Notes to SEFA
Title: Provider Relief Funds
Accounting Policies: The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal grant activity of Genesis HealthCare System and Subsidiaries (the “System”) under programs of the federal government for the year ended December 31, 2023. 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 (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the System, it is not intended to and does not present the financial position, changes in net assets or cash flows of the System. Expenditures reported on the Schedule are reported on the accrual basis of accounting, which is described in Note 2 to the System's consolidated 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 available.
De Minimis Rate Used: N
Rate Explanation: For purposes of charging indirect costs to federal awards, the System has not elected to use the de minimis cost rate as permitted by §200.414 of the Uniform Guidance.
The System received $21,932,070 from the U.S. Department of Health and Human Services (HHS) through the Provider Relief Fund (PRF) general distribution and American Rescue Plan (ARP) Rural Distribution (Assistance Listing Number 93.498) administered through Health Resources and Services Administration (HRSA) during the year ended December 31, 2022. The System incurred eligible expenditures/lost revenue and recognized revenue totaling $21,932,070 for the year ended December 31, 2022 in the financial statements. In accordance with the compliance supplement addendum, the PRF expenditures recognized on the Schedule are based on the reporting to HHS for funding Period 6 (expenditures and period of availability through December 31, 2023) as required under the PRF program.