Title: Note 1: General
Accounting Policies: Note 2: Summary of Significant Accounting Policies - With the exception of expenditures related to the Provider Relief Fund (PRF), expenditures within the Schedules are reported on the accrual basis of accounting and are recognized following the cost principles contained in the Uniform Guidance and State of Wisconsin Single Audit Guidelines, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The PRF is not subject to cost principles requirements contained in the Uniform Guidance or State of Wisconsin Single Audit Guidelines. Expenditures reported within the Schedules for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and amounts reported in the PRF portal for the reporting periods 2 and 3 cumulatively through June 30, 2022, with reporting due March 31, 2022 and September 30, 2022, respectively.
De Minimis Rate Used: N
Rate Explanation: Note 4: Indirect Cost - Gundersen Health System has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
Gundersen Lutheran Health System, Inc. (Gundersen Health System), based in La Crosse, Wisconsin, is an integrated healthcare system that provides comprehensive medical care to patients primarily in Wisconsin, as well as in Iowa and Minnesota, by operating hospitals, clinics, health plans, long-term care facilities, ambulance services, a foundation, and an energy-producing company. Gundersen Health System also provides medical and health and wellness education, including community outreach services, and provides medical education and conducts clinically based research for the benefit of its patients and the communities it serves.
Title: Note 2: Basis of Presentation
Accounting Policies: Note 2: Summary of Significant Accounting Policies - With the exception of expenditures related to the Provider Relief Fund (PRF), expenditures within the Schedules are reported on the accrual basis of accounting and are recognized following the cost principles contained in the Uniform Guidance and State of Wisconsin Single Audit Guidelines, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The PRF is not subject to cost principles requirements contained in the Uniform Guidance or State of Wisconsin Single Audit Guidelines. Expenditures reported within the Schedules for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and amounts reported in the PRF portal for the reporting periods 2 and 3 cumulatively through June 30, 2022, with reporting due March 31, 2022 and September 30, 2022, respectively.
De Minimis Rate Used: N
Rate Explanation: Note 4: Indirect Cost - Gundersen Health System has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
The accompanying schedule of expenditures of federal and state awards and DHS reimbursement award schedule (Schedules) includes the federal and state award activity of Gundersen Health System. The information in these schedules are 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 (the Uniform Guidance) and the State of Wisconsin Single Audit Guidelines. Because the schedules present only a selected portion of the operations of Gundersen Health System, they are not intended to and do not present the financial position, changes in net assets, or cash flows of Gundersen Health System.
Title: Note 5: Subrecipients
Accounting Policies: Note 2: Summary of Significant Accounting Policies - With the exception of expenditures related to the Provider Relief Fund (PRF), expenditures within the Schedules are reported on the accrual basis of accounting and are recognized following the cost principles contained in the Uniform Guidance and State of Wisconsin Single Audit Guidelines, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The PRF is not subject to cost principles requirements contained in the Uniform Guidance or State of Wisconsin Single Audit Guidelines. Expenditures reported within the Schedules for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and amounts reported in the PRF portal for the reporting periods 2 and 3 cumulatively through June 30, 2022, with reporting due March 31, 2022 and September 30, 2022, respectively.
De Minimis Rate Used: N
Rate Explanation: Note 4: Indirect Cost - Gundersen Health System has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
Gundersen Health System passed no federal awards through to subrecipients during the eleven-month period ended November 30, 2022.
Title: Note 6: Loan Outstanding Balances
Accounting Policies: Note 2: Summary of Significant Accounting Policies - With the exception of expenditures related to the Provider Relief Fund (PRF), expenditures within the Schedules are reported on the accrual basis of accounting and are recognized following the cost principles contained in the Uniform Guidance and State of Wisconsin Single Audit Guidelines, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The PRF is not subject to cost principles requirements contained in the Uniform Guidance or State of Wisconsin Single Audit Guidelines. Expenditures reported within the Schedules for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and amounts reported in the PRF portal for the reporting periods 2 and 3 cumulatively through June 30, 2022, with reporting due March 31, 2022 and September 30, 2022, respectively.
De Minimis Rate Used: N
Rate Explanation: Note 4: Indirect Cost - Gundersen Health System has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
The Supportive Housing for the Elderly (Assistance Listing 14.157) loans are considered a federal award until the outstanding balance is paid in full. The outstanding loan balances at December 31, 2021, totaling $443,778 are considered current year federal expenditures. There were no new loans made during the eleven-month period ended November 30, 2022. The outstanding balance of the remaining loans at November 30, 2022 was $409,212.
Title: Note 7: Subsequent Events
Accounting Policies: Note 2: Summary of Significant Accounting Policies - With the exception of expenditures related to the Provider Relief Fund (PRF), expenditures within the Schedules are reported on the accrual basis of accounting and are recognized following the cost principles contained in the Uniform Guidance and State of Wisconsin Single Audit Guidelines, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The PRF is not subject to cost principles requirements contained in the Uniform Guidance or State of Wisconsin Single Audit Guidelines. Expenditures reported within the Schedules for PRF are based on the PRF period of availability, terms and conditions of the PRF program, and amounts reported in the PRF portal for the reporting periods 2 and 3 cumulatively through June 30, 2022, with reporting due March 31, 2022 and September 30, 2022, respectively.
De Minimis Rate Used: N
Rate Explanation: Note 4: Indirect Cost - Gundersen Health System has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
The Schedules and related disclosures include evaluation of events through August 29, 2023, which is the date the Schedules were available to be issued.