Notes to SEFA
All federal grant operations of Beacon Health System, Inc. and Affiliated Corporations (the Corporation) are included in the schedule of expenditures of federal awards (the Schedule). Expenditures reflected on the Schedule were incurred by Memorial Hospital of South Bend (MHSB) and Elkhart General Hospital (EGH).
Basis of presentation: The information in the 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 (the Uniform Guidance). Therefore, some amounts presented in the Schedule may differ from amounts presented in or used in the preparation of the consolidated financial statements. The accompanying Schedule is presented on the accrual basis of accounting. Accordingly, expenditures are recorded as incurred.
The objective of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is to provide, at no cost, supplemental nutritious foods, nutrition education, and referrals of health care to low-income, pregnant, breast-feeding, and postpartum women, infants, and children determined to be at nutritional risk. In addition to direct payments received for the year ended December 31, 2025, the Corporation distributed WIC food vouchers with an indeterminable value. This activity has not been reflected in the consolidated financial statements of the Corporation or on the Schedule, as the redemption of the food vouchers is not processed by the Corporation. Additionally, the Corporation received consumable supplies that the Corporation distributes to WIC participants. These consumable supplies have not been reflected in the consolidated financial statements of the Corporation or in the Schedule.
The Corporation used the applicable de minimis indirect cost rate allowed by the Uniform Guidance for the U.S. Department of Health and Human Services direct programs. It was not used for any other grant programs.