Title: 1. Basis of Presentation
Accounting Policies: Expenditures reported in the Schedule are recognized following the cost accounting principles
contained in OMB Circular A‐110, Uniform Administrative Requirements for Grants and Agreements
With Institutions of Higher Education, Hospitals, and Other Non‐Profit Organizations, and OASC‐3, A
Guide for Hospitals, wherein certain types of expenditures are not allowable or are limited to
reimbursement. Assistance Listing Number (ALN) numbers and pass‐through numbers are provided
where available.
An award is considered expended when the activity related to the award occurs. The activity generally
pertains to events requiring compliance with laws, regulations, and the provisions of contract and
grant agreements. Direct costs have been recognized on the accrual basis of accounting when costs are
incurred. The Health System has elected not to use the 10‐percent de minimis indirect cost rate
allowed under the Uniform Guidance. Salaries, fringes, and other costs are charged to awards based
upon utilization on a direct cost basis.
De Minimis Rate Used: N
Rate Explanation: Salaries, fringes, and other costs are charged to awards based
upon utilization on a direct cost basis.
The accompanying Schedule of Expenditures of Federal and State Awards (the “Schedule”) includes the
expenditures of The Moses H. Cone Memorial Hospital and affiliates (dba Cone Health) (the “Health
System”) under programs of the federal and state governments for the year ended September 30,
2024. The information in the Schedule is presented in accordance with the provisions of Title 2 U.S.
Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards (“Uniform Guidance”) and the State Single Audit Implementation Act.
Expenditures reported in the Schedule are reported on the accrual basis of accounting. This is
consistent with the basis of accounting utilized in the preparation of the Heath System’s consolidated
financial statements.
For purposes of the Schedule, federal and state awards include all grants, contracts, and similar
agreements entered into directly between the Health System and agencies and departments of the
federal and state governments and all subawards to the Health System by nonfederal organizations
pursuant to federal and state grants, contracts, and similar agreements. Assistance Listing Number
(ALN) for federal programs and pass‐through Catalog of State Financial Assistance (CSFA) numbers for
state programs and pass‐through numbers are provided when available.
Title: 2. Summary of Significant Accounting Policies for Federal and State Award Expenditures
Accounting Policies: Expenditures reported in the Schedule are recognized following the cost accounting principles
contained in OMB Circular A‐110, Uniform Administrative Requirements for Grants and Agreements
With Institutions of Higher Education, Hospitals, and Other Non‐Profit Organizations, and OASC‐3, A
Guide for Hospitals, wherein certain types of expenditures are not allowable or are limited to
reimbursement. Assistance Listing Number (ALN) numbers and pass‐through numbers are provided
where available.
An award is considered expended when the activity related to the award occurs. The activity generally
pertains to events requiring compliance with laws, regulations, and the provisions of contract and
grant agreements. Direct costs have been recognized on the accrual basis of accounting when costs are
incurred. The Health System has elected not to use the 10‐percent de minimis indirect cost rate
allowed under the Uniform Guidance. Salaries, fringes, and other costs are charged to awards based
upon utilization on a direct cost basis.
De Minimis Rate Used: N
Rate Explanation: Salaries, fringes, and other costs are charged to awards based
upon utilization on a direct cost basis.
Expenditures reported in the Schedule are recognized following the cost accounting principles contained in OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements With Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations, and OASC-3, A Guide for Hospitals, wherein certain types of expenditures are not allowable or are limited to reimbursement. Assistance Listing Number (ALN) numbers and pass-through numbers are provided where available.
An award is considered expended when the activity related to the award occurs. The activity generally pertains to events requiring compliance with laws, regulations, and the provisions of contract and grant agreements. Direct costs have been recognized on the accrual basis of accounting when costs are incurred. The Health System has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. Salaries, fringes, and other costs are charged to awards based upon utilization on a direct cost basis.
Title: 3. Relationship to Federal Financial Reports
Accounting Policies: Expenditures reported in the Schedule are recognized following the cost accounting principles
contained in OMB Circular A‐110, Uniform Administrative Requirements for Grants and Agreements
With Institutions of Higher Education, Hospitals, and Other Non‐Profit Organizations, and OASC‐3, A
Guide for Hospitals, wherein certain types of expenditures are not allowable or are limited to
reimbursement. Assistance Listing Number (ALN) numbers and pass‐through numbers are provided
where available.
An award is considered expended when the activity related to the award occurs. The activity generally
pertains to events requiring compliance with laws, regulations, and the provisions of contract and
grant agreements. Direct costs have been recognized on the accrual basis of accounting when costs are
incurred. The Health System has elected not to use the 10‐percent de minimis indirect cost rate
allowed under the Uniform Guidance. Salaries, fringes, and other costs are charged to awards based
upon utilization on a direct cost basis.
De Minimis Rate Used: N
Rate Explanation: Salaries, fringes, and other costs are charged to awards based
upon utilization on a direct cost basis.
The regulations and guidelines governing the preparation of federal financial reports vary by federal
agency and among programs administered by the same agency. Accordingly, the amounts reported in
the federal financial reports do not necessarily agree with the amounts reported in the accompanying
Schedule, which is prepared as explained in Notes 1 and 2 above.