Title: Basis of presentation
Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures 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 may or may not be allowable or may be limited as to reimbursement.d. The Hospital has elected not to use the 10-percent de minimum indirect cost rate, as allowed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The accompanying schedule of expenditures of federal awards (the Schedule or SEFA) includes the federal grant activity of Ryder Memorial Hospital, Inc. (the Hospital), under programs of federal government for the year ended December 31, 2022.The information included in the Schedule is prepared 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 (the Uniform Guidance). Therefore, some amounts presented in the Schedule may differ from the amounts presented in or used in the preparation of the financial statements.Because the Schedule presents only a selected portion of the operations of the Hospital, it is not intended to, and does not, present the balance sheet, statement of operations and changes in net assets, and cash flows of the Hospital. Funds received from the federal programs, as detailed in the SEFA, for the year ended December 31, 2022 are included as federal stimulus pandemic relief funds and other revenues in the statement of operations and changes in net assets of the Hospital for the year then ended.
Title: Assistance Listing (AL) Numbers
Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures 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 may or may not be allowable or may be limited as to reimbursement.d. The Hospital has elected not to use the 10-percent de minimum indirect cost rate, as allowed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The AL numbers included in the Schedule are determined based on the program name, review of grant contract information and the OMBs Assistance Listing Number.
Title: Major Federal Program
Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures 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 may or may not be allowable or may be limited as to reimbursement.d. The Hospital has elected not to use the 10-percent de minimum indirect cost rate, as allowed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The major program is identified in the Summary of Auditors Results Section in the Schedule of Findings and Questioned Costs.
Title: Provider Relief Fund SEFA reporting
Accounting Policies: a. The Schedule is prepared from the Hospitals accounting records.b. The financial transactions are recorded by the Hospital in accordance with the terms and conditions of the grants, which are consistent with accounting principles generally accepted in the United States of America.c. Expenditures 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 may or may not be allowable or may be limited as to reimbursement.d. The Hospital has elected not to use the 10-percent de minimum indirect cost rate, as allowed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
As required by the U.S. Department of Health and Human Services (HHS), SEFA reporting for the Provider Relief Fund (PRF), is based upon the PRF special reporting requirements, which link the nonfederal entity's SEFA reporting to its report submissions to the PRF Reporting Portal.Thus, since the PRF amounts reported on the SEFA are based on the PRF reporting portal rules, the SEFA for the year ended on December 31, 2022, includes PRF received during the year ended December 31, 2021 amounting to $533,940. PRF was received from HHS for lost revenues and other expenses, suffered by the Hospital during the year ended on December 31, 2021. As instructed by the reporting requirements specified by the Secretary of Health and Human Services in the program instructions, the third period to be reported comprises funds received during the period of January 1, 2021 to June 30, 2021 and applies to audits of fiscal years ending on or after June 30, 2022, and the fourth period to be reported comprises funds received during the period of July 1, 2021 to December 31, 2021 and applies to audits of fiscal years ending on or after December 31, 2022. Additional funds will be reported subsequently in 2023.