Audit 363680

Title: Note 1 - Basis of Presentation Accounting Policies: Expenditures reported on the Schedule 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. Funding received is reported on the cash basis of accounting for supplemental disclosure purposes, as requested by the pass-through entity, and may include funding for expenditures incurred in prior periods or funding received in advance of expenditures. De Minimis Rate Used: N Rate Explanation: Greater Dayton Area Hospital Association has elected not to use the 10% de minimus indirect cost rate as allowed under the Uniform Guidance. The accompanying schedule of expenditures of federal awards (the "Schedule") includes the federal grant activity of Greater Dayton Area Hospital Association and Subsidiaries 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 (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 Greater Dayton Area Hospital Association and Subsidiaries, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Greater Dayton Area Hospital Association and Subsidiaries.

Title: Note 2 - Summary of Significant Accounting Policies Accounting Policies: Expenditures reported on the Schedule 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. Funding received is reported on the cash basis of accounting for supplemental disclosure purposes, as requested by the pass-through entity, and may include funding for expenditures incurred in prior periods or funding received in advance of expenditures. De Minimis Rate Used: N Rate Explanation: Greater Dayton Area Hospital Association has elected not to use the 10% de minimus indirect cost rate as allowed under the Uniform Guidance. Expenditures reported on the Schedule 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. Funding received is reported on the cash basis of accounting for supplemental disclosure purposes, as requested by the pass-through entity, and may include funding for expenditures incurred in prior periods or funding received in advance of expenditures.

Title: Note 3 - Indirect Cost Rate Accounting Policies: Expenditures reported on the Schedule 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. Funding received is reported on the cash basis of accounting for supplemental disclosure purposes, as requested by the pass-through entity, and may include funding for expenditures incurred in prior periods or funding received in advance of expenditures. De Minimis Rate Used: N Rate Explanation: Greater Dayton Area Hospital Association has elected not to use the 10% de minimus indirect cost rate as allowed under the Uniform Guidance. Greater Dayton Area Hospital Association has elected not to use the 10 percent de minimus indirect cost rate as allowed under the Uniform Guidance.

Title: Note 4 - In-Kind Personal Protective Equipment (PPE) Accounting Policies: Expenditures reported on the Schedule 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. Funding received is reported on the cash basis of accounting for supplemental disclosure purposes, as requested by the pass-through entity, and may include funding for expenditures incurred in prior periods or funding received in advance of expenditures. De Minimis Rate Used: N Rate Explanation: Greater Dayton Area Hospital Association has elected not to use the 10% de minimus indirect cost rate as allowed under the Uniform Guidance. Greater Dayton Area Hospital Association received no in-kind Personal Protective Equipment (PPE) during the year ended December 31, 2024.