Title: 1. Basis of Presentation
Accounting Policies: 1.Basis of PresentationThe accompanying Schedule of Expenditures of Federal Awards (the Schedule) include the federal grant activity of Shands Teaching Hospital and Clinics, Inc. and Subsidiaries (Shands), and is presented on the accrual basis of accounting. The information in the Schedule is presented in accordance with the requirements of the 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 Schedules present only a selected portion of the operations of Shands, they are not intended to and do not present the financial position, changes in net position, or cash flows of Shands. The purpose of the Schedule is to present a summary of those activities of Shands for the year ended June 30, 2020, which have been financed by the federal government. For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants and contracts. Direct and indirect costs are charged to awards in accordance with cost principles contained in the Department of Health and Human Services, Office of the Assistant Secretary Comptroller (OASC), OASC-3 Hospital Cost Principles (or CFR Part 45, Part 74, Appendix E) and Uniform Guidance, 2 CFR Part 200, Subpart E Cost Principles. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. 2. COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (Assistance Listing No. 93.498) The Schedule of Expenditures of Federal Awards (Schedule) includes $20,878,005 received from the U.S. Department of Health and Human Services (HHS) between July 1, 2020 and June 30, 2021 under the Provider Relief Fund (PRF) program of Assistance Listing No. 93.498. In accordance with guidance from HHS, these amounts are presented as Periods 2 and Period 3 in the HHS PRF Reporting Portal. This amount was recognized as federal and state grant appropriations in Shands consolidated basic financial statements in the consolidated statement of revenues, expenses and changes in net position for the year ended June 30, 2021. Due to the PRF Reporting Portal requirements, this amount is not the total PRF received and/or recognized by Shands as revenue in Shands consolidated basic financial statements for the year ended June 30, 2023
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The accompanying Schedule of Expenditures of Federal Awards and Schedule of State Financial Assistance Projects (the Schedules) include the federal and state grant activity of Shands Teaching Hospital and Clinics, Inc. and Subsidiaries (Shands), and are presented on the accrual basis of accounting.
The information in these Schedules is presented in accordance with the requirements of the Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance); and the Rules of the State of Florida Auditor General, Chapter 10.550 Local Governmental Entity Audits and the Florida Single Audit Act. Because the Schedules present only a selected portion of the operations of Shands, they are not intended to and do not present the financial position, changes in net position, or cash flows of Shands. The purpose of the Schedules is to present a summary of those activities of Shands for the year ended June 30, 2023, which have been financed by the federal and state governments. For purposes of the Schedules, federal awards and state financial assistance include any assistance provided by a federal or state agency directly or indirectly in the form of grants and contracts.
Direct and indirect costs are charged to awards in accordance with cost principles contained in the Department of Health and Human Services, Office of the Assistant Secretary Comptroller (OASC), OASC-3 Hospital Cost Principles (or CFR Part 45, Part 74, Appendix E) and Uniform Guidance, 2 CFR Part 200, Subpart E Cost Principles. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. Shands has elected not to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
Title: 2. COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (Assistance Listing No. 93.498)
Accounting Policies: 1.Basis of PresentationThe accompanying Schedule of Expenditures of Federal Awards (the Schedule) include the federal grant activity of Shands Teaching Hospital and Clinics, Inc. and Subsidiaries (Shands), and is presented on the accrual basis of accounting. The information in the Schedule is presented in accordance with the requirements of the 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 Schedules present only a selected portion of the operations of Shands, they are not intended to and do not present the financial position, changes in net position, or cash flows of Shands. The purpose of the Schedule is to present a summary of those activities of Shands for the year ended June 30, 2020, which have been financed by the federal government. For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants and contracts. Direct and indirect costs are charged to awards in accordance with cost principles contained in the Department of Health and Human Services, Office of the Assistant Secretary Comptroller (OASC), OASC-3 Hospital Cost Principles (or CFR Part 45, Part 74, Appendix E) and Uniform Guidance, 2 CFR Part 200, Subpart E Cost Principles. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. 2. COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (Assistance Listing No. 93.498) The Schedule of Expenditures of Federal Awards (Schedule) includes $20,878,005 received from the U.S. Department of Health and Human Services (HHS) between July 1, 2020 and June 30, 2021 under the Provider Relief Fund (PRF) program of Assistance Listing No. 93.498. In accordance with guidance from HHS, these amounts are presented as Periods 2 and Period 3 in the HHS PRF Reporting Portal. This amount was recognized as federal and state grant appropriations in Shands consolidated basic financial statements in the consolidated statement of revenues, expenses and changes in net position for the year ended June 30, 2021. Due to the PRF Reporting Portal requirements, this amount is not the total PRF received and/or recognized by Shands as revenue in Shands consolidated basic financial statements for the year ended June 30, 2023
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The Schedule of Expenditures of Federal Awards (Schedule) includes $20,878,005 received from the U.S. Department of Health and Human Services (HHS) between July 1, 2021 and December 31, 2021 under the Provider Relief Fund (PRF) program of Assistance Listing No. 93.498. In accordance with guidance from HHS, this amount is presented as Period 4 in the HHS PRF Reporting Portal. This amount was recognized as federal and state grant appropriations in Shands consolidated basic financial statements in the consolidated statement of revenues, expenses and changes in net position for the year ended June 30, 2022. Due to the PRF Reporting Portal requirements, this amount is not the total PRF received and/or recognized by Shands as revenue in Shands’ consolidated basic financial statements for the year ended June 30, 2023. The amount presented on the Schedule for PRF is for the fiscal year ended June 30, 2023. The amount presented reconciles to the PRF information reported to HHS as follows:
Name of Reporting
Entity for HHS
Reporting Period 4
Provider Relief
Fund Report Reporting
Entity Tax
Identification
Number (TIN) Type of
Distribution Total Payments
Received
Applied
to Previously
Reported
Lost Revenues Total
UF Health Shands Hospital 591943502 General $ 17,525,224 $ 17,525,224
UF Health Leesburg Hospital 590878982 General 1,834,536 1,834,536
UF Health The Villages Hospital 593527036 General 1,518,245 1,518,24
$ 20,878,005 $ 20,878,005