Notes to SEFA
The accompanying schedule of expenditures of federal and state awards (the “Schedule”) includes the federal award activity of Ruby Valley Hospital District dba Ruby Valley Medical Center. The information in this schedule is presented in accordance with requirements of the 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 the District, it is not intended to and does not present the financial position, changes in net position or cash flows of the District.
The District does not have any sub-recipients of federal or state awards.
The District has an outstanding loan with USDA as of June 30, 2025, with a balance of $9,382,819. The loan balance outstanding at July 1, 2024 was included on the federal expenditures presented in the Schedule.