Notes to SEFA
The accompanying Schedule of Expenditures of Federal Awards (Schedule) includes the federal award activity of Intermountain Health Care, Inc. (the Health System) under programs of the federal government for the year ended December 31, 2025. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200 (2 CFR 200), Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the Health System, it is not intended to and does not present the balance sheet, results of operations and changes in net assets, or cash flows of the Health System. For purposes of the Schedule, federal awards include all grants, contracts, loans, and loan guarantee agreements entered into between the Health System and agencies and departments of the federal government. For the year ended December 31, 2025, the Health System had no expenditures in the form of noncash assistance and had no federally provided insurance in effect.
Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in 45 CFR 74, Appendix E or the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. The Health System has no federal loans or loan guarantees outstanding as of December 31, 2025.
The Health System has elected not to use the de minimis indirect cost rate allowed under the Uniform Guidance.