Title: Note 1: Basis of Presentation
Accounting Policies: Note 1: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award
activity of Ephraim McDowell Health, Inc. (Corporation) under programs of the federal government
for the year ended September 30, 2023. 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).
Because the Schedule presents only a selected portion of the operations of the Corporation, it is not
intended to and does not present the financial position, changes in net assets or cash flows of the
Corporation. The following tax identification numbers are included within the Schedule for the
Provider Relief Fund and American Rescue Plan Rural Distribution recognized: 61-1324736
Ephraim McDowell Health, Inc., 61-0492356 Ephraim McDowell Regional Medical Center, Inc.,
61-1388556 EMHFL, Inc. and 61-0510934 The James B. Haggin Memorial Hospital, Inc.
Note 2: 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. Negative
amounts shown on the Schedule represent adjustments or credits made in the normal course of
business to amounts reported as expenditures in prior years.
De Minimis Rate Used: N
Rate Explanation: The Corporation has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award activity of Ephraim McDowell Health, Inc. (Corporation) under programs of the federal government for the year ended September 30, 2023. 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).
Because the Schedule presents only a selected portion of the operations of the Corporation, it is not intended to and does not present the financial position, changes in net assets or cash flows of the Corporation. The following tax identification numbers are included within the Schedule for the
Provider Relief Fund and American Rescue Plan Rural Distribution recognized: 61-1324736
Ephraim McDowell Health, Inc., 61-0492356 Ephraim McDowell Regional Medical Center, Inc.,
61-1388556 EMHFL, Inc. and 61-0510934 The James B. Haggin Memorial Hospital, Inc.
Title: Note 2: Summary of Significant Accounting Policies
Accounting Policies: Note 1: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award
activity of Ephraim McDowell Health, Inc. (Corporation) under programs of the federal government
for the year ended September 30, 2023. 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).
Because the Schedule presents only a selected portion of the operations of the Corporation, it is not
intended to and does not present the financial position, changes in net assets or cash flows of the
Corporation. The following tax identification numbers are included within the Schedule for the
Provider Relief Fund and American Rescue Plan Rural Distribution recognized: 61-1324736
Ephraim McDowell Health, Inc., 61-0492356 Ephraim McDowell Regional Medical Center, Inc.,
61-1388556 EMHFL, Inc. and 61-0510934 The James B. Haggin Memorial Hospital, Inc.
Note 2: 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. Negative
amounts shown on the Schedule represent adjustments or credits made in the normal course of
business to amounts reported as expenditures in prior years.
De Minimis Rate Used: N
Rate Explanation: The Corporation has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
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. Negative
amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years.
Title: Note 3: Indirect Cost Rate
Accounting Policies: Note 1: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award
activity of Ephraim McDowell Health, Inc. (Corporation) under programs of the federal government
for the year ended September 30, 2023. 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).
Because the Schedule presents only a selected portion of the operations of the Corporation, it is not
intended to and does not present the financial position, changes in net assets or cash flows of the
Corporation. The following tax identification numbers are included within the Schedule for the
Provider Relief Fund and American Rescue Plan Rural Distribution recognized: 61-1324736
Ephraim McDowell Health, Inc., 61-0492356 Ephraim McDowell Regional Medical Center, Inc.,
61-1388556 EMHFL, Inc. and 61-0510934 The James B. Haggin Memorial Hospital, Inc.
Note 2: 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. Negative
amounts shown on the Schedule represent adjustments or credits made in the normal course of
business to amounts reported as expenditures in prior years.
De Minimis Rate Used: N
Rate Explanation: The Corporation has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The Corporation has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
Title: Note 4: Federal Loan Programs
Accounting Policies: Note 1: The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award
activity of Ephraim McDowell Health, Inc. (Corporation) under programs of the federal government
for the year ended September 30, 2023. 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).
Because the Schedule presents only a selected portion of the operations of the Corporation, it is not
intended to and does not present the financial position, changes in net assets or cash flows of the
Corporation. The following tax identification numbers are included within the Schedule for the
Provider Relief Fund and American Rescue Plan Rural Distribution recognized: 61-1324736
Ephraim McDowell Health, Inc., 61-0492356 Ephraim McDowell Regional Medical Center, Inc.,
61-1388556 EMHFL, Inc. and 61-0510934 The James B. Haggin Memorial Hospital, Inc.
Note 2: 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. Negative
amounts shown on the Schedule represent adjustments or credits made in the normal course of
business to amounts reported as expenditures in prior years.
De Minimis Rate Used: N
Rate Explanation: The Corporation has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The federal loan program listed subsequently is administered directly by the Corporation, and balances and transactions relating to this program are included in the Corporation’s basic financial statements. Loans outstanding at the beginning of the year and loans made during the year are included in the federal expenditures presented in the Schedule. The balance of the loan outstanding at September 30, 2023, consists of:
Assistance
Listing
Number Program Name
Outstanding
Balance at
September 30,
2023
10.766 Community Facilities Loans and Grants $2,786,506