Title: Federal Loan Program - U.S. Department of Agriculture Community Facilities
Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Endless Mountains Health Systems, Inc. (the Hospital) and its affiliate, Endless Mountains Medical Care Foundation (collectively, the Organization) under programs of the federal government for the year ended December 31, 2022. The information in this Schedule is presented 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 (Uniform Guidance).Therefore, some amounts may differ from amounts presented in, or used in the preparation of, the combined financial statements. Because the Schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the combined financial position, changes in net assets or cash flows of the Organization. Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of expenditures associated with the U.S. Department of Health and Human Services (HHS)Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution and a portion of the U.S. Department of Agriculture (USDA) Community Facilities Loans and Grants. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or limited as to reimbursement. For the awards related to the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution program (PRF), the HHS has indicated the amounts on the Schedule be reported corresponding to reporting requirements of the Health Resources and Services Administration (HRSA) PRF Reporting Portal. Payments from the HHS for PRF are assigned to Payment Received Periods (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Periods deadline to use the funds (i.e., after the end of the Period of Availability). For the awards related to the U.S. Department of Agriculture Community Facilities Loans and Grants the USDA has indicated that the amount of outstanding loans issued under the Community Facilities Loans and Grants must be included in the borrowers Schedule.
De Minimis Rate Used: N
Rate Explanation: The Organization has not elected to use the 10% de minimis indirect cost rate.
The federal loan program listed below is administered directly by the Organization and the balance and transactions related to this program are included in the Organization's basic financial statements. In accordance with Uniform Guidance, the Schedule reflects the balance of the loan outstanding at the beginning of the audit period (i.e. the December 31, 2021 balance). There were not new loans made of received during the year ended December 31, 2022 (the audit period covered by the Schedule). The balance of the loan outstanding at December 31, 2022 consists of:Assistance Listing Number: 10.766; Program Name: Community Facilities Loans and Grants; Outstanding Balance at December 31, 2022: $21,845,952.
Title: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution
Accounting Policies: The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Endless Mountains Health Systems, Inc. (the Hospital) and its affiliate, Endless Mountains Medical Care Foundation (collectively, the Organization) under programs of the federal government for the year ended December 31, 2022. The information in this Schedule is presented 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 (Uniform Guidance).Therefore, some amounts may differ from amounts presented in, or used in the preparation of, the combined financial statements. Because the Schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the combined financial position, changes in net assets or cash flows of the Organization. Expenditures reported on the Schedule are reported on the accrual basis of accounting, with the exception of expenditures associated with the U.S. Department of Health and Human Services (HHS)Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution and a portion of the U.S. Department of Agriculture (USDA) Community Facilities Loans and Grants. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or limited as to reimbursement. For the awards related to the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution program (PRF), the HHS has indicated the amounts on the Schedule be reported corresponding to reporting requirements of the Health Resources and Services Administration (HRSA) PRF Reporting Portal. Payments from the HHS for PRF are assigned to Payment Received Periods (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Periods deadline to use the funds (i.e., after the end of the Period of Availability). For the awards related to the U.S. Department of Agriculture Community Facilities Loans and Grants the USDA has indicated that the amount of outstanding loans issued under the Community Facilities Loans and Grants must be included in the borrowers Schedule.
De Minimis Rate Used: N
Rate Explanation: The Organization has not elected to use the 10% de minimis indirect cost rate.
The Schedule includes no expenditures of the HHS PRF program for the Organization (TIN 232720289) for the periods of availability which ended in the year ended December 31, 2022. The Organization received payments totaling $1,133,648 under the PRF program in January 2022, which were recognized in the Organizations combined financial statements as COVID-19 grant income in the year ended December 31, 2022. Such amounts will be reported in the Period 5 PRF Report, which is required to be filed between July 1, 2023 and September 30, 2023. Accordingly, amounts reported on the Period 5 PRFReport will be included in the Organizations Schedule for the year ended December 31, 2023.