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.
De Minimis Rate Used: N
Rate Explanation: The Hospital has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal grant activity of Massac County Hospital District d/b/a Massac Memorial Hospital and Affiliated Organization (collectively, the “Hospital”) under programs of the federal government for the year ended March 31, 2023. The information in this Schedule is presented in accordance with 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 Hospital, it is not intended to and does not present the financial position, changes in net position, or cash flows of the Hospital.
Title: Provider Relief Funds
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.
De Minimis Rate Used: N
Rate Explanation: The Hospital has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
Expenditures reported on the Schedule for the Provider Relief Fund (“PRF”) under Assistance Listing Number 93.498 are based on the Hospital’s June 30, 2022 and December 31, 2022 reports to the PRF Reporting Portal. Under terms and conditions of the Provider Relief Funds established by the Coronavirus Aids, Relief, and Economic Security (“CARES”) Act, the Hospital is required to report COVID-19 related expenses and lost revenue to the U.S. Department of Health and Human Services (“HHS”). Guidance from HHS has required
the reporting of the COVID-19 related expenses and lost revenue within certain reporting timetables based on the date that funds were received. The 2023 Schedule includes PRF of $604,627 which was received by the Hospital prior to December 31, 2021, the date designated by HHS for its fourth PRF reporting period. For the years ended March 31, 2023 and 2022, the Hospital recognized $1,049,692 and $1,198,525, respectively, as non-operating revenue in the statements of operations and changes in net position as the terms and conditions of the PRF grant were satisfied by the Hospital. The 2023 Schedule includes PRF of $604,627, which was received by the Hospital from January 1, 2021 to December 31, 2021, the dates designated by HHS for its third and fourth reporting periods.
Title: Donated Personal Protective Equipment
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.
De Minimis Rate Used: N
Rate Explanation: The Hospital has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
During 2022, the Hospital did not receive material donated personal protective equipment from federal sources.