Notes to SEFA
The accompanying Schedule of Expenditures of Federal Awards (the “Schedule”) includes the federal award activity of Grand Island Regional Medical Center and Affiliates under programs of the federal government 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 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 Grand Island Regional Medical Center and Affiliates, it is not intended to and does not present the financial position, changes in net assets, or cash flows of Grand Island Regional Medical Center and Affiliates.
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. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years.
Grand Island Regional Medical Center and Affiliates has elected not to use the de minimis indirect cost rate allowed under the Uniform Guidance.
The Federal Emergency Management Agency (FEMA) requires that FEMA has an approved project worksheet and that there were eligible expenditures incurred for the approved project prior to reporting this program on the Schedule. In accordance with FEMA’s guidance, $744,431 of expenditures reported on the current year’s Schedule were incurred in fiscal years 2023, 2022 and 2021.