Audit 315081

Title: Note 1 - Basis of Presentation Accounting Policies: See page 43 of the audit report, Note 2 - Summary of Significant Accounting Policies De Minimis Rate Used: N Rate Explanation: For purposes of charging indirect costs to federal awards, the Facility has not elected to use the 10% de minimis cost rate as permitted by §200.414 of the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal grant activity of the Oceana County Medical Care Facility (the “Facility”) under programs of the federal government as of and 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 (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Because the schedule presents only a selected portion of the operations of the Facility, it is not intended to and does not present the financial position, changes in net position, or cash flows of the Facility.

Title: Note 2 - Summary of Significant Accounting Policies Accounting Policies: See page 43 of the audit report, Note 2 - Summary of Significant Accounting Policies De Minimis Rate Used: N Rate Explanation: For purposes of charging indirect costs to federal awards, the Facility has not elected to use the 10% de minimis cost rate as permitted by §200.414 of the Uniform Guidance. Expenditures reported on the Schedule are reported on the accrual basis of accounting, which is described in Note 1 to the Facility's financial statements. 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. Pass-through entity identifying numbers are presented where applicable and have been identified in the Schedule. For purposes of charging indirect costs to federal awards, the Facility has not elected to use the 10% de minimis cost rate as permitted by §200.414 of the Uniform Guidance. The expenditures on the Schedule are based upon the December 31, 2021 and December 31, 2022 Provider Relief Fund report.

Title: Note - 3 Reconciliation to the Financial Statements Accounting Policies: See page 43 of the audit report, Note 2 - Summary of Significant Accounting Policies De Minimis Rate Used: N Rate Explanation: For purposes of charging indirect costs to federal awards, the Facility has not elected to use the 10% de minimis cost rate as permitted by §200.414 of the Uniform Guidance. The federal expenditures reported in the Schedule does not reconcile with the amount reported in the financial statements because revenue, on the accrual basis of accounting, is recognized and reported in the year that the revenue was earned while Provider Relief Funds guidance required that the expenditures be reported in the periods that they were submitted to the federal reporting portal. The following schedule reconciles the revenue recognition and the federal reporting of the Facility’s Provider Relief Funds: See page 43 of the audit report for table.