Title: Basis of Presentation
Accounting Policies: Expenditures reported on the Schedule are reported on the cash basis of accounting. Such expenditures are recognized following the cost principles for Hospitals 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. Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
De Minimis Rate Used: N
Rate Explanation: Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
The accompanying schedule of expenditures of federal awards (the "Schedule") includes the federal award activity of Children’s National Medical Center and Subsidiaries (“Children’s National”) under programs of the federal government for the year ended June 30, 2022. Because the Schedule presents only a selected portion of the operations of Children’s National, it is not intended to and does not present the financial position, results of operations, changes in net assets, or cash flows of Children’s National. 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). Assistance listing numbers and pass-through entity identification numbers are listed when available.
Title: Summary of Significant Accounting Policies
Accounting Policies: Expenditures reported on the Schedule are reported on the cash basis of accounting. Such expenditures are recognized following the cost principles for Hospitals 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. Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
De Minimis Rate Used: N
Rate Explanation: Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
Expenditures reported on the Schedule are reported on the cash basis of accounting. Such expenditures are recognized following the cost principles for Hospitals 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. Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
Title: Provider Relief Funds
Accounting Policies: Expenditures reported on the Schedule are reported on the cash basis of accounting. Such expenditures are recognized following the cost principles for Hospitals 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. Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
De Minimis Rate Used: N
Rate Explanation: Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
Children’s National was also the recipient of funding under Assistance Listing Number # 93.498, Provider Relief Funds, and as required by the 2022 Compliance Supplement such expenditures have been included in the SEFA for the year ended June 30, 2022. The expenditures included in the SEFA is based upon the Provider Relief Fund reports submitted to the U.S. Department of Health and Human Services due by March 31, 2022.
Title: Federal Emergency Management Agency (FEMA) Disaster Grants
Accounting Policies: Expenditures reported on the Schedule are reported on the cash basis of accounting. Such expenditures are recognized following the cost principles for Hospitals 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. Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
De Minimis Rate Used: N
Rate Explanation: Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
Children’s National applied for reimbursement of certain expenses related to the COVID-19 pandemic under Assistance Listing 97.036, FEMA Public Assistance. Expenditures are and will be
reflected in the Schedule in the year in which a project application is obligated. The Schedule thus includes $11.2 million of expenditures incurred in fiscal years 2020 and 2021, which were obligated
in fiscal year 2022.
Title: Revision
Accounting Policies: Expenditures reported on the Schedule are reported on the cash basis of accounting. Such expenditures are recognized following the cost principles for Hospitals 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. Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
De Minimis Rate Used: N
Rate Explanation: Children’s National applies its predetermined approved facilities and administrative rate when charging indirect costs to federal awards rather than the 10% de minimus cost rate as described in Section 200.414 of the Uniform Guidance. Indirect costs allocated to such awards for the year ended June 30, 2022 were based on predetermined rates negotiated with Children’s National cognizant federal agency, the Department of Health and Human Services.
The Schedule initially excluded $11.2 million of expenditures from program assistance listing
number 97.036 Federal Emergency Management Agency – Disaster Grants – Public Assistance
(Presidentially Declared Disasters). The Schedule has been revised to include this amount.