Audit 304156

Title: Notes to Schedule of Expenditures of Federal Awards year Ended December 31, 2023 Accounting Policies: Expenditures reported in the Schedule are recognized under the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The System allocates indirect costs to each program based on the amount specified in the budget for each program. The System has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Note 1. Basis of Presentation The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Miami children's Health System, Inc d/b/a Nicklaus Children's Health System and Subsidiaries (the System) under program of the federal government for the year ended December 31, 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, Costs Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the System's consolidated financial statements. Because the Schedule presents only a selected portion of the operations of the System, it is not intended to and does not present the financial position, changes in net assets or cash flows of the System.

Title: Notes to Schedule of Expenditures of Federal Awards year Ended December 31, 2023 Accounting Policies: Expenditures reported in the Schedule are recognized under the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The System allocates indirect costs to each program based on the amount specified in the budget for each program. The System has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Note 2. Summary of Significant Accounting Policies Expenditures reported in the Schedule are recognized under the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Costs Principles and Audit Requirements for Federal Awards, wherein certain types of expenditures are not allowablle or are limited as to reimbursement. The System allocates indirect costs to each program based on the amount specified in the budget for each program. The System has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. The System did not pass through any federal award amounts to subrecipients during 2023.

Title: Notes to Schedule of Expenditures of Federal Awards year Ended December 31, 2023 Accounting Policies: Expenditures reported in the Schedule are recognized under the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The System allocates indirect costs to each program based on the amount specified in the budget for each program. The System has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. Note 3. Provider Relief Fund The System received amounts from the U.S. Department of Health and Human Services (HHS) through the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) program (Assistance Listing 93.498) during the years ended December 31, 2023 and 2022. The System recognized PRF revenue of $0 and $586,145 for the years ended December 31, 2023 and 2022, respectively, on the consolidated financial statements. In acccordance with the 2023 compliance Supplement, $586,145 of funding was included in the schedule of expenditures of federal awards for the year ended December 31, 2023.