Notes to SEFA
The accompanying schedule of expenditures of federal awards (the “Schedule”) includes the federal award activity of the Northwest Community Health Center (the “Health Center”) under programs of the federal government for the year ended February 28, 2026. 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 of Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the Health Center, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Health Center.
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.
The Health Center is a nonprofit corporation providing primary health care to the medically underserved population of Lincoln County, Montana. The Health Center receives a significant portion of its funding for health center operations from grants funded by the U.S. Department of Health and Human Services (HHS) under the Consolidated Health Center Program (CFDA 93.224) representing funding from the Health Center Program Cluster. This cluster of programs was the major federal program for the fiscal year ended February 28, 2026.
The Health Center has elected not to use the 15-percent de minimis indirect cost rate allowed under the Uniform Guidance.