Audit 309928

FY End
2023-09-30
Total Expended
$4.46M
Findings
2
Programs
4
Organization: Exeter Health Resources, Inc. (NH)
Year: 2023 Accepted: 2024-06-25

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
402395 2023-101 - - L
978837 2023-101 - - L

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $3.09M Yes 1
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $979,679 Yes 0
93.268 Immunization Cooperative Agreements $216,180 - 0
93.778 Medical Assistance Program $176,098 - 0

Contacts

Name Title Type
DLP5XLQ9LNT3 Allison Casassa Auditee
6035806751 Jeremy Veilleux Auditor
No contacts on file

Notes to SEFA

Title: United States Department of Health and Human Services Coronavirus Aid Relief and Economic Security (CARES) Act Provider Relief Fund 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). No grant monies expended and reported within the Schedule were passed-through to subrecipients. De Minimis Rate Used: Y Rate Explanation: If necessary, the Corporation will elect to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The Schedule includes grant activity related to the United States Department of Health and Human Services CARES Act ALN 93.498, Provider Relief Funds (PRF). As required by the 2023 OMB Compliance Supplement, the Schedule includes all PRFs received between July 1, 2021 to December 31, 2021 (Reporting Period 4) and expended by December 31, 2022, as well as PRFs received between January 1, 2022 and June 30, 2022 (Reporting Period 5) and expended by June 30, 2023. Core Physicians LLC (TIN 87-0807914) and Rockingham Visiting Nurse Association & Hospice (TIN 02-0274905) were the recipients of $1,061,545 and $280,325 of PRF funding during Reporting Period 4, respectively. Exeter Hospital, Inc. (TIN 22-2674014) was the recipient of $1,747,240 of PRF funding during Reporting Period 5. The PRF funds were used to cover lost revenues.
Title: United States Department of Homeland Security – Federal Emergency Management Agency Public Assistance 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). No grant monies expended and reported within the Schedule were passed-through to subrecipients. De Minimis Rate Used: Y Rate Explanation: If necessary, the Corporation will elect to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. The Schedule includes expenditures totaling $979,679 being reported under the United States Department of Homeland Security – Federal Emergency Management Agency (FEMA) ALN 97.036. Of these expenditures, $312,675, $162,537 and $504,467 was incurred by the Corporation during the years ended September 30, 2022, 2021 and 2020, respectively. The Corporation's Project Worksheets covering these expenditures were approved by FEMA during the year ended September 30, 2023 and, in accordance with the 2023 OMB Compliance Supplement, these expenditures are therefore reported on the Schedule during the year ended September 30, 2023.
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). No grant monies expended and reported within the Schedule were passed-through to subrecipients. De Minimis Rate Used: Y Rate Explanation: If necessary, the Corporation will elect to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. During the year ended September 30, 2023, the Corporation did not receive donated PPE.

Finding Details

Accuracy of Reporting - Federal Agency: U.S. Department of Health and Human Services; Award Name: COVID-19 Provider Relief Funds; Program Year: Provider Relief Reporting Period 4; ALN No.: 93.498; Criteria: Management was responsible for reporting accurate lost revenues and COVID-related expenditures based on the terms of the grant agreement. Condition: During compliance testing, it was identified that certain lost revenues included in the final report were not accurate based on the definitions of the grant agreement. Context: The lost revenues reported for the period were not accurate. Cause: The supporting documentation retained that calculated lost revenues was $38,198 inaccurate in the revenues reported for the fourth quarter of calendar year 2021 through the third quarter of calendar year 2022. Effect: As a result of the condition, the Corporation's required reporting for this grant was misstated. Recommendation: In the future, the Corporation should ensure it implements appropriate processes and controls to ensure a review is performed prior to submission to the awarding agency. View of Responsible Officials: Management acknowledges the finding and will adjust internal documentation accordingly.
Accuracy of Reporting - Federal Agency: U.S. Department of Health and Human Services; Award Name: COVID-19 Provider Relief Funds; Program Year: Provider Relief Reporting Period 4; ALN No.: 93.498; Criteria: Management was responsible for reporting accurate lost revenues and COVID-related expenditures based on the terms of the grant agreement. Condition: During compliance testing, it was identified that certain lost revenues included in the final report were not accurate based on the definitions of the grant agreement. Context: The lost revenues reported for the period were not accurate. Cause: The supporting documentation retained that calculated lost revenues was $38,198 inaccurate in the revenues reported for the fourth quarter of calendar year 2021 through the third quarter of calendar year 2022. Effect: As a result of the condition, the Corporation's required reporting for this grant was misstated. Recommendation: In the future, the Corporation should ensure it implements appropriate processes and controls to ensure a review is performed prior to submission to the awarding agency. View of Responsible Officials: Management acknowledges the finding and will adjust internal documentation accordingly.