Notes to SEFA
During the year ended December 31, 2025, the Hospital participated in the New York State Department of Health Special Supplemental Nutrition Program for Women, Infants and Children (WIC) through the receipt and distribution of food checks. The U.S. Department of Agriculture has determined that WIC food instruments are considered “property in lieu of money” and therefore should be considered as federal awards received by the Hospital. The total amount reported as federal awards on the Schedule represents the value of food vouchers redeemed in the amount of $8,714,689 plus administrative costs of $2,268,243 for the year ended December 31, 2025. As New York State funds are commingled with Federal funds, percentages were applied to determine the total amount of Federal funds to be reported above. These percentages were supplied by the New York State Department of Health as follows:
On September 16, 2013, the Hospital closed on a $86,358,900 mortgage insured under the provisions of the U.S. Department of Housing and Urban Development Federal Housing Administration Section 242 mortgage insurance program (FHA 242 Program). On July 1, 2025, the mortgage was refinanced with the same lender and resulted in the issuance of a new FHA insured mortgage. At December 31, 2025, the outstanding balance of the loan totaled $58,711,527. On December 19, 2017, the Hospital closed on a $18,328,100 mortgage insured under the provisions of the FHA 242 Program. At December 31, 2025, the outstanding balance of the loan totaled $14,299,975. The U.S. Department of Housing and Urban Development has determined that the mortgage insurance program is to be considered a Federal award for purposes of compliance with the Uniform Guidance because the related loans have continuing compliance requirements.
The Hospital incurred certain expenditures related to the COVID-19 pandemic which are eligible for reimbursement from the Federal Emergency Management Agency (FEMA) Disaster Grants – Public Assistance (Presidentially Declared Disasters) (Assistance Listing No. 97.036). In 2025, the Hospital was obligated $1,114,358 for reimbursement of qualifying expenses from FEMA. Certain costs were incurred prior to January 1, 2025 and approved by FEMA in 2025. These amounts have been included in the accompanying Schedule for the year ended December 31, 2025, in accordance with the guidance specific to Assistance Listing No. 97.036.