Audit 314816

Title: U.S. DEPARTMENT OF AGRICULTURE COMMUNITY FACILITIES LOANS AND GRANTS Accounting Policies: SUMMARY OF SIGNIFICANT 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. Family Health Care of Northwest Ohio has elected not to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. BASIS OF PRESENTATION The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Family Health Care of Northwest Ohio, 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 Family Health Care of Northwest Ohio, Inc., it is not intended to and does not present the financial position, changes in net assets, or cash flows of Family Health Care of Northwest Ohio, Inc. De Minimis Rate Used: N Rate Explanation: Family Health Care of Northwest Ohio has elected not to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. Effective June 30, 2022, the U.S. Department of Agriculture Community Facilities Loans and Grants program (USDA Loan Program) prospectively applied a change to the compliance supplement to include continuing compliance requirements to outstanding loan balances. Accordingly, the Organization has included the USDA Loan Program balance on January 1, 2023 of $2,089,248 on the SEFA for the year ended December 31, 2023. The balance of the USDA Loan Program loan on December 31, 2023 was $2,048,242.