Notes to SEFA
The accompanying Schedule of Expenditures of Federal Awards (the Schedule) includes the federal grant activity of Kaiser Foundation Health Plan, Inc. and Subsidiaries (Health Plans) and Kaiser Foundation Hospitals and Subsidiaries (Hospitals) under programs of the federal government for the year ended December 31, 2025. Expenditures reported in the Schedule are reported on the modified accrual basis of accounting. The expenditures in the Schedule are recognized in accordance with the cost principles of Title 2 U.S. Code of Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 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. Research and development programs are presented by federal agency and major subdivision within the federal agency. Pass-through programs are presented by pass-through entity name and identifying number. Assistance Listing Numbers (ALN) are presented for those programs for which such numbers are available.
The schedule of expenditures of federal awards does not present the activity for Risant Health, Inc., a consolidated subsidiary of Hospitals, which expended $47,263,560 in federal awards for the period January 1, 2025 to December 31, 2025, and which submits a separate audit report in accordance with the Uniform Guidance.
Health Plans and Hospitals did not expend any federal funds to support loan programs or loan guarantee programs. Health Plans and Hospitals do not have federal loan balances outstanding as of December 31, 2025.
Health Plans and Hospitals have negotiated Facilities & Administration rates from the Division of Cost Allocation. Health Plans and Hospitals have elected not to use a de minimis cost rate.
Nonfederal entities must record expenditures on the Schedule when FEMA has approved the nonfederal entity’s project worksheet, and the nonfederal entity has incurred the eligible expenditures. The amount shown on the Schedule for the year ended December 31, 2025 includes $58,842,576 in expenditures that were incurred in a prior year.