Audit 31123

Title: COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of The New York Gracie Square Hospital, Inc. (the Hospital) 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). 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 financial statements of the Hospital. Direct and indirect costs are charged to awards in accordance with cost principles contained in the U.S. 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 Hospital did not make this election. 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 requirements specific to Federal Assistance Listing Number 93.498, COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution, the amount presented on the accompanying Schedule for the year ended December 31, 2022 for Federal Assistance Listing No. 93.498 relates to Provider Relief Fund (PRF) payments received from January 1, 2021 through December 31, 2021 used for PRF-eligible activity from the period January 1, 2020 through December 31, 2022. This payment receipt period and activity period and the resulting amount presented on the accompanying Schedule for the year ended December 31, 2022 reconciles to the PRF information previously reported to the Health Resources and Services Administration (HRSA) for PRF Reporting Period 3 and 4 as follows:Reporting Period 3: The Hospital did not receive PRF payments during Reporting Period 3.Reporting Period 4:Activity From the Period January 1, 2020Through December 31, 2022Name of Reporting Entity for HRSA Reporting Period 4 Provider Relief Fund ReportReporting Entity Tax Identification Number (TIN)Type of DistributionTotal Other PRF Payments Applied to Unreimbursed Expenses Attributable to CoronavirusTotal Other PRF Payments Applied to Lost RevenuesAmount Included on the Accompanying Schedule for the Year Ended December 31, 2022 The New York Gracie Square Hospital, Inc.13-3746997General$$1,536,021$1,536,021 Total Reporting Period 4$$1,536,021$1,536,021The lost revenues incurred by the Hospital during the periods of availability through PRF Reporting Period 4 (January 1, 2020 through December 31, 2022) are in excess of the distributions received in PRF Reporting Periods 1 and 2 (which addressed payments received during April 10, 2020 to December 31, 2020, and previously reported on the Schedule of Expenditures of Federal Awards for the year ended December 31, 2021) and distributions received in PRF Reporting Periods 3 and 4 (January 1, 2021 through December 31, 2021) and, therefore, the amounts presented in the table above and on the accompanying Schedule are limited to distributions received in PRF Reporting Periods 3 and 4.