The accompanying schedule of expenditures of federal awards (SEFA) for 2021 includes the federal grant activity of Pulaski Memorial Hospital (the Hospital) and is presented on the accrual basis of accounting. The information in the SEFA 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). The basic financial statement classifications may include other financial activity for reporting purposes. Therefore, some of the amounts presented in the SEFA may differ from amounts presented in, or used in the preparation of, the basic financial statements.
No entities received pass-through federal awards from the Hospital during 2021.
Under terms and conditions of the American Rescue Plan (ARP) and the Coronavirus Aid, Relief, and Economic Security (CARES) Act, the Hospital is required to report COVID-19 related expenses and lost revenue to the US Department of Health and Human Services (DHHS). Guidance from DHHS has required the reporting of the COVID-19 related expenses and lost revenue and expenses in certain reporting periods based on when the funds were received. DHHS requires amounts received prior to September 30, 2020, and expended through September 30, 2021, to be reported on the 2021 Schedule rather than the 2020 Schedule. As such, the Hospital received and recognized approximately $10,658,000 in COVID-19 grants prior to September 30, 2020. Of this amount, approximately $9,194,000 is required to be reported on the SEFA based on DHHS guidance. During 2021, the Hospital received approximately $1,568,000 in COVID-19 grant funds with approximately $201,000 reported as unearned grant revenue as of September 30, 2021. During September 30, 2021 and 2020, the Hospital recognized approximately $1,366,000 and $10,658,000 as revenue in its 2021 and 2020 statements of revenues, expenses and changes in net position, respectively, as the terms and conditions of the PRF grant were satisfied. ARP and CARES grants received and also recognized as revenue in 2021 will be reported on the 2022 Schedule as required by DHHS along with certain funds received during 2020.
During 2021, the Hospital did not receive donated personal protective equipment from federal sources.