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 Company has elected not to use the 10% de minimis indirect cost rate allowed by Uniform Guidance.
The accompanying Schedule of Expenditures of Federal Awards and State Financial Assistance (the
“SEFA”) summarizes expenditures of West Tennessee Healthcare and Related Affiliates (the "Company")
under programs of the federal and state governments for the year ended June 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 Company, it is not intended to and does not present the financial position, changes in net
position, or cash flows of the Company.
Title: Summary of Significant Accounting Policies
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 Company has elected not to use the 10% de minimis indirect cost rate allowed by 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.
Title: Pass-through Awards
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 Company has elected not to use the 10% de minimis indirect cost rate allowed by Uniform Guidance.
No federal or state awards were passed through to subrecipients
Title: Indirect Cost Rate
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 Company has elected not to use the 10% de minimis indirect cost rate allowed by Uniform Guidance.
The Company has elected not to use the 10% de minimis indirect cost rate allowed by Uniform Guidance.
Title: Contingencies
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 Company has elected not to use the 10% de minimis indirect cost rate allowed by Uniform Guidance.
The Company's federal programs are subject to financial and compliance audits by grantor agencies which,
if instances of material noncompliance are found, may result in disallowed expenditures and affect the
Company's continued participation in specific programs.
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 Company has elected not to use the 10% de minimis indirect cost rate allowed by Uniform Guidance.
As outlined in the May 2023 OMB Compliance Supplement, the amounts reported in the accompanying
SEFA related to the Provider Relief Fund (“PRF”), Assistance Listing No. 93.498, are reported based upon
the PRF reporting portal submission guidelines established by the Health Resource and Service
Administration (“HRSA”). Six separate reporting periods were established by HRSA based on the dates of
receipt of PRF payments. Each reporting period has a specific period of availability which begins on April
10, 2020, and extends through specified deadlines, as indicated below: The accompanying SEFA includes those qualifying expenditures and lost revenues that were reported in
the HRSA PRF portal for Period 4. Approximately $100,000 in PRF payments was recognized by the
Organization as nonoperating revenues during the fiscal year ended June 30, 2023