago,
    Illinois, is incorporated as a not-for-profit organization. The primary purpose of Pilsen
    is to facilitate comprehensive social and mental health services to the primarily Hispanic
    community of Pilsen-Little Village and the Chicago Metropolitan area at large.  
    Pilsen is organized as a not-for-profit organization under Section 501(c)(3) of the
    Internal Revenue Code. Pilsen is overseen by a Board of Directors and managed by three
    executive officers: the Chief Executive Officer, who has been with Pilsen since 1969; the
    Chief Program Officer; and the Chief Fiscal Officer, who left the agency toward the end of
    Fiscal Year 1998.  
    During Fiscal Year 1998 Pilsen received over $4 million from various sources, including
    almost $3 million in grants, $676,000 in fees for services rendered, and $402,000 from
    other sources, including contributed goods and services. Funding from State agencies (the
    Departments of Human Services, Children and Family Services, and Public Aid), totaling
    $3.1 million, comprised 85 percent of Pilsens total grant and fee for service
    funding in Fiscal Year 1998.  
    State agencies have conducted reviews of Pilsens operations over the past three
    years, including reviews of audited financial statements and on-site visits to examine
    case files. However, none of the agencies have conducted a detailed review of
    Pilsens expenditures, as we were directed to do pursuant to House Resolution Number
    385. (See report pages 2-9) 
      
    QUESTIONABLE EXPENDITURE OF FUNDS 
    Our audit identified expenditures which appeared to be
    inappropriately charged to State programs. We also found that documentation to support
    many of the expenditures sampled was lacking information on the amount, date, place, and
    essential character of the expense. 
    PROPERTY TAXES 
    During the two years examined in this audit, Pilsen paid over $57,000 in property taxes
    for which it was exempt. The $57,000 was charged primarily to State-funded programs either
    as a direct cost of occupancy or as administrative overhead through the cost allocation
    plan.  
    Illinois Department of Revenue documentation confirmed that Pilsen has had an exemption
    for property taxes. Pilsen management was not timely in filing for their exemption and
    ended up paying taxes for which they were not responsible. Pilsen has filed for a refund.
    However, they have continued to pay property taxes during the legal process. (See report
    pages 12-13) 
    COST ALLOCATION PLAN FOR INDIRECT COSTS 
    Pilsen overcharged State-funded programs $108,000 because all sources of program funds
    were not consistently allocated administrative overhead. Rather, some of Pilsens
    contracts limited the amount of indirect costs which could be charged to them;
    consequently, Pilsen shifted to other programs, including State-funded programs, the costs
    which exceeded the contracts maximum amount. This cost allocation method was not
    consistent or in compliance with State and federal regulations. 
    State rules allow for the allocation of expenses that are not readily identifiable to a
    specific program. However, the expenses must be allocated to all program services, both
    State-funded and non-State funded. During Fiscal Years 1997 and 1998 Pilsen had 15
    programs over which to spread the indirect costs (also known as Management and General
    Expenses). The State funded 11 of these 15 programs. (See report pages 13-14) 
    BONUSES 
    In calendar years 1996 and 1997, Pilsen provided bonuses to employees totaling
    $78,733.29: $38,451 in 1997 and $40,282.29 in 1996. The 1997 bonuses are detailed in
    Digest Exhibit 1. As the Exhibit shows,  
    the Chief Executive Officer (CEO) received a $17,500 bonus, which was the largest
    granted in 1997. 
    In December 1997, Pilsen provided 97 employee bonuses totaling $20,951 which were
    misclassified as Office Expense and not reported on the employees W-2 forms. Not
    reporting this income on the employees W-2 forms places the employees at risk for
    their personal taxes. The bonuses ranged from $25 up to $1,000 with an average bonus of
    $216.  
      
    
      
        Digest
        Exhibit 1 
        BONUSES BY PROGRAM AREA 
        Calendar Year 1997  | 
       
      
          
        Program Area  | 
        Number
        of Staff Paid Bonuses  | 
        Total
        Bonuses Paid  | 
        Average
        Bonus  | 
       
      
        | Executive Staff-CEO | 
        1  | 
        $17,500.00  | 
        $17,500.00  | 
       
      
        | Executive Staff-CFO | 
        0  | 
        $0.00  | 
        $0.00  | 
       
      
        | Executive Staff-CPO | 
        0  | 
        $0.00  | 
        $0.00  | 
       
      
        | Administration | 
        7  | 
        *$4,360.00  | 
        $622.86  | 
       
      
        | Emergency Psychiatric | 
        1  | 
        *$540.00  | 
        $540.00  | 
       
      
        | Comprehensive Prevention | 
        1  | 
        *$520.00  | 
        $520.00  | 
       
      
        | Outpatient Mental Health | 
        14  | 
        *$4,271.00  | 
        $305.07  | 
       
      
        | Family Systems Program | 
        3  | 
        *$845.00  | 
        $281.67  | 
       
      
        | HIV/AIDS | 
        8  | 
        *$1,900.00  | 
        $237.50  | 
       
      
        | Vocational Rehab Center | 
        5  | 
        *$1,050.00  | 
        $210.00  | 
       
      
        | CILA | 
        21  | 
        *$3,275.00  | 
        $155.95  | 
       
      
        | DUI | 
        2  | 
        *$305.00  | 
        $152.50  | 
       
      
        | Pilsen Inn | 
        9  | 
        *$1,200.00  | 
        $133.33  | 
       
      
        | Door-to-Door (SLIAG) | 
        2  | 
        *$225.00  | 
        $112.50  | 
       
      
        | Methadone Treatment | 
        19  | 
        *$1,965.00  | 
        $103.42  | 
       
      
        | Alcoholism Outpatient | 
        2  | 
        *$205.00  | 
        $102.50  | 
       
      
        | MI/SA | 
        3  | 
        *$290.00  | 
        $96.67  | 
       
      
        Total  | 
        98  | 
        $38,451.00  | 
        $392.36  | 
       
      
        | * These were December
        1997 bonuses totaling $20,951 that were not reported on employee W-2 forms. Source: OAG
        Summary of Pilsen documentation  | 
       
     
    Pilsens policies do not require the Board to review
    and approve bonuses. Consistent with its fiduciary responsibilities, Board review and
    approval of bonuses would help ensure that bonuses complied with legal requirements and
    were properly expensed. (See report pages 14-16) 
    POLITICAL CONTRIBUTIONS 
    Political contributions made by Pilsen during Fiscal Year 1997 could jeopardize its
    tax-exempt status as a not-for-profit. Two payments totaling $800, were made to a
    political campaign fund and not reported on Pilsens federal tax return. 
    Pilsen is organized as a not-for-profit under Section 501(c)(3) of the Internal Revenue
    Code. As such, Internal Revenue Service regulations prohibit such organizations from
    making political contributions. These political contributions were paid from an expense
    classification which was not allocated to State-funded programs. (See report page 16) 
    PAYROLL 
    We noted several concerns regarding Pilsens payroll administration. These
    included: 
    
      
        - $176,000 in salaries for the Chief Program Officer and four maintenance positions which
          were charged primarily to State-funded programs when they provided services to all Pilsen
          programs;
 
        - $24,000 in a specially developed retirement plan for one former employee which was
          allocated to all programs, including State-funded programs. Since this employee was not
          currently working for Pilsen and, therefore, the State derived no benefit from these
          payments, charging this expense to State-funded programs was questionable; and 
 
        - $16,000 in salary to a full-time maintenance employee who had inconclusive documentation
          to support the wages paid. (See report pages 17-20)
 
       
     
      
    REIMBURSEMENT OF ADMINISTRATORS EXPENSES 
    The Chief Executive Officer (CEO) and the Chief Financial Officer (CFO) received
    reimbursement for expenses without adequate documentation to support the necessity of the
    expenditure. During Fiscal Years 1997 and 1998, these reimbursements totaled almost
    $31,000.  
    During the audit period, Pilsens CEO was reimbursed $26,632 for 690 business
    expenditures. The expenses were combined into three categories: Food and Beverage,
    Automobile, and Other. Digest Exhibit 2 summarizes the groupings.  
    
      
        Digest Exhibit
        2 
        CEO REIMBURSEMENTS 
        Fiscal Years 1997-1998  | 
       
      
        | Type of Expense | 
        Number of
        Occurrences  | 
        Amount  | 
       
      
        | Food and Beverage | 
        271  | 
        $12,876  | 
       
      
        | Automobile | 
        308  | 
        $4,836  | 
       
      
        | Other | 
        111  | 
        $8,920  | 
       
      
        Total  | 
        690  | 
        $26,632  | 
       
      
        | Source: OAG Summary of Pilsen
        documentation | 
       
     
      
      
      
      
      
      
      
      
    Food and Beverage is not an allocated expense under the
    Pilsen indirect cost allocation plan. Consequently, it is not charged as an expenditure to
    State-funded programs. However, during Fiscal Years 1997-1998, 25 percent (68 of 271) of
    food and beverage purchases reviewed totaling $3,302 were charged as Office Expense and
    allocated among the various costs centers, including State-funded programs. Non-client
    meals are generally not reimbursable expenses per the Illinois Administrative Code (77
    Ill. Adm. Code 2030.360 (k)). Documentation on food and beverage purchases generally
    lacked business purpose to evaluate the expense as allowable. 
    Automobile expense is an indirect expense for the administration division at Pilsen
    that is allocated among the various cost centers, including State-funded programs. The
    Pilsen Board of Directors provided the CEO a conversion van for business and personal use.
    Logs were not maintained for the expenditures incurred by the CEO for this vehicle.
    However, 308 expenditures totaling over $4,800 were reimbursed to the CEO during the audit
    period. 
    Gasoline and parking receipts were submitted without documentation specifying the
    vehicle that incurred the expense. Auditors could not determine whether expenses
    reimbursed to the CEO were for the agency provided vehicle or other vehicles. For example,
    it was noted that: 
    
      
        - Gasoline was purchased within 2 or fewer days on 43 occasions.
 
        - In 28 of those 43 purchases the duration was 1 calendar day or less.
 
        - In 7 instances, multiple gasoline purchases were made on the same day. In one such
          occurrence, gas was purchased from the same station within a five-minute period.
 
        - The same gasoline receipt dated October 11, 1996, was submitted for reimbursement on 2
          different occasions.
 
       
     
    Also, when an employer-provided vehicle is used for personal purposes, the employer is
    required to report this use to the Internal Revenue Service as additional income on the
    employees W-2. Personal use includes commuting to and from ones work and any
    other use that is non-business related. We could not find evidence that Pilsen had
    reported usage of the van in tax year 1997 as additional income for the CEO. 
    Pilsen reimbursed the CEO for $8,920 in Other expenditures during the audit period that
    also lacked adequate documentation as to the business purpose/necessity of the expense.
    Similarly, $4,157 in reimbursements made to the former CFO lacked necessary documentation
    to support reimbursement as an allowable expense. These indirect expenses for the
    administration division at Pilsen were then allocated among the various cost centers,
    including State-funded programs. (See report pages 22-24) 
    EMPLOYEE LOAN 
    Pilsen issued the CEO a $15,000 interest free loan in December 1996 that was processed
    as a pay advance. Documentation to support the payment consisted of a memo from the CEO to
    the Pilsen Board Chairperson requesting the loan. The memo makes no mention of an interest
    rate on loaned funds but does indicate that it would be paid back by the end of the fiscal
    year. Pilsen could not provide documentation to show that the Board had approved this
    loan. 
    The CEO repaid $15,500 (the extra $500 at the time of the payback was denoted as
    additional federal taxes) on June 26, 1997, and then issued himself a $17,500 bonus on
    June 30, 1997. The $17,500 bonus was a payroll expense that was allocated as an indirect
    cost to all programs, including State-funded programs. Pilsen Board of Directors meeting
    minutes include no indication of an approval for the bonus. Financial management
    requirements imposed on Pilsen as a recipient of grant funding does not allow award funds
    or program income to be used for employee salary advances or employee loans (77 Ill. Adm.
    Code 2030.610 (j)). Pilsens own Financial Procedures Manual for Expenditure and
    Management of Funds states that "the organization is not a financial institution like
    a bank or credit union and, as a result, cannot loan money over an extended period of
    time." (See report page 26) 
    QUESTIONABLE TRAVEL EXPENDITURES 
    Over a two year period, we identified $11,383 in questionable travel expenditures.
    While Pilsen had a travel policy in place, it was not always followed. Instances such as
    not documenting conference attendance, not including the business necessity of a trip, or
    obtaining reimbursement for unallowable expenses demonstrates a lack of control and
    violation of State and federal rules and Pilsens own Financial Procedures Manual. 
    For example, nearly $4,600 in travel expenses were charged to State-funded programs
    through the allocation of administrative costs for a conference in Puerto Rico from June
    10th through the 13th of 1998. DHS rules require that the agencies
    receive prior approval for staff to attend meetings or conferences 250 miles outside of
    Illinois - Pilsen did not receive an approval from the State for the conference in Puerto
    Rico (77 Ill. Adm. Code 2030.350 (d)). Questionable expenditures found for the trip
    included alcohol, gratuities, and a banquet. (See report pages 28-29) 
    RELATED PARTY TRANSACTIONS 
    In our review of the agencys expenditures, we identified a potential related
    party transaction between Pilsen and the Alliance for the Development of Latino
    Communitiesan organization that leased and sold properties to Pilsen. Statements on
    Auditing Standards (SAS No. 45) define a related party to include: 
    Affiliates of the enterprise. . .its management. . .and other parties with which the
    enterprise may deal if one party controls or can significantly influence the management or
    operating policies of the other to an extent that one of the transacting parties might be
    prevented from fully pursuing its own separate interests.... 
    Financial statements should include disclosures of material related party transactions.
    The disclosure should include the nature of the relationship along with a description and
    dollar amount of the transaction. We noted that Pilsen financial statements and their
    management representation letter to the external auditor did not disclose any related
    party transactions. 
    Within the past four years, Pilsen has leased or purchased numerous buildings from the
    Alliance for the Development of Latino Communities (Alliance). In Fiscal Year 1996, Pilsen
    leased 7 of the 10 properties they used from the Alliance. As of June 30, 1998, Pilsen
    continued to lease one building from the Alliance. Pilsen has also purchased three of the
    leased facilities from the Alliance.  
    In November 1995, Pilsen purchased three properties from the Alliance for a total
    purchase price of $470,000. Financing for the purchase was provided from two sources: a
    $350,000 mortgage loan from a local bank and an additional mortgage with the Alliance for
    $125,360.26. Documentation showed that the Alliance had taken out mortgages in July 1995
    to purchase the buildings sold to Pilsen four months later. Loan documentation shows the
    Pilsen CEO signing all the mortgage documents as either the Executive Director for the
    Alliance or Pilsen-Little Village Community Mental Health Center. 
    Pilsens Chief Executive Officer conducts business on behalf of the Alliance. The
    CEO stated he provides property management services free of charge to the Alliance. He
    added that these activities are conducted from his home. The CEO has check signing
    authority for the Alliance, with Alliance checks being co-signed by the CEOs former
    office manager at Pilsen. The FY97 Alliance Charitable Organization Supplement filing has
    the Pilsen CEO signing as the President or Trustee of the Alliance with another Pilsen
    employee listed as the registered agent. Also, on some documents, the Alliance address is
    the same as Pilsens administrative facilities. 
    We requested federal informational return filings from the Attorney Generals
    Office for all companies from which Pilsen leased property during the audit period,
    including the Alliance. Officials from the Attorney Generals Charitable Trust
    Division reported that the Alliance had not filed required reports since 1996. The
    Attorney Generals Office has since requested that the Alliance complete the required
    filings (the Alliance had submitted additional filings during our fieldwork). Further,
    since the Alliance had sold property during the non-filing period, officials from the
    Charitable Trust Division stated they would be reviewing the sales transactions. 
    Given the extent of the real estate transactions between Pilsen and the Alliance, and
    Pilsens CEOs involvement in Alliance transactions, disclosure of such
    relationships may be required in Pilsens audited financial statements. Furthermore,
    given that the Office of the Attorney General will be reviewing the real estate
    transactions of the Alliance, we will share with the Attorney General documentation
    collected during this audit. (See report pages 32-34) 
    BOARD OF DIRECTORS 
    Corporate by-laws state that the Board of Directors is the governing body of the
    organization and is empowered to apply for and receive funds and is accountable for and
    assures the effective discharge of the planning and management functions of the agency. 
    The findings contained in this audit indicate that the Board needs to increase its
    oversight of Pilsen operations. To ensure that the members of the Board are fulfilling
    their mission and fiduciary responsibilities, the Board should improve formal systems for
    obtaining regular information on Pilsens operations, including approving
    expenditures over a pre-determined amount and approving expenditures to executive level
    employees. (See report pages 34-35) 
    FOLLOW UP ON AUDIT FINDINGS 
    Pilsen received 91 percent of its grant funding from the State in Fiscal Year 1998.
    These grants come primarily from the Department of Human Services for Pilsens two
    major programs (mental health and substance abuse) with an additional amount from the
    Department of Children and Family Services. The Department of Public Aid provides funds to
    Pilsen on a fee-for-service basis. 
    While State agencies have conducted reviews of Pilsen activities, none of the agencies
    have conducted a detailed review of Pilsens expenditures, as we were directed
    pursuant to House Resolution Number 385. Given the findings in this audit, the State
    agencies that provide funding to Pilsen should follow-up on the findings and seek recovery
    of any inappropriately expended State funds. (See report pages 35-36) 
    RECOMMENDATIONS 
    The audit report contained 16 recommendations to Pilsen; Pilsen concurred with all of
    the recommendations. The report also contained a recommendation to the Departments of
    Human Services, Children and Family Services, and Public Aid to undertake an evaluation of
    Pilsen financial practices to determine if funds received from the State have been
    appropriately expended and to follow-up on and seek recovery of any inappropriately
    expended State funds. The State agencies concurred with the recommendation. Agency
    responses are included after each recommendation and complete written responses are
    included in Appendix E of the audit report.  
      
    ________________________ 
    WILLIAM G. HOLLAND 
    Auditor General 
    WGH\MM  |