Title: 1. GENERAL
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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.
De Minimis Rate Used: N
Rate Explanation: The Health System does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance.
The accompanying Schedule of Expenditures of Federal Awards (the Schedule) has been prepared in accordance with accounting principles generally accepted in the United States of America. Amounts included in the Schedule are actual expenditures for the year ended December 31, 2023. The accompanying Schedule presents the activity of all federal award programs of Cayuga Health System, Inc. (the Health System). 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 Health System’s operations, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Health System.
Title: 2. BASIS OF ACCOUNTING
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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.
De Minimis Rate Used: N
Rate Explanation: The Health System does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance.
Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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.
Title: 3. INDIRECT COSTS
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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.
De Minimis Rate Used: N
Rate Explanation: The Health System does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance.
The Health System does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance.
Title: 4. PROVIDER RELIEF FUNDS (PRF)
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). 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.
De Minimis Rate Used: N
Rate Explanation: The Health System does not allocate indirect costs to federal programs, and as such, does not elect to apply the 10% de minimis rate permitted by the Uniform Guidance.
The Schedule includes grant activity related to the Department of Health and Human Services (HHS) Provider Relief Fund and American Rescue Plan (ARP) Distribution Assistance Listing Number 93.448. As required based on guidance in the 2023 OMB Compliance Supplement, the Schedule includes all Period 5 funds received between January 1, 2022 to June 30, 2022 and expended by June 30, 2023 as reported to HHS via the Provider Relief Funding Reporting Portal.
Lost revenue does not represent an expenditure in the Health System’s consolidated financial statements and thus is a reconciling item between the federal expenses in the Health System’s consoldiated financial statements and amount included on the Schedule.