Audit 34390

Title: Non-Cash Awards Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) summarizes the expenditures of William F. Ryan Community Health Center, Inc. (Ryan Health) under programs of the federal government for the year ended December 31, 2022, and has been prepared in conformity with accounting principles generally accepted in the United States. 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 Ryan Health, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Ryan Health. For the purposes of the schedule, federal awards include all grants, contracts, and similar agreements entered into directly between Ryan Health and agencies and departments of the federal government as well as federal awards passed through other agencies. 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. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. Ryan Health received noncash assistance of $952,185 in the form of immunization vaccines for Federal Assistance Listing number 93.268 during the year ended December 31, 2022, which were passed through the City of New York Department of Health and Mental Hygiene. Distribution of the immunizations is reflected in the Schedule.