Notes to SEFA
Title: Note 1 - Basis of Presentation
Accounting Policies: Note 2 Summary of Significant Accounting Policies Expenditures reported on the Schedule are reported on the accrual basis of accounting with special consideration for the provider relief fund expenditures (see Note 5). 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. Pass through entity identifying numbers are presented where available.
De Minimis Rate Used: N
Rate Explanation: Note 4 Indirect Cost Rate The Organization has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
Note 1- Basis of Presentation The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of Benefis Health System, Inc. and Affiliates (the Organization) under programs of the federal government for the year ended December 31, 2022. The information in this Schedule is presented in accordance with the requirements of 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 Organization, it is not intended to and does not present the financial position, changes in net assets or cash flows of the Organization.
Title: Note 3 - Program Costs
Accounting Policies: Note 2 Summary of Significant Accounting Policies Expenditures reported on the Schedule are reported on the accrual basis of accounting with special consideration for the provider relief fund expenditures (see Note 5). 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. Pass through entity identifying numbers are presented where available.
De Minimis Rate Used: N
Rate Explanation: Note 4 Indirect Cost Rate The Organization has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
Note 3 Program CostsThe amounts shown as current year expenses represent only federal grant portion of the program costs. Entire program costs may be more than shown.
Title: Note 5 - Provider Relief Fund
Accounting Policies: Note 2 Summary of Significant Accounting Policies Expenditures reported on the Schedule are reported on the accrual basis of accounting with special consideration for the provider relief fund expenditures (see Note 5). 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. Pass through entity identifying numbers are presented where available.
De Minimis Rate Used: N
Rate Explanation: Note 4 Indirect Cost Rate The Organization has not elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
Note 5 Provider Relief FundIn accordance with guidance from U.S. Department of Health & Human Services (HHS), the Organization included expenditures for Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) Assistance Listing No. 93.498 of $11,422,629 and $8,589,191 for reporting periods 3 and 4, respectively, in the Schedule for the year ended December 31, 2022, to align with HHS reporting guidelines. As a result, $20,011,820 of PRF assistance was included in the Schedule for 2022. Of that amount, $17,470,649 was recognized by the Organization as revenue during the year ended December 31, 2022, with the remaining recognized as revenue during the year ended December 31, 2021, and is included in beginning net assets as of and for the year ended December 31, 2022.The tax ID numbers of the entities that received Provider Relief Fund assistance were 263538104, 473448483, 810232122, and 810431871.