Notes to SEFA
Title: Basis of Presentation
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of expenditures associated with the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF). 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.
PRF expenditures are reported based upon the timing of reporting periods in accordance with guidance provided by the Health Resources and Services Administration (HRSA).
De Minimis Rate Used: N
Rate Explanation: The System did not elect to use the 10% de minimis indirect cost rate allowed under Uniform Guidance.
The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Pennsylvania Mountains Care Network (the Organization) for the year ended June 30, 2023. As disclosed in Note 1 to the consolidated financial statements, the Organization is comprised of Indiana Regional Medical Center and its controlled entities (collectively, IRMC) and Punxsutawney Area Hospital and its controlled entity (collectively, PAH).
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). Therefore, some amounts may differ from amounts presented in, or used in the preparation of the consolidated financial statements. 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: Provider Relief Fund and American Rescue Planj (ARP) Rural Distribution
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of expenditures associated with the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF). 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.
PRF expenditures are reported based upon the timing of reporting periods in accordance with guidance provided by the Health Resources and Services Administration (HRSA).
De Minimis Rate Used: N
Rate Explanation: The System did not elect to use the 10% de minimis indirect cost rate allowed under Uniform Guidance.
For the U.S. Department of Health and Human Services (HHS) awards related to the PRF program, HHS has indicated the amounts on the Schedule be reported corresponding to reporting requirements of the HRSA PRF Reporting Portal. Payments from HHS for PRF are assigned to "Payment Received Periods" (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Period's deadline to use the funds (i.e., after the end of the Period of Availability).
The Schedule includes $9,016,729 received from HHS between July 1, 2021 through June 30, 2022. In accordance with guidance from HHS, these amounts are presented as Period 3 and Period 4, as follows: (See Notes to the SEFA for chart/table)
Such amounts were recognized as a component of COVID-19 grant income in the Organization's consolidated statements of operations during the years ended June 30, 2023 and 2022. Due to the PRF Reporting requirements, these amounts are not the total PRF received and/or recognized as COVID-19 grant income in the year presented in the Schedule.
The Schedule includes the following entities that received PRF funds: (See the Notes to the SEFA for chart/table)