Notes to SEFA
Title: Basis of Presentation
Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Such expenditures arerecognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures arenot allowable or are limited as to reimbursement.The System has elected not to use the 10-percent de minimis indirect cost rate as allowed under the UniformGuidance.The System did not pass through any funding to subrecipients.
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) includes the federal award activityof Wheeling Hospital, Inc. and Subsidiaries (the System) under the programs of the federal governments for theyear ended December 31, 2022. The information in this Schedule is presented in accordance with the requirementsof Title 2 US Code of Federal Regulations Part 200, Uniform Administration Requirements, Cost Principles, andAudit Requirements for Federal Awards (Uniform Guidance). All federal awards received directly and indirectly fromfederal agencies are included in this Schedule. Because the Schedule presents only a selected portion of theoperations of the System, it is not intended to and does not present the financial position, changes in net assets orcash flows of the System. The amount reported for loans was the beginning of the year balance. The balance atthe end of the year for the Mortgage Insurance Hospitals loan was approximately $42,556,000.As outlined in the May 2023 OMB Compliance Supplement, the amounts reported in the accompanying schedulerelated to the Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Distribution, Assistance ListingNo. 93.498, are reported based upon the PRF reporting portal submission guidelines established by the HealthResource and Service Administration (HRSA). Six separate reporting periods were established by HRSA basedon the dates of receipt of PRF payments.Each reporting period has a specific period of availability which begins on January 1, 2020 and extends throughspecified deadlines, as indicated below:The accompanying schedule includes those qualifying expenditures and lost revenues that were reported in theHRSA PRF portal for Period 3 and Period 4. During the year end September 30, 2020, the System recognizedapproximately $3,644,000. During the fifteen-month period ended December 31, 2021, the System recognizedapproximately $8,695,000 of additional revenues.
Title: Contingencies
Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Such expenditures arerecognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures arenot allowable or are limited as to reimbursement.The System has elected not to use the 10-percent de minimis indirect cost rate as allowed under the UniformGuidance.The System did not pass through any funding to subrecipients.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The grant programs are subject to financial and compliance audits by the grantors or their representatives. Such audits could lead to requests for reimbursement to the grantor agencies for expenditures disallowed under terms of the grants. Management believes disallowances, if any, will not be material.
Title: Categorization of Expenditures and Other Matters
Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Such expenditures arerecognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures arenot allowable or are limited as to reimbursement.The System has elected not to use the 10-percent de minimis indirect cost rate as allowed under the UniformGuidance.The System did not pass through any funding to subrecipients.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The categorization of expenditures by program included in the schedule of expenditures of federal awards is based upon the grant documents. Changes in the categorization of expenditures occur based upon revisions to the Assistance Listing, which is issued in June and December of each year. The schedule of expenditures of federal awards for the year ended December 31, 2022 reflects Assistance Listing changes through April 2022.