Notes to SEFA
Title: Basis of Presentation
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Expenditures consist of direct and indirect costs. Direct costs are those that can be identified with an individual federally sponsored project. Direct costs include, but are not limited to, salaries and materials related to the project. Unlike direct costs, indirect costs cannot be identified with an individual sponsored project. Indirect costs are the costs of services and resources that benefit many sponsored projects, as well as nonsponsored projects and activities. Indirect costs consist of expenses incurred for administration, plant maintenance, building and equipment depreciation, and similar items. VNS Health and federal agencies use an indirect cost rate to charge indirect costs to individually sponsored projects. The rate is the result of a number of cost allocation procedures that VNS Health uses to allocate its indirect costs to both sponsored and nonsponsored activities. Federal agencies must approve the rate before VNS Health can use it to charge indirect costs to federally sponsored projects. VNS Health has elected to use the ten-percent de minimis indirect cost rate as allowed under the Uniform Guidance only on select grants.
De Minimis Rate Used: Y
Rate Explanation: The auditee used the de minimis cost rate.
The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Visiting Nurse Service of New York and subsidiaries (d/b/a VNS Health) 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, UniformAdministrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of VNS Health, it is not intended to and does not present the financial position, changes in net assets, or cash flows of VNS Health.
Title: ACA MIECHV
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Expenditures consist of direct and indirect costs. Direct costs are those that can be identified with an individual federally sponsored project. Direct costs include, but are not limited to, salaries and materials related to the project. Unlike direct costs, indirect costs cannot be identified with an individual sponsored project. Indirect costs are the costs of services and resources that benefit many sponsored projects, as well as nonsponsored projects and activities. Indirect costs consist of expenses incurred for administration, plant maintenance, building and equipment depreciation, and similar items. VNS Health and federal agencies use an indirect cost rate to charge indirect costs to individually sponsored projects. The rate is the result of a number of cost allocation procedures that VNS Health uses to allocate its indirect costs to both sponsored and nonsponsored activities. Federal agencies must approve the rate before VNS Health can use it to charge indirect costs to federally sponsored projects. VNS Health has elected to use the ten-percent de minimis indirect cost rate as allowed under the Uniform Guidance only on select grants.
De Minimis Rate Used: Y
Rate Explanation: The auditee used the de minimis cost rate.
Affordable Care Act (ACA) Maternal, Infant, and Early Childhood Home Visiting Program (ALN 93.505) is an inactive federal program that merged with Maternal, Infant, and Early Childhood Home Visiting Program (ALN 93.870) in the 2019 Compliance Supplement. However, VNS Health received funding from the pass-through entity under ALN 93.505 for the year ended December 31, 2023 for $1,108,361, which is included in the Schedule.