Notes to SEFA
Title: Basis of Presentation
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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.
De Minimis Rate Used: N
Rate Explanation: Summa has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Summa Health and Subsidiaries (Summa) under programs 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, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of Summa, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Summa.
Title: Subrecipients
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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.
De Minimis Rate Used: N
Rate Explanation: Summa has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
Of the federal expenditures presented in the Schedule, Summa did not provide any amounts to subrecipients.
Title: Non-cash Assistance, Insurance, Loans and Loan Guarantees Outstanding
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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.
De Minimis Rate Used: N
Rate Explanation: Summa has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
Summa did not receive any non-cash assistance during the year ended December 31, 2023. There were no federal awards expended for insurance or any loans or loan guarantees outstanding as of December 31, 2023.
Title: Provider Relief Fund and American Rescue Plan Rural Distribution
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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.
De Minimis Rate Used: N
Rate Explanation: Summa has not elected to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.
During the year ended December 31, 2022, Summa received amounts from the U.S. Department of Health & Human Services (HHS) through the Provider Relief Fund and American Rescue Plan Rural Distribution program (PRF)(93.498). In accordance with HHS guidance, this funding was included on the Schedule for the year ended December 31, 2023. The Schedule reflects distributions in the amount of $35,053,685 received by Summa during the year ended December 31, 2022, which were reported by the entities as follows: