Audit 43853

Accounting Policies: NOTE A Basis of PresentationThe accompanying schedule of expenditures of federal awards (the schedule) includes the federal award activity of Marshall County Hospital District (the District") under programs of the federal government for the year ended December 31, 2022. The information in the schedule is presented in accordance with requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance).NOTE B Summary of Significant Accounting PoliciesExpenditures 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. Note D OtherDuring the year ended December 31, 2022, the District did not provide any federal awards to subrecipients. In addition, there were no federal awards expended in the form of non-cash assistance and there were no loan guarantees outstanding at year end.NOTE E Provider Relief FundBased on current guidance from the Department of Health and Human Services (HHS), Provider Relief Fund (PRF) expenditures (including lost revenues) are to be reported on the schedule based upon PRF reports submitted through the Health Resources and Services Administration (HRSA) reporting portal. Therefore, the amount of PRF expenditures included on the December 31, 2022 schedule is based upon the PRF reporting portal guidelines for Period 3 and Period 4 (payments received from January 1, 2021 to December 31, 2021), as specified by HHS. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate.