Title: Note 1: Basis of Presentation
Accounting Policies: With the exception of expenditures related to the Provider Relief Fund (“PRF”), expenditures on the Schedule are
reported on the accrual basis of accounting and 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.
The PRF is not subject to cost principles requirements contained in the Uniform Guidance. Expenditures reported
on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and
amounts reported in the PRF portal for the reporting period four, due March 31, 2023.
De Minimis Rate Used: N
Rate Explanation: The Hospital has not elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform
Guidance.
The accompanying schedule of expenditures of federal awards (“Schedule”) includes the federal award activity of
Excelsior Springs City Hospital d/b/a Excelsior Springs Hospital (the “Hospital”). 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 (the “Uniform
Guidance”). Because the Schedule presents only a selected portion of the operations of the Hospital, it is not
intended to and does not present the financial position, changes in net position, or cash flows of the Hospital.
Title: Note 2: Summary of Significant Accounting Policies
Accounting Policies: With the exception of expenditures related to the Provider Relief Fund (“PRF”), expenditures on the Schedule are
reported on the accrual basis of accounting and 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.
The PRF is not subject to cost principles requirements contained in the Uniform Guidance. Expenditures reported
on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and
amounts reported in the PRF portal for the reporting period four, due March 31, 2023.
De Minimis Rate Used: N
Rate Explanation: The Hospital has not elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform
Guidance.
With the exception of expenditures related to the Provider Relief Fund (“PRF”), expenditures on the Schedule are
reported on the accrual basis of accounting and 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.
The PRF is not subject to cost principles requirements contained in the Uniform Guidance. Expenditures reported
on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and
amounts reported in the PRF portal for the reporting period four, due March 31, 2023.
Title: Note 3: Subrecipients
Accounting Policies: With the exception of expenditures related to the Provider Relief Fund (“PRF”), expenditures on the Schedule are
reported on the accrual basis of accounting and 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.
The PRF is not subject to cost principles requirements contained in the Uniform Guidance. Expenditures reported
on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and
amounts reported in the PRF portal for the reporting period four, due March 31, 2023.
De Minimis Rate Used: N
Rate Explanation: The Hospital has not elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform
Guidance.
The Hospital passed no federal awards through to subrecipients.
Title: Note 4: Indirect Costs
Accounting Policies: With the exception of expenditures related to the Provider Relief Fund (“PRF”), expenditures on the Schedule are
reported on the accrual basis of accounting and 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.
The PRF is not subject to cost principles requirements contained in the Uniform Guidance. Expenditures reported
on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and
amounts reported in the PRF portal for the reporting period four, due March 31, 2023.
De Minimis Rate Used: N
Rate Explanation: The Hospital has not elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform
Guidance.
The Hospital has not elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform
Guidance.
Title: Note 5: Balance of Outstanding Loans
Accounting Policies: With the exception of expenditures related to the Provider Relief Fund (“PRF”), expenditures on the Schedule are
reported on the accrual basis of accounting and 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.
The PRF is not subject to cost principles requirements contained in the Uniform Guidance. Expenditures reported
on the Schedule for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and
amounts reported in the PRF portal for the reporting period four, due March 31, 2023.
De Minimis Rate Used: N
Rate Explanation: The Hospital has not elected to use the 10-percent de minimis indirect cost rate allowed under the Uniform
Guidance.
The loan balances outstanding at the beginning of the year are included in the federal expenditures presented in
the Schedule. There were new loans received during the year ending September 30, 2023. The balance of the
loans outstanding at year ended September 30, 2023 is as follows:
Program Title Federal CFDA Number Amount Outstanding
Community Facilities Loans and Grants 10.766 $9,743,457