Notes to SEFA
The accompanying consolidated schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Mosaic Health System and Related Organizations (Mosaic) under programs of the federal government for the year ended June 30, 2025. 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). For purposes of the Schedule, federal awards include all federal assistance entered into directly between Mosaic and the federal government and sub-awards from nonfederal organizations made under federally sponsored agreements. The Schedule does not include payments received under Medicare and Medicaid reimbursement programs. Because the Schedule presents only a selected portion of the activities of Mosaic, it is not intended to, and does not, present the net position, changes in net position or cash flows of Mosaic.
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.
Mosaic not elect to use the de minimis indirect cost rate as permitted under 2 CFR 200.414. Instead, Mosaic applied a federally negotiated indirect cost rate approved by its cognizant federal agency to applicable federal awards.
Mosaic did not receive any noncash assistance during the year ended June 30, 2025. There were no federal awards expended for insurance or any loans or loan guarantees outstanding as of June 30, 2025.