Audit 343012

Accounting Policies: 1 - BASIS OF PRESENTATION The accompanying consolidated Schedule of Expenditures of Federal Awards (the Schedule) includes the federal award activity of Spectrum Health Systems, Inc. and Affiliate (the Organization) under programs of the federal government for the year ended June 30, 2024. 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 operations of the Organization, it is not intended to and does not present the consolidated financial position, changes in net assets, or cash flows of the Organization. For the purposes of the Schedule, federal awards include all federal financial assistance received directly or received indirectly through contracts executed with the Commonwealth of Massachusetts. 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of accounting Expenditures reported on the Schedule are reported on the accrual basis of accounting. 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. 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. De Minimis Rate Used: N Rate Explanation: The Organization has elected not to use the 10-percent de minimis indirect cost rate as allowed under the Uniform Guidance.