Notes to SEFA
Title: Note 4 - Community Facilities Loan Program
Accounting Policies: Note 1 - The accompanying schedule of expenditures of federal awards (the schedule) includes the federal award activity of the Community Memorial Hospital District d/b/a Syracuse Area Health (SAH) under programs of the federal government for the year ended June 30, 2023. The information 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 SAH, it is not intended to and does not present the statement of net position, statement of revenue, expenses and changes in net position, and statement of cash flows of SAH.
Note 2 - Expenditures reported in the schedule are reported on the accrual basis of accounting. When applicable, 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. No federal financial assistance has been provided to a subrecipient.
De Minimis Rate Used: N
Rate Explanation: SAH does not draw for indirect administrative expenses and has not elected to use the 10% de minimus cost rate.
Expenditures reported in this schedule under the US. Department of Agriculture (USDA) Rural Development Program Community Facilities Loans and Grants consist of the beginning of the year outstanding loan balance plus accrued interest added to the loan balance as principal. The outstanding balance at June 30, 2023 for the USDA loans was $26,066,478.
Title: Note 5 - Provider Relief Fund and American Rescue Plan Rural Distribution
Accounting Policies: Note 1 - The accompanying schedule of expenditures of federal awards (the schedule) includes the federal award activity of the Community Memorial Hospital District d/b/a Syracuse Area Health (SAH) under programs of the federal government for the year ended June 30, 2023. The information 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 SAH, it is not intended to and does not present the statement of net position, statement of revenue, expenses and changes in net position, and statement of cash flows of SAH.
Note 2 - Expenditures reported in the schedule are reported on the accrual basis of accounting. When applicable, 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. No federal financial assistance has been provided to a subrecipient.
De Minimis Rate Used: N
Rate Explanation: SAH does not draw for indirect administrative expenses and has not elected to use the 10% de minimus cost rate.
SAH received amounts from the U.S. Department of Health and Human Services (HHS) through the Provider Relief Fund and American Rescue Plan Rural Distribution (PRF) program (Federal Financial Assistance Listing #93.498) in the amount of $5,267,360 through June 30, 2023. SAH reported interest earned on PRF payments of $14,726 ($12,088 in Period 1, $2,125 in Period 2, and $513 in Period 4). The PRF expenditures are not recognized on the schedule until the expenditures are included in the reporting to HHS as required under the PRF program.