Title: Medical Center
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Under the accrual basis of accounting, expenditures are recognized when incurred. 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 Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Sky Lakes Medical Center and Affiliates (the Medical Center) is a not-for-profit hospital located in south-central Oregon. The Medical Center provides inpatient, outpatient, and emergency care services to the residents of Southern Oregon and Northern California. The Medical Center was incorporated in
Oregon in 1963.
Title: Basis of Presentation
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Under the accrual basis of accounting, expenditures are recognized when incurred. 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 Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
The accompanying schedule of expenditures of federal awards (the Schedule) for the U.S. Department of Health and Human Services COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Program (the Program) includes the federal grant activity of the Medical Center. The information in this Schedule is presented in accordance with the requirements of the Title 2 U.S. Code of Federal Regulations (CFR) 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 Medical Center, it is not intended to and does not present the financial position, results of operations, or cash flow of the Medical Center.
The Medical Center’s reporting entity is defined in Note 1.
Title: Summary of Significant Accounting Policies
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Under the accrual basis of accounting, expenditures are recognized when incurred. 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 Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Expenditures reported on the Schedule are reported on the accrual basis of accounting. Under the accrual basis of accounting, expenditures are recognized when incurred. 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.
The Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
Title: Provider Relief Fund
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Under the accrual basis of accounting, expenditures are recognized when incurred. 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 Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
In accordance with guidance from the U.S. Department of Health and Human Services (DHHS), the Medical Center included the Reporting Period 2 and 3 expenditures for the program of $8,137,461 in the Schedule for the year ended September 30, 2022, to align with DHHS reporting guidelines. In accordance with the United States generally accepted accounting principles (U.S. GAAP), the amounts of the
Program funds received by the Medical Center were recognized as revenue during the years ended September 30, 2022 and 2021, in their respective amounts and were included in beginning net assets without donor restrictions as of and for the year ended September 30, 2022.
Title: Commitments and Contingencies
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Under the accrual basis of accounting, expenditures are recognized when incurred. 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 Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
The Medical Center receives a portion of its funding from this Program, which is subject to audit. The ultimate determination of amounts received under this Program is generally based upon allowable costs reported to and subject to audit by supporting federal agencies. There exists a contingency to refund any amounts received in excess of allowable costs. Management believes that disallowed costs, if any, will be
immaterial to the Schedule of the Program.
Title: Subsequent Events
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Under the accrual basis of accounting, expenditures are recognized when incurred. 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 Medical Center has not elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance.
The Schedule and related disclosures include evaluation of events through May 16, 2025, which is the date the Schedule was available to be issued.