Title: DHHS CARES ACT
Accounting Policies: The accompanying Schedule has been prepared using the accrual basis of accounting and in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). The purpose of the Schedule is to present a summary of those activities of the System for the year ending September 30, 2022, which have been supported by the U.S. Government (federal awards). For purposes of the Schedule, federal awards include all federal assistance entered into directly between the federal government and the System and federal funds awarded to the System by a primary recipient. Because the Schedule presents only a selected portion of the activities of the System, it is not intended to and does not present the consolidated financial position, results of operations, changes in net assets, and cash flows of the System and its subsidiaries. For purposes of the Schedule, federal awards include all grants, contracts and similar agreements entered into directly between the System and agencies and departments of the federal government and all subawards to the System by nonfederal organizations pursuant to federal grants, contracts and similar agreements.
De Minimis Rate Used: Y
Rate Explanation: The System recovers facilities and administrative costs (indirect costs) associated with expenditures pursuant to arrangements with the federal government. The various entities under the System umbrella were awarded provisional rates ranging from 12.7% to 72% for the year ended September 30, 2022, based on modified total direct costs. These rates are for their respective research and development grant expenditures, clinical expenditures, other sponsored activities expenditures, and non-research and development grant expenditures. The several entities within the System that do not have a federally negotiated rate agreement have elected to use the 10% de minimis indirect cost rate under the Uniform Guidance.The System recently applied to the U.S. Department of Health and Human Services (DHHS) for a new rate applicable to all or most all of the entities under the System umbrella, which application remains pending before DHHS. In the meantime, DHHS instructed the System to continue to use the respective entity's rate under its federally negotiated rate agreement and to use the 10% de minimis rate for those entities without a federally negotiated rate agreement.
The Schedule includes grant activity related to the United States Department of Health and Human Services CARES Act ALN 93.498, Provider Relief Funds (PRF). As required by the 2022 OMB Compliance Supplement, the Schedule includes all PRFs received between July 1, 2020 and December 31, 2020 (Reporting Period 2) and expended by December 31, 2021, as well as PRFs received between January 1, 2021 and June 30, 2021 (Reporting Period 3) and expended by June 30, 2022. The PRF funds in the amount of $97,305,756 were used to cover direct expenditures and lost revenues and covers the following TINs: LincolnHealth Cove's Edge (01-0382340); MaineHealth (01-0238552); MaineHealth Care at Home (22-2571902); Memorial Hospital Elder Care (02-0222156); NorDx (01-0511356); Quarry Hill 01-0213976); St. Joseph's Rehabilitation & Residence (01-0339489); Maine Medical Partners (01-0442142); Mid Coast Hospital (Merged into MaineHealth on January 1, 2021) (01-0215911); Mid Coast Geriatric Services Corp (01-0496221).
Title: U.S. DEPT HOMELAND SECURITY DISASTER GRANTS - PUBLIC ASSISTANCE
Accounting Policies: The accompanying Schedule has been prepared using the accrual basis of accounting and in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). The purpose of the Schedule is to present a summary of those activities of the System for the year ending September 30, 2022, which have been supported by the U.S. Government (federal awards). For purposes of the Schedule, federal awards include all federal assistance entered into directly between the federal government and the System and federal funds awarded to the System by a primary recipient. Because the Schedule presents only a selected portion of the activities of the System, it is not intended to and does not present the consolidated financial position, results of operations, changes in net assets, and cash flows of the System and its subsidiaries. For purposes of the Schedule, federal awards include all grants, contracts and similar agreements entered into directly between the System and agencies and departments of the federal government and all subawards to the System by nonfederal organizations pursuant to federal grants, contracts and similar agreements.
De Minimis Rate Used: Y
Rate Explanation: The System recovers facilities and administrative costs (indirect costs) associated with expenditures pursuant to arrangements with the federal government. The various entities under the System umbrella were awarded provisional rates ranging from 12.7% to 72% for the year ended September 30, 2022, based on modified total direct costs. These rates are for their respective research and development grant expenditures, clinical expenditures, other sponsored activities expenditures, and non-research and development grant expenditures. The several entities within the System that do not have a federally negotiated rate agreement have elected to use the 10% de minimis indirect cost rate under the Uniform Guidance.The System recently applied to the U.S. Department of Health and Human Services (DHHS) for a new rate applicable to all or most all of the entities under the System umbrella, which application remains pending before DHHS. In the meantime, DHHS instructed the System to continue to use the respective entity's rate under its federally negotiated rate agreement and to use the 10% de minimis rate for those entities without a federally negotiated rate agreement.
The Schedule includes expenditures totaling $12,146,688 being reported under the United States Department of Homeland Security Federal Emergency Management Agency (FEMA) Assistance Listing Number 97.036, Department of Homeland Security Disaster Grants Public Assistance (Presidentially Declared Disasters). Of these expenditures, $6,619,277 and $5,527,411 was incurred by the System during the years ended September 30, 2021 and 2020, respectively. The System's Project Worksheet covering these expenditures was approved by FEMA during the year ended September 30, 2022 and, in accordance with the 2022 OMB Compliance Supplement, these expenditures are therefore reported on the Schedule during the year ended September 30, 2022.
Title: Donated Personal Protective Equipment (PPE) (Unaudited)
Accounting Policies: The accompanying Schedule has been prepared using the accrual basis of accounting and in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). The purpose of the Schedule is to present a summary of those activities of the System for the year ending September 30, 2022, which have been supported by the U.S. Government (federal awards). For purposes of the Schedule, federal awards include all federal assistance entered into directly between the federal government and the System and federal funds awarded to the System by a primary recipient. Because the Schedule presents only a selected portion of the activities of the System, it is not intended to and does not present the consolidated financial position, results of operations, changes in net assets, and cash flows of the System and its subsidiaries. For purposes of the Schedule, federal awards include all grants, contracts and similar agreements entered into directly between the System and agencies and departments of the federal government and all subawards to the System by nonfederal organizations pursuant to federal grants, contracts and similar agreements.
De Minimis Rate Used: Y
Rate Explanation: The System recovers facilities and administrative costs (indirect costs) associated with expenditures pursuant to arrangements with the federal government. The various entities under the System umbrella were awarded provisional rates ranging from 12.7% to 72% for the year ended September 30, 2022, based on modified total direct costs. These rates are for their respective research and development grant expenditures, clinical expenditures, other sponsored activities expenditures, and non-research and development grant expenditures. The several entities within the System that do not have a federally negotiated rate agreement have elected to use the 10% de minimis indirect cost rate under the Uniform Guidance.The System recently applied to the U.S. Department of Health and Human Services (DHHS) for a new rate applicable to all or most all of the entities under the System umbrella, which application remains pending before DHHS. In the meantime, DHHS instructed the System to continue to use the respective entity's rate under its federally negotiated rate agreement and to use the 10% de minimis rate for those entities without a federally negotiated rate agreement.
During the year ended September 30, 2022, the System did not receive donated PPE.