Title: Other Notes
Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of the Medical Center and is presented on the accrual basis of accounting. The information in the 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 (the Uniform Guidance). For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. In accordance with applicable requirements, certain programs may be presented in a fiscal period based on the program-specific guidance (see Note 2). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Medial Center. Negative amounts represent adjustments to amounts reported as expenditures in prior years. Assistance Listing, pass-through award numbers and expenditures are provided where available.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
Direct and indirect costs are charged to awards in accordance with cost principles contained in the United States Department of Health and Human Services Cost Principles for Hospitals at 45 CFR Part 75 Appendix IX for Uniform Guidance awards. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. The Uniform Guidance provides for a 10% de minimis indirect cost rate election; however, the Medical Center did not make this election and uses a negotiated indirect cost rate.
Title: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (Assistance Listing No. 93.498)
Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of the Medical Center and is presented on the accrual basis of accounting. The information in the 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 (the Uniform Guidance). For purposes of the Schedule, federal awards include any assistance provided by a federal agency directly or indirectly in the form of grants, contracts, cooperative agreements, loan and loan guarantees, or other non-cash assistance. In accordance with applicable requirements, certain programs may be presented in a fiscal period based on the program-specific guidance (see Note 2). Therefore, some amounts presented in the Schedule may differ from amounts presented in, or used in the preparation of, the consolidated financial statements of the Medial Center. Negative amounts represent adjustments to amounts reported as expenditures in prior years. Assistance Listing, pass-through award numbers and expenditures are provided where available.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
In accordance with the U.S. Department of Health and Human Services’ (HHS) requirements specific to Federal Assistance Listing No. 93.498, COVID-19 – Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution, the amount presented on the Schedule for the year ended September 30, 2023 relates to (i) Provider Relief Fund (PRF) distributions received from July 1, 2021 through June 30, 2022 and (ii) used for PRF-eligible activity from the period January 1, 2020 through June 30, 2023. This distribution receipt period and activity period and the resulting amount presented on the Schedule for the year ended September 30, 2023 reconciles to the PRF information previously reported to the Health Resources and Services Administration (HRSA) for PRF Reporting Periods 4 and 5 as follows: Reporting Period 4:
Name of Reporting Entity for
HHS Reporting Period 4
Provider Relief Fund Report Reporting Entity Tax Identification Number (TIN) Type of Distribution Total PRF Funds
Children’s Hospital Corporation 042774441 Targeted $ 583,328
Children’s Hospital Corporation 042774441 General 50,386,402
Children’s Medical Center Corporation 041174680 Targeted 51,304
Children’s Medical Center Corporation 041174680 General 8,012,746
CHMC Anesthesia Foundation Inc.* 042702169 General 132,345
CHMC Otolaryngologic Foundation, Inc.* 042751258 General 1,304,719
Children’s Hospital Ophthalmology Foundation, Inc.* 042864081 General 216,114
Children’s Sports Medicine Foundation, Inc.* 042970129 General 159,783
Children’s Hospital Neurology Foundation, Inc.* 222678594 General 205,630
Children’s Hospital Pediatric Associates, Inc.* 431987409 General 2,840,270
$ 63,892,641
Reporting Period 5:
Name of Reporting Entity for
HHS Reporting Period 5
Provider Relief Fund Report Reporting Entity Tax Identification Number (TIN) Type of Distribution Total PRF Funds
Children’s Hospital Corporation 042774441 General $ 23,408,616
Children’s Medical Center Corporation 041174680 General 2,005,787
CHMC Otolaryngologic Foundation, Inc.* 042751258 General 2,573,258
$ 27,987,661
PRF distributions received by those entities denoted with an “*” in the table above were not included in the Schedule. These entities have a separate financial statement audit, and, as such, their PRF distributions are subject to a separate compliance audit.
The PRF-eligible expenses attributable to Coronavirus Disease 2019 (COVID-19) and lost revenues incurred by the Medical Center during the period of availability for PRF Reporting Period 4 (January 1, 2020 through December 31, 2022) and PRF Reporting Period 5 (January 1, 2020 through June 30, 2023) are in excess of the distributions received from July 1, 2021 through June 30, 2022 and, therefore, the amounts presented in the table above and on the Schedule are limited to the amount of such distributions.