Audit 30271

FY End
2022-09-30
Total Expended
$1.42M
Findings
12
Programs
6
Organization: Concord Hospital, Inc. (NH)
Year: 2022 Accepted: 2023-04-24

Organization Exclusion Status:

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Findings

ID Ref Severity Repeat Requirement
30338 2022-001 - - L
30339 2022-002 - - L
30340 2022-001 - - L
30341 2022-002 - - L
30342 2022-001 - - L
30343 2022-002 - - L
606780 2022-001 - - L
606781 2022-002 - - L
606782 2022-001 - - L
606783 2022-002 - - L
606784 2022-001 - - L
606785 2022-002 - - L

Contacts

Name Title Type
D6NBCNB2YWW8 Allyson Hicks Auditee
6032301904 Jeremy P. Veilleux Auditor
No contacts on file

Notes to SEFA

Title: Pass-Through Awards Accounting Policies: Expenditures for direct costs are recognized as incurred using the accrual method of accounting and the cost accounting principles contained in Uniform Guidance, as applicable. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. The categorization of expenditures by program included in the Schedule is based upon the Assistance Listing Number (ALN). The System has elected to use the 10-percent 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 System receives certain federal awards in the form of pass-through awards. Such amounts received as pass-through awards are specifically identified on the Schedule.
Title: Donated Personal Protective Equipment (PPE) (Unaudited) Accounting Policies: Expenditures for direct costs are recognized as incurred using the accrual method of accounting and the cost accounting principles contained in Uniform Guidance, as applicable. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. The categorization of expenditures by program included in the Schedule is based upon the Assistance Listing Number (ALN). The System has elected to use the 10-percent 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 September 30, 2022, the System did not receive donated PPE.

Finding Details

Finding 2022-001: Timeliness of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services (HUB)/ Medication Assisted Treatment to Individuals with Opioid Use Disorders (MAT) Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting timely reporting based on the terms of the grant agreement which specified submission dates within 15 working days of each month. Condition: During compliance testing, it was determined that the two monthly reimbursement submissions during fiscal year 2022 selected for testwork for HUB were submitted to the grantor 19 and 17 working days after month end. The two monthly reimbursement submissions selected for testwork for MAT were submitted to the grantor 19 and 18 working days after month end. Context: The required submissions were not submitted timely based on the terms of the grant agreement. Cause: Management has processes and controls over the reporting process, however, competing priorities and staffing limitations resulted in not consistently meeting this monthly reporting deadline. The tracking and reporting for these grants is currently manual, and ensuring that all invoices for the covered month have been received, reviewed and included, is a lengthy process. Effect: As a result of the condition, required reporting was not submitted timely based on the terms of the grant agreement. Recommendation: In the future, the System should ensure it implements appropriate processes and controls to ensure required reports are filed timely in accordance with the terms of the grant agreement. Views of Responsible Officials: Management acknowledges the finding. Management is reviewing the current process and is making improvements to streamline the data collection and reporting process to ensure timely filings of the required reports to the awarding agency occur on a consistent basis.
Finding 2022-002: Invoice Submitted in Duplication Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting accurate monthly reimbursement requests to the grantor for allowable costs incurred under the grant agreement. Condition: During compliance testing, it was determined that one invoice totaling $229 was submitted for reimbursement under the grant twice, in error. Context: An invoice totaling $229 was incorrectly submitted for reimbursement under the grant. Cause: The process to prepare monthly reimbursement requests is manual and the invoice was submitted for reimbursement twice during the month of February 2022 in error. Effect: As a result, the System received $229 from the grantor for costs that were not supported. Recommendation: Management should notify and refund the grantor for the funds received in duplication. Management should also implement controls to ensure this error does not reoccur. Views of Responsible Officials: Management acknowledges the finding and will ensure controls are implemented to prevent this error from reoccurring.
Finding 2022-001: Timeliness of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services (HUB)/ Medication Assisted Treatment to Individuals with Opioid Use Disorders (MAT) Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting timely reporting based on the terms of the grant agreement which specified submission dates within 15 working days of each month. Condition: During compliance testing, it was determined that the two monthly reimbursement submissions during fiscal year 2022 selected for testwork for HUB were submitted to the grantor 19 and 17 working days after month end. The two monthly reimbursement submissions selected for testwork for MAT were submitted to the grantor 19 and 18 working days after month end. Context: The required submissions were not submitted timely based on the terms of the grant agreement. Cause: Management has processes and controls over the reporting process, however, competing priorities and staffing limitations resulted in not consistently meeting this monthly reporting deadline. The tracking and reporting for these grants is currently manual, and ensuring that all invoices for the covered month have been received, reviewed and included, is a lengthy process. Effect: As a result of the condition, required reporting was not submitted timely based on the terms of the grant agreement. Recommendation: In the future, the System should ensure it implements appropriate processes and controls to ensure required reports are filed timely in accordance with the terms of the grant agreement. Views of Responsible Officials: Management acknowledges the finding. Management is reviewing the current process and is making improvements to streamline the data collection and reporting process to ensure timely filings of the required reports to the awarding agency occur on a consistent basis.
Finding 2022-002: Invoice Submitted in Duplication Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting accurate monthly reimbursement requests to the grantor for allowable costs incurred under the grant agreement. Condition: During compliance testing, it was determined that one invoice totaling $229 was submitted for reimbursement under the grant twice, in error. Context: An invoice totaling $229 was incorrectly submitted for reimbursement under the grant. Cause: The process to prepare monthly reimbursement requests is manual and the invoice was submitted for reimbursement twice during the month of February 2022 in error. Effect: As a result, the System received $229 from the grantor for costs that were not supported. Recommendation: Management should notify and refund the grantor for the funds received in duplication. Management should also implement controls to ensure this error does not reoccur. Views of Responsible Officials: Management acknowledges the finding and will ensure controls are implemented to prevent this error from reoccurring.
Finding 2022-001: Timeliness of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services (HUB)/ Medication Assisted Treatment to Individuals with Opioid Use Disorders (MAT) Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting timely reporting based on the terms of the grant agreement which specified submission dates within 15 working days of each month. Condition: During compliance testing, it was determined that the two monthly reimbursement submissions during fiscal year 2022 selected for testwork for HUB were submitted to the grantor 19 and 17 working days after month end. The two monthly reimbursement submissions selected for testwork for MAT were submitted to the grantor 19 and 18 working days after month end. Context: The required submissions were not submitted timely based on the terms of the grant agreement. Cause: Management has processes and controls over the reporting process, however, competing priorities and staffing limitations resulted in not consistently meeting this monthly reporting deadline. The tracking and reporting for these grants is currently manual, and ensuring that all invoices for the covered month have been received, reviewed and included, is a lengthy process. Effect: As a result of the condition, required reporting was not submitted timely based on the terms of the grant agreement. Recommendation: In the future, the System should ensure it implements appropriate processes and controls to ensure required reports are filed timely in accordance with the terms of the grant agreement. Views of Responsible Officials: Management acknowledges the finding. Management is reviewing the current process and is making improvements to streamline the data collection and reporting process to ensure timely filings of the required reports to the awarding agency occur on a consistent basis.
Finding 2022-002: Invoice Submitted in Duplication Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting accurate monthly reimbursement requests to the grantor for allowable costs incurred under the grant agreement. Condition: During compliance testing, it was determined that one invoice totaling $229 was submitted for reimbursement under the grant twice, in error. Context: An invoice totaling $229 was incorrectly submitted for reimbursement under the grant. Cause: The process to prepare monthly reimbursement requests is manual and the invoice was submitted for reimbursement twice during the month of February 2022 in error. Effect: As a result, the System received $229 from the grantor for costs that were not supported. Recommendation: Management should notify and refund the grantor for the funds received in duplication. Management should also implement controls to ensure this error does not reoccur. Views of Responsible Officials: Management acknowledges the finding and will ensure controls are implemented to prevent this error from reoccurring.
Finding 2022-001: Timeliness of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services (HUB)/ Medication Assisted Treatment to Individuals with Opioid Use Disorders (MAT) Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting timely reporting based on the terms of the grant agreement which specified submission dates within 15 working days of each month. Condition: During compliance testing, it was determined that the two monthly reimbursement submissions during fiscal year 2022 selected for testwork for HUB were submitted to the grantor 19 and 17 working days after month end. The two monthly reimbursement submissions selected for testwork for MAT were submitted to the grantor 19 and 18 working days after month end. Context: The required submissions were not submitted timely based on the terms of the grant agreement. Cause: Management has processes and controls over the reporting process, however, competing priorities and staffing limitations resulted in not consistently meeting this monthly reporting deadline. The tracking and reporting for these grants is currently manual, and ensuring that all invoices for the covered month have been received, reviewed and included, is a lengthy process. Effect: As a result of the condition, required reporting was not submitted timely based on the terms of the grant agreement. Recommendation: In the future, the System should ensure it implements appropriate processes and controls to ensure required reports are filed timely in accordance with the terms of the grant agreement. Views of Responsible Officials: Management acknowledges the finding. Management is reviewing the current process and is making improvements to streamline the data collection and reporting process to ensure timely filings of the required reports to the awarding agency occur on a consistent basis.
Finding 2022-002: Invoice Submitted in Duplication Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting accurate monthly reimbursement requests to the grantor for allowable costs incurred under the grant agreement. Condition: During compliance testing, it was determined that one invoice totaling $229 was submitted for reimbursement under the grant twice, in error. Context: An invoice totaling $229 was incorrectly submitted for reimbursement under the grant. Cause: The process to prepare monthly reimbursement requests is manual and the invoice was submitted for reimbursement twice during the month of February 2022 in error. Effect: As a result, the System received $229 from the grantor for costs that were not supported. Recommendation: Management should notify and refund the grantor for the funds received in duplication. Management should also implement controls to ensure this error does not reoccur. Views of Responsible Officials: Management acknowledges the finding and will ensure controls are implemented to prevent this error from reoccurring.
Finding 2022-001: Timeliness of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services (HUB)/ Medication Assisted Treatment to Individuals with Opioid Use Disorders (MAT) Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting timely reporting based on the terms of the grant agreement which specified submission dates within 15 working days of each month. Condition: During compliance testing, it was determined that the two monthly reimbursement submissions during fiscal year 2022 selected for testwork for HUB were submitted to the grantor 19 and 17 working days after month end. The two monthly reimbursement submissions selected for testwork for MAT were submitted to the grantor 19 and 18 working days after month end. Context: The required submissions were not submitted timely based on the terms of the grant agreement. Cause: Management has processes and controls over the reporting process, however, competing priorities and staffing limitations resulted in not consistently meeting this monthly reporting deadline. The tracking and reporting for these grants is currently manual, and ensuring that all invoices for the covered month have been received, reviewed and included, is a lengthy process. Effect: As a result of the condition, required reporting was not submitted timely based on the terms of the grant agreement. Recommendation: In the future, the System should ensure it implements appropriate processes and controls to ensure required reports are filed timely in accordance with the terms of the grant agreement. Views of Responsible Officials: Management acknowledges the finding. Management is reviewing the current process and is making improvements to streamline the data collection and reporting process to ensure timely filings of the required reports to the awarding agency occur on a consistent basis.
Finding 2022-002: Invoice Submitted in Duplication Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting accurate monthly reimbursement requests to the grantor for allowable costs incurred under the grant agreement. Condition: During compliance testing, it was determined that one invoice totaling $229 was submitted for reimbursement under the grant twice, in error. Context: An invoice totaling $229 was incorrectly submitted for reimbursement under the grant. Cause: The process to prepare monthly reimbursement requests is manual and the invoice was submitted for reimbursement twice during the month of February 2022 in error. Effect: As a result, the System received $229 from the grantor for costs that were not supported. Recommendation: Management should notify and refund the grantor for the funds received in duplication. Management should also implement controls to ensure this error does not reoccur. Views of Responsible Officials: Management acknowledges the finding and will ensure controls are implemented to prevent this error from reoccurring.
Finding 2022-001: Timeliness of Reporting Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services (HUB)/ Medication Assisted Treatment to Individuals with Opioid Use Disorders (MAT) Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting timely reporting based on the terms of the grant agreement which specified submission dates within 15 working days of each month. Condition: During compliance testing, it was determined that the two monthly reimbursement submissions during fiscal year 2022 selected for testwork for HUB were submitted to the grantor 19 and 17 working days after month end. The two monthly reimbursement submissions selected for testwork for MAT were submitted to the grantor 19 and 18 working days after month end. Context: The required submissions were not submitted timely based on the terms of the grant agreement. Cause: Management has processes and controls over the reporting process, however, competing priorities and staffing limitations resulted in not consistently meeting this monthly reporting deadline. The tracking and reporting for these grants is currently manual, and ensuring that all invoices for the covered month have been received, reviewed and included, is a lengthy process. Effect: As a result of the condition, required reporting was not submitted timely based on the terms of the grant agreement. Recommendation: In the future, the System should ensure it implements appropriate processes and controls to ensure required reports are filed timely in accordance with the terms of the grant agreement. Views of Responsible Officials: Management acknowledges the finding. Management is reviewing the current process and is making improvements to streamline the data collection and reporting process to ensure timely filings of the required reports to the awarding agency occur on a consistent basis.
Finding 2022-002: Invoice Submitted in Duplication Federal Agency: U.S. Department of Health and Human Services Award Name: Access and Delivery Hub for Opioid Use Disorder Services Program Year: Fiscal Year 2022 ALN: 93.788 Criteria: Management was responsible for submitting accurate monthly reimbursement requests to the grantor for allowable costs incurred under the grant agreement. Condition: During compliance testing, it was determined that one invoice totaling $229 was submitted for reimbursement under the grant twice, in error. Context: An invoice totaling $229 was incorrectly submitted for reimbursement under the grant. Cause: The process to prepare monthly reimbursement requests is manual and the invoice was submitted for reimbursement twice during the month of February 2022 in error. Effect: As a result, the System received $229 from the grantor for costs that were not supported. Recommendation: Management should notify and refund the grantor for the funds received in duplication. Management should also implement controls to ensure this error does not reoccur. Views of Responsible Officials: Management acknowledges the finding and will ensure controls are implemented to prevent this error from reoccurring.