Notes to SEFA
Title: General
Accounting Policies: Expenditure reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). Such expenditures are recognized following the cost principles contained in the Uniform Guidance, where certain of expenditures are not allowable or are limited as to reimbursement.
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) has been prepared in accordance with principles generally accepted in the United States of America. Amounts included in the Schedule are actual expenditures for the year ended December 31, 2022. The accompanying Schedule presents the activity of all federal award programs of Cayuga Health System, Inc. (the Health System). 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 Health System's operations, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Health System.
Title: Provider Relief Funding
Accounting Policies: Expenditure reported on the Schedule are reported on the accrual basis of accounting, with the exception of Provider Relief Funds (Note 4). Such expenditures are recognized following the cost principles contained in the Uniform Guidance, where certain of expenditures are not allowable or are limited as to reimbursement.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The Schedule includes grant activity related to the Department of Health and Human Services (HHS) Provider Relief Fund and American Rescue Plan (ARP) Distribution Assistance Listing Number 93.448. As required based on guidance in the 2022 OMB Compliance Supplement, the Schedule includes all Period 3 funds received between January 1, 2021 to June 30, 201 and Period 4 funds received between July 1, 2021 and December 31, 2021 and expended by December 31, 2022 as reported to HHS via the Provider Relief Funding Reporting Portal.Given the timing covered by Periods 3 and 4, certain expenses were reflected in the organizations 2021 consolidated financial statements. Additionally, lost revenue does not represent an expenditure in the Health Systems consolidated financial statements and thus is a reconciling item between the federal expenses in the Health Systems consoldiated financial statements and amount included on the Schedule.