Title: NOTE 1 BASIS OF PRESENTATION
Accounting Policies: Expenditures reported on the schedule are presented on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: NOT APPLICABLE - AUDITEE UTILIZED ENTIRE GRANT AWARD ON LOST REVENUE.
The accompanying schedule of expenditures of federal awards (the schedule) includes the federal award activity of the Hospital under programs of the federal government for the year ended September 30, 2023. 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 Schedule presents only a selected portion of the operations of the Hospital, it is not intended to and does not present the net position, changes in net position, or the cash flows of the Hospital.
Title: NOTE 2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Accounting Policies: Expenditures reported on the schedule are presented on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: NOT APPLICABLE - AUDITEE UTILIZED ENTIRE GRANT AWARD ON LOST REVENUE.
Expenditures reported on the schedule are presented on the accrual basis of accounting.
Title: NOTE 3 SUB-RECIPIENTS
Accounting Policies: Expenditures reported on the schedule are presented on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: NOT APPLICABLE - AUDITEE UTILIZED ENTIRE GRANT AWARD ON LOST REVENUE.
There were no payments to sub-recipients for the fiscal year ended September 30, 2023.
Title: NOTE 4 INDIRECT COST RATE
Accounting Policies: Expenditures reported on the schedule are presented on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: NOT APPLICABLE - AUDITEE UTILIZED ENTIRE GRANT AWARD ON LOST REVENUE.
The hospital did not apply indirect costs to the program.
Title: NOTE 5 REPORTING
Accounting Policies: Expenditures reported on the schedule are presented on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: NOT APPLICABLE - AUDITEE UTILIZED ENTIRE GRANT AWARD ON LOST REVENUE.
Amounts reported on the SEFA for Provider Relief Funds are based upon the required March 31, 2023 report submission to the Health Resources and Services Administration (HRSA).
Title: NOTE 6 RECONCILIATION OF COVID-19 GRANT AWARDS IN THE FINANCIAL STATEMENTS TO THE SEFA
Accounting Policies: Expenditures reported on the schedule are presented on the accrual basis of accounting.
De Minimis Rate Used: N
Rate Explanation: NOT APPLICABLE - AUDITEE UTILIZED ENTIRE GRANT AWARD ON LOST REVENUE.
During the fiscal years ended September 30, 2023 and 2022, the Hospital received funding from the Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution provided by the U.S. Department of Health and Human Services (HHS) under Assistance Listing Number 93.498. The funds are to be utilized for expenditures to prevent, prepare for, and respond to coronavirus. Additionally, the funds are for lost revenues attributable to the coronavirus pandemic. The Hospital recognized the amounts in the financial statements in the table below based on timing as it relates to the Hospital meeting the program requirements. The amounts received and expended are reported in the SEFA according to HHS's periods of availability. Accordingly, the $3,861,710 expended in "Period 1" was reported on the September 30, 2021 SEFA, the $1,000,000 expended in "Period 2" was reported on the September 30, 2022 SEFA, and the $896,606 expended in "Period 4" is reported on the September 30, 2023 SEFA.