Title: 1. Basis of Presentation
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: Saint Francis Hospital System has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activity of the System under programs of the federal government for the year ended June 30, 2023. The information in the SEFA 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). For purposes of the SEFA, federal awards include all federal assistance entered into directly between the System and the federal government and subawards from nonprofit nonfederal organizations made under federally sponsored agreements. Because the SEFA presents only a selected portion of the operations of the System, it is not intended to and does not present the consolidated financial position, results of operations, changes in net assets, or cash flows of the System.
Title: 2. Summary of Significant Accounting Policies
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: Saint Francis Hospital System has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The SEFA is reported on the accrual basis of accounting
Title: 3. Indirect Costs
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: Saint Francis Hospital System has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The System has negotiated indirect cost rates. However, not all awards presented in the SEFA include indirect expenses. Allowable indirect costs for each award are determined by the related terms and conditions developed by the awarding agency for each program. The System has not elected to use the 10% de minimis indirect cost rate allowed under Uniform Guidance.
Title: 4. Nature of Activities
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: Saint Francis Hospital System has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The System receives various grants to cover costs of specified programs. Final determination of eligibility of costs will be made by the grantors. Should any costs be found ineligible, the System will be responsible for reimbursing the grantors for these amounts
Title: 5. Provider Relief Fund
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: Saint Francis Hospital System has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
The amount presented on the SEFA for Assistance Listing Number 93.498, COVID-19 – Provider
Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF Funds), is for the year ended June 30, 2023.
Health and Human Services (HHS) has indicated the PRF funds on the SEFA be reported corresponding to reporting requirements of the HRSA PRF Reporting Portal. Payments from HHS for PRF are assigned to “Payment Received Periods” (each, a Period) based upon the date each payment from the PRF was received. Each period has a specified period of availability and timing
of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each period’s deadline to use the funds (i.e., after the end of the Period of Availability).
The SEFA includes $12,244,166 of PRF Funds received from HHS between July 1, 2021 through June 30, 2022. Such amounts were recognized as other revenue in Saint Francis Health System’s
consolidated financial statements in the years ended June 30, 2023 and 2022.
Title: 6. Disaster Grants--Public Assistance (Presidentially Declared Disasters)
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: Saint Francis Hospital System has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
For the Federal Emergency Management Agency (FEMA), Department of Homeland Security’s (DHS) Disaster Grants – Public Assistance (Presidentially Declared disasters) (Assistance Listing
Number 97.036), non-federal entities must record expenditures on the SEFA when (1) FEMA has approved the non-federal entity’s project worksheet (PW) and (2) the non-federal entity has
incurred the eligible expenditures. Federal awards expended in years subsequent to the fiscal year in which the PW is approved are to be recorded on the non-federal entity’s SEFA in those
subsequent years.
In fiscal year 2023, the System received approval from the Oklahoma Department of Emergency Management for 3 PWs related to the reimbursement of eligible costs of $ 2,332,332 incurred in the prior fiscal year. These previous year’s expenditures are included on the SEFA in the current year in accordance with guidance provided by FEMA.