Audit 353253

Title: 1. Basis of Presentation Accounting Policies: Expenditures reported on the schedule of expenditures of federal awards (SEFA) 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. Indiana Rural Health Association, Inc. (the Association) has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: Indiana Rural Health Association, Inc. (the Association) has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activity of Indiana Rural Health Association, Inc. (the Association) under programs of the federal government for the year ended December 31, 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 SEFA presents only a selected portion of the operations of the Association, it is not intended to and does not present the financial position, changes in net assets, functional expenses, or cash flows of the Association.

Title: 3. Fair Market Value of Donated Personal Protective Equipment (Unaudited) Accounting Policies: Expenditures reported on the schedule of expenditures of federal awards (SEFA) 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. Indiana Rural Health Association, Inc. (the Association) has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: Indiana Rural Health Association, Inc. (the Association) has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. During 2024, Indiana Rural Health Association, Inc. (the Association) did not receive donated personal protective equipment from federal sources.