Title: Major programs
Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) summarizes the federal expenditures incurred by OSF Healthcare System and Subsidiaries (OSF) under awards received from the federal government for the year ended September 30, 2022, and should be read in conjunction with the OSF consolidated financial statements.For purposes of the Schedule, federal awards include all grants, contracts, loans, and loan guarantee agreements entered into directly between OSF and agencies and departments of the federal government. For the year ended September 30, 2022, OSF had no expenditures in the form of noncash assistance and had no federally provided insurance in effect. Expenditures for federal award programs are recognized on the accrual basis of accounting.Expenditures consist of direct and indirect costs. Direct costs are those that can be easily identified with an individual Federally sponsored project; whereas, indirect costs cannot be easily identified with an individual sponsored project. Indirect costs are the costs of services and resources that benefit many sponsored projects as well as non-sponsored projects and activities. 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).
De Minimis Rate Used: Both
Rate Explanation: OSF recovers indirect costs under agreements with various U.S. departments and agencies. OSF recovered $173,192 in indirect costs for the year ended September 30, 2022, under various predetermined indirect cost rates for its programs. OSF has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
COVID-19 Provider Relief FundsThe Provider Relief Fund (PRF) program is administered by the Health Resources and Services Administration to support eligible providers during the COVID-19 pandemic and was approved for funding originally under the Coronavirus Aid, Relief and Economic Securities Act. Funds were provided to eligible providers to support healthcare related expenses or lost revenues attributable to the coronavirus without application but rather with terms and conditions. These terms and conditions required acceptance through an online portal or the funds were to be returned. OSF accepted the terms and conditions.The accompanying schedule of expenditures of Federal awards includes PRF for Period 2 defined as payments received between July 1, 2020 and December 31, 2020. Period 3 funds for payments received between January 1, 2021 to June 30, 2021 would also be included in the accompanying 2022 schedule of expenditure of federal awards, however, OSF did not receive any Period 3 funds. The Tax Identification Number (TIN) for OSF entities that received PRF funds for Period 2 are as follows: OSF Healthcare System is 37-0813229, SJMC is 37-0662576, and SEMC is 36-2604009.COVID-19 Claims Reimbursement for the UninsuredThis program is sponsored by the U.S. Department of Health and Human Services and is administered by the Health Resources and Services Administration to provide claims reimbursement to providers for conducting COVID-19 testing for the uninsured and to support healthcare related expenses attributed to treating this population for COVID-19.
Title: Prior Year Expenditures
Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) summarizes the federal expenditures incurred by OSF Healthcare System and Subsidiaries (OSF) under awards received from the federal government for the year ended September 30, 2022, and should be read in conjunction with the OSF consolidated financial statements.For purposes of the Schedule, federal awards include all grants, contracts, loans, and loan guarantee agreements entered into directly between OSF and agencies and departments of the federal government. For the year ended September 30, 2022, OSF had no expenditures in the form of noncash assistance and had no federally provided insurance in effect. Expenditures for federal award programs are recognized on the accrual basis of accounting.Expenditures consist of direct and indirect costs. Direct costs are those that can be easily identified with an individual Federally sponsored project; whereas, indirect costs cannot be easily identified with an individual sponsored project. Indirect costs are the costs of services and resources that benefit many sponsored projects as well as non-sponsored projects and activities. 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).
De Minimis Rate Used: Both
Rate Explanation: OSF recovers indirect costs under agreements with various U.S. departments and agencies. OSF recovered $173,192 in indirect costs for the year ended September 30, 2022, under various predetermined indirect cost rates for its programs. OSF has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Included in the total expenditures were $1,024,763 of expenditures made during fiscal year 2021 for which grants were received in fiscal year 2022.
Title: Related Parties
Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) summarizes the federal expenditures incurred by OSF Healthcare System and Subsidiaries (OSF) under awards received from the federal government for the year ended September 30, 2022, and should be read in conjunction with the OSF consolidated financial statements.For purposes of the Schedule, federal awards include all grants, contracts, loans, and loan guarantee agreements entered into directly between OSF and agencies and departments of the federal government. For the year ended September 30, 2022, OSF had no expenditures in the form of noncash assistance and had no federally provided insurance in effect. Expenditures for federal award programs are recognized on the accrual basis of accounting.Expenditures consist of direct and indirect costs. Direct costs are those that can be easily identified with an individual Federally sponsored project; whereas, indirect costs cannot be easily identified with an individual sponsored project. Indirect costs are the costs of services and resources that benefit many sponsored projects as well as non-sponsored projects and activities. 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).
De Minimis Rate Used: Both
Rate Explanation: OSF recovers indirect costs under agreements with various U.S. departments and agencies. OSF recovered $173,192 in indirect costs for the year ended September 30, 2022, under various predetermined indirect cost rates for its programs. OSF has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Members of the Board of Directors, officers, and employees are subject to OSFs conflict of interest policies, under which business and financial relationships must be disclosed and are subject to review and approval.