Title: Food and Nutritional Awards
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal grant activity of St. Barnabas Hospital (the Hospital) and is presented on the accrual basis of accounting. The information on the 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 (the Uniform Guidance). For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. In accordance with applicable requirements, certain programs may be presented in a fiscal period based on the program-specific guidance (see Notes 5 and 6). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Hospital.Direct and indirect costs are charged to awards in accordance with cost principles contained in the U.S. Department of Health and Human Services Cost Principles for Hospitals at 45 CFR Part 75 Appendix IX for awards subject to the Uniform Guidance. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement.
De Minimis Rate Used: N
Rate Explanation: The Uniform Guidance provides for a 10% de minimis indirect cost rate election; however, the Hospital did not make this election as the Hospital uses a negotiated indirect cost rate.
During the year ended December 31, 2022, the Hospital participated in the New York State Department of Health Special Supplemental Nutrition Program for Women, Infants and Children (WIC) through the receipt and distribution of food checks. The U.S. Department of Agriculture has determined that WIC food instruments are considered property in lieu of money and therefore should be considered as federal awards received by the Hospital. The total amount reported as federal awards on the Schedule represents the value of food vouchers redeemed in the amount of $6,371,295 plus administrative costs of $1,739,702 for the year ended December 31, 2022. As New York State funds are commingled with Federal funds, percentages were applied to determine the total amount of Federal funds to be reported above. These percentages were supplied by the New York State Department of Health as follows: (See the Notes to the SEFA for table).
Title: Immunization Grants
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal grant activity of St. Barnabas Hospital (the Hospital) and is presented on the accrual basis of accounting. The information on the 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 (the Uniform Guidance). For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. In accordance with applicable requirements, certain programs may be presented in a fiscal period based on the program-specific guidance (see Notes 5 and 6). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Hospital.Direct and indirect costs are charged to awards in accordance with cost principles contained in the U.S. Department of Health and Human Services Cost Principles for Hospitals at 45 CFR Part 75 Appendix IX for awards subject to the Uniform Guidance. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement.
De Minimis Rate Used: N
Rate Explanation: The Uniform Guidance provides for a 10% de minimis indirect cost rate election; however, the Hospital did not make this election as the Hospital uses a negotiated indirect cost rate.
During the year ended December 31, 2022, the Hospital participated in the New York City Department of Health and Mental Hygiene Immunization Cooperative Agreements through the evaluation of need and distribution of vaccines. The U.S. Department of Health and Human Services (HHS) has determined that such vaccines are considered property in lieu of money and, accordingly, should be considered part of the sub-grant award received by the Hospital. The value of the vaccines redeemed under the Immunization Cooperative Agreements program is classified as non-cash assistance in the Schedule.
Title: U.S. Department of Housing and Urban Development Mortgage Insurance Hospita
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal grant activity of St. Barnabas Hospital (the Hospital) and is presented on the accrual basis of accounting. The information on the 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 (the Uniform Guidance). For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. In accordance with applicable requirements, certain programs may be presented in a fiscal period based on the program-specific guidance (see Notes 5 and 6). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Hospital.Direct and indirect costs are charged to awards in accordance with cost principles contained in the U.S. Department of Health and Human Services Cost Principles for Hospitals at 45 CFR Part 75 Appendix IX for awards subject to the Uniform Guidance. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement.
De Minimis Rate Used: N
Rate Explanation: The Uniform Guidance provides for a 10% de minimis indirect cost rate election; however, the Hospital did not make this election as the Hospital uses a negotiated indirect cost rate.
On September 16, 2013, the Hospital closed on a $86,358,900 mortgage insured under the provisions of the U.S. Department of Housing and Urban Development Federal Housing Administration Section 242 mortgage insurance program (FHA 242 Program). Effective July 1, 2020, the payment terms of this mortgage note were modified to defer principal payments until 2025. At December 31, 2022, the outstanding balance of the loan totaled $55,816,514.On December 19, 2017, the Hospital closed on a $18,328,100 mortgage insured under the provisions of the FHA 242 Program. At December 31, 2022, the outstanding balance of the loan totaled $15,973,121.The U.S. Department of Housing and Urban Development has determined that the mortgage insurance program is to be considered a Federal award for purposes of compliance with the Uniform Guidance because the related loans have continuing compliance requirements.
Title: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distri
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal grant activity of St. Barnabas Hospital (the Hospital) and is presented on the accrual basis of accounting. The information on the 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 (the Uniform Guidance). For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. In accordance with applicable requirements, certain programs may be presented in a fiscal period based on the program-specific guidance (see Notes 5 and 6). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Hospital.Direct and indirect costs are charged to awards in accordance with cost principles contained in the U.S. Department of Health and Human Services Cost Principles for Hospitals at 45 CFR Part 75 Appendix IX for awards subject to the Uniform Guidance. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement.
De Minimis Rate Used: N
Rate Explanation: The Uniform Guidance provides for a 10% de minimis indirect cost rate election; however, the Hospital did not make this election as the Hospital uses a negotiated indirect cost rate.
In accordance with the HHS requirements specific to Federal Assistance Listing No. 93.498, COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution, the amount presented on the accompanying Schedule for the year ended December 31, 2022 for Federal Assistance Listing No. 93.498 relates to Provider Relief Fund (PRF) payments received from January 1, 2021 through December 31, 2021 used for PRF-eligible activity from the period January 1, 2020 through December 31, 2022. This payment receipt period and activity period and the resulting amount presented on the accompanying Schedule for the year ended December 31, 2022 reconciles to the PRF information previously reported to the Health Resources and Services Administration (HRSA) for PRF Reporting Periods 3 and 4 as follows: (See the Notes to the SEFA for table). The PRF-eligible expenses attributable to Coronavirus Disease 2019 (COVID-19) and lost revenues incurred by the Hospital during the period of availability for PRF Reporting Period 4 (January 1, 2020 through December 31, 2022) are in excess of the distributions received in PRF Reporting Periods 1 and 2 (which addressed payments received during April 10, 2020 to December 31, 2020, and previously reported on the schedule of expenditures of federal awards for the year ended December 31, 2021) and distributions received in PRF Reporting Periods 3 and 4 (January 1, 2021 through December 31, 2021) and, therefore, the amounts presented in the table above and on the accompanying Schedule are limited to distributions received in PRF reporting Periods 3 and 4.
Title: COVID-19 Disaster Grants Public Assistance (Presidentially Declared Dis
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal grant activity of St. Barnabas Hospital (the Hospital) and is presented on the accrual basis of accounting. The information on the 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 (the Uniform Guidance). For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. In accordance with applicable requirements, certain programs may be presented in a fiscal period based on the program-specific guidance (see Notes 5 and 6). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Hospital.Direct and indirect costs are charged to awards in accordance with cost principles contained in the U.S. Department of Health and Human Services Cost Principles for Hospitals at 45 CFR Part 75 Appendix IX for awards subject to the Uniform Guidance. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement.
De Minimis Rate Used: N
Rate Explanation: The Uniform Guidance provides for a 10% de minimis indirect cost rate election; however, the Hospital did not make this election as the Hospital uses a negotiated indirect cost rate.
The Hospital incurred certain expenditures related to the COVID-19 pandemic which are eligible for reimbursement from the Federal Emergency Management Agency (FEMA) Disaster Grants Public Assistance (Presidentially Declared Disasters) (Assistance Listing No. 97.036). The Hospital has applied for and received approval for reimbursement of qualifying expenses totaling approximately $9,975,845 from FEMA. Certain costs were incurred during the years ended December 31, 2021 and 2020 and approved by FEMA in 2022. These amounts have been included in the accompanying Schedule for the year ended December 31 2022, in accordance with the guidance specific to Assistance Listing No. 97.036.Other FEMA project worksheets have been submitted by the Hospital but were not approved in 2022. The Hospital will continue to finalize the project worksheets previously submitted to FEMA and intends to submit additional applications for funding for costs incurred; however, the ultimate amount that the Hospital may be reimbursed is uncertain.