Notes to SEFA
The accompanying schedules of expenditures of federal awards and Florida state financial assistance (the "Schedules") include the federal and state grant transactions of the Johns Hopkins Health System Corporation and its affiliates ("JHHS") under programs of the federal government and state of Florida for the year ended June 30, 2025. Because the Schedules present only a selected portion of the operations of JHHS, they are not intended to and do not present the financial position, results of operations and changes in net assets, or cash flows of JHHS. For purposes of the Schedules, federal and state awards include all awards in the form of grants, contracts, and similar agreements entered into directly between JHHS and the agencies, the departments of the federal government, the non-federal pass-through entities, and the state of Florida. Federal Assistance Listing information, Catalog of State Financial Assistance (“CSFA”), and pass-through identification numbers are included when available.
The Schedules reflect federal and state award program expenditures recognized on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America. JHHS has not elected to use the 10% de minimis rate for indirect costs; indirect costs are billed based upon negotiated and budgeted rates. Individual affiliates may elect to use the 10% de minimis rate in the absence of a formally negotiated rate, in accordance with 2 CFR 200.414(f).
JHHS conducted COVID-19 testing and/or provided treatment for uninsured individuals with a COVID-19 primary diagnosis on or after February 4, 2020 and as such requested claims reimbursement under Assistance Listing # 93.461 Health Resources and Services Administration's ("HRSA") COVID-19 Testing and Treatment for the Uninsured. JHHS recorded $(375) thousand on the Schedule consisting of refunds and adjustments reported in fiscal year 2025 relating to claims submitted and reported with service dates in fiscal years 2020, 2021, and 2022 for $(109) thousand, $(265) thousand, and $(1) thousand, respectively. The Uninsured program stopped accepting claims due to a lack of sufficient funds. No claims submitted after March 22, 2022 for testing or treatment and claims for vaccine administration after April 5, 2022, will be processed for adjudication and payment.
In fiscal year 2025 , the affiliate Johns Hopkins All Children’s Hospital (“JHACH”) received approval of their project related to Federal Emergency Management Agency (“FEMA”) Disaster Grants – Public Assistance (Presidentially Declared Disasters) funding passed thru from the Florida Division of Emergency Management. As required by the OMB Compliance Supplement, non-federal entities must record expenditures on the schedule of expenditures of federal awards when (1) FEMA has approved the non-federal entity’s project, and (2) the non-federal entity has incurred the eligible expenditures. JHACH, as such, recorded $112 thousand in expenditures on the Schedule, which were incurred in prior years, but not approved by FEMA until fiscal year 2025.