Title: Pass-through Awards
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Federal Schedule) presentsthe activities of the federal financial assistance programs of Hackensack Meridian Health, Inc. andits subsidiaries (the Network) that have been financed by the U.S. Government.The information in this Federal Schedule is presented in accordance with the requirements of theTitle 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, CostPrinciples, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, someamounts presented in this Federal Schedule may differ from amounts presented in or used inpreparation of the consolidated financial statements. All financial assistance received directly fromfederal agencies, as well as financial assistance passed through other governmental agencies ornonprofit organizations, are included on the Federal Schedule. Direct and indirect costs arecharged to awards in accordance with cost principles contained in the Department of Health andHuman Services (DHHS), U.S. Office of the Assistant Secretary Comptroller (OASC), OASC-3,A Guide for Hospitals. Under these cost principles, certain types of expenditures are not allowableor are limited as to reimbursement. The accompanying Federal Schedule is presented on theaccrual basis of accounting. Because the Federal Schedule presents only a selected portion of theactivities of the Network, it is not intended to, and does not, present the consolidated financialposition, results of operations, and changes in net assets or cash flows of the Network.The Network does not use the 10% de-minimis indirect cost rate for sponsored programs. TheNetwork charges indirect costs to federal awards based on award-specific rates as defined in eachgrant award. While certain awards on the Federal Schedule have program names identified asaward year 2023, only expenses incurred during the year ended December 31, 2022 are reportedon the Federal Schedule. These awards have grant periods that do not align with the Networkscalendar year end.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
Full Assistance Listing Numbers (ALN) and pass through award numbers are presented where available and applicable.
Title: Federal Direct Student Loan Program
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Federal Schedule) presentsthe activities of the federal financial assistance programs of Hackensack Meridian Health, Inc. andits subsidiaries (the Network) that have been financed by the U.S. Government.The information in this Federal Schedule is presented in accordance with the requirements of theTitle 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, CostPrinciples, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, someamounts presented in this Federal Schedule may differ from amounts presented in or used inpreparation of the consolidated financial statements. All financial assistance received directly fromfederal agencies, as well as financial assistance passed through other governmental agencies ornonprofit organizations, are included on the Federal Schedule. Direct and indirect costs arecharged to awards in accordance with cost principles contained in the Department of Health andHuman Services (DHHS), U.S. Office of the Assistant Secretary Comptroller (OASC), OASC-3,A Guide for Hospitals. Under these cost principles, certain types of expenditures are not allowableor are limited as to reimbursement. The accompanying Federal Schedule is presented on theaccrual basis of accounting. Because the Federal Schedule presents only a selected portion of theactivities of the Network, it is not intended to, and does not, present the consolidated financialposition, results of operations, and changes in net assets or cash flows of the Network.The Network does not use the 10% de-minimis indirect cost rate for sponsored programs. TheNetwork charges indirect costs to federal awards based on award-specific rates as defined in eachgrant award. While certain awards on the Federal Schedule have program names identified asaward year 2023, only expenses incurred during the year ended December 31, 2022 are reportedon the Federal Schedule. These awards have grant periods that do not align with the Networkscalendar year end.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The Network is responsible only for the performance of certain administrative duties with respect to the Federal Direct Student Loan Program and, accordingly, the total outstanding loans are not included in the Networks consolidated financial statements. It is not practical to determine thebalance of loans outstanding to students under this program as of December 31, 2022. The schedule of expenditures of federal awards includes loans granted in 2022.
Title: COVID-19 HRSA COVID-19 Claims Reimbursement for the Uninsured Program and
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Federal Schedule) presentsthe activities of the federal financial assistance programs of Hackensack Meridian Health, Inc. andits subsidiaries (the Network) that have been financed by the U.S. Government.The information in this Federal Schedule is presented in accordance with the requirements of theTitle 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, CostPrinciples, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, someamounts presented in this Federal Schedule may differ from amounts presented in or used inpreparation of the consolidated financial statements. All financial assistance received directly fromfederal agencies, as well as financial assistance passed through other governmental agencies ornonprofit organizations, are included on the Federal Schedule. Direct and indirect costs arecharged to awards in accordance with cost principles contained in the Department of Health andHuman Services (DHHS), U.S. Office of the Assistant Secretary Comptroller (OASC), OASC-3,A Guide for Hospitals. Under these cost principles, certain types of expenditures are not allowableor are limited as to reimbursement. The accompanying Federal Schedule is presented on theaccrual basis of accounting. Because the Federal Schedule presents only a selected portion of theactivities of the Network, it is not intended to, and does not, present the consolidated financialposition, results of operations, and changes in net assets or cash flows of the Network.The Network does not use the 10% de-minimis indirect cost rate for sponsored programs. TheNetwork charges indirect costs to federal awards based on award-specific rates as defined in eachgrant award. While certain awards on the Federal Schedule have program names identified asaward year 2023, only expenses incurred during the year ended December 31, 2022 are reportedon the Federal Schedule. These awards have grant periods that do not align with the Networkscalendar year end.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The Network conducted COVID-19 testing and/or provided treatment for uninsured individuals with a COVID-19 primary diagnosis on or after February 4, 2020 and as such has requested claims reimbursement under DHHS ALN 93.461 Health Resources and Services Administrations (HRSA) COVID-19 Claims Reimbursement for the Uninsured Program and the COVID-19 Coverage Assistance Fund. The Network has recorded $1,164 on the Federal Schedule from DHHS on claims with service dates during fiscal year 2022 which were fully reimbursed as ofDecember 31, 2022 (claims for testing and treatment were accepted through March 22, 2022 and claims for vaccine administration were accepted through April 5, 2022).
Title: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distri
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Federal Schedule) presentsthe activities of the federal financial assistance programs of Hackensack Meridian Health, Inc. andits subsidiaries (the Network) that have been financed by the U.S. Government.The information in this Federal Schedule is presented in accordance with the requirements of theTitle 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, CostPrinciples, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, someamounts presented in this Federal Schedule may differ from amounts presented in or used inpreparation of the consolidated financial statements. All financial assistance received directly fromfederal agencies, as well as financial assistance passed through other governmental agencies ornonprofit organizations, are included on the Federal Schedule. Direct and indirect costs arecharged to awards in accordance with cost principles contained in the Department of Health andHuman Services (DHHS), U.S. Office of the Assistant Secretary Comptroller (OASC), OASC-3,A Guide for Hospitals. Under these cost principles, certain types of expenditures are not allowableor are limited as to reimbursement. The accompanying Federal Schedule is presented on theaccrual basis of accounting. Because the Federal Schedule presents only a selected portion of theactivities of the Network, it is not intended to, and does not, present the consolidated financialposition, results of operations, and changes in net assets or cash flows of the Network.The Network does not use the 10% de-minimis indirect cost rate for sponsored programs. TheNetwork charges indirect costs to federal awards based on award-specific rates as defined in eachgrant award. While certain awards on the Federal Schedule have program names identified asaward year 2023, only expenses incurred during the year ended December 31, 2022 are reportedon the Federal Schedule. These awards have grant periods that do not align with the Networkscalendar year end.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The Federal Schedule includes grant activity related to the DHHS Coronavirus Aid Relief and Economic Security (CARES) Act ALN 93.498 Provider Relief Fund (PRF). The PRF is administered by HRSA. As required based on guidance in the 2022 OMB Compliance Supplement, the Federal Schedule includes all Period 3 funds received between January 1, 2021 and June 30, 2021 and expended by June 30, 2022 and all Period 4 funds received between July 1, 2021 to December 31, 2021 and expended by December 31, 2022 as reported to HRSA via the PRF Reporting Portal. The Federal Schedule, thus, includes $5,927 of lost revenue. Pursuant to the guidance provided by DHHS, the Network will include all PRF funds received between January 1, 2022 and December 31, 2022 (Periods 5 and 6) on its Federal Schedule for the year ending December 31, 2023.
Title: COVID-19 Federal Emergency Management Agency Disaster Relief Fund (FEMA
Accounting Policies: The accompanying Schedule of Expenditures of Federal Awards (the Federal Schedule) presentsthe activities of the federal financial assistance programs of Hackensack Meridian Health, Inc. andits subsidiaries (the Network) that have been financed by the U.S. Government.The information in this Federal Schedule is presented in accordance with the requirements of theTitle 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, CostPrinciples, and Audit Requirements for Federal Awards (Uniform Guidance). Therefore, someamounts presented in this Federal Schedule may differ from amounts presented in or used inpreparation of the consolidated financial statements. All financial assistance received directly fromfederal agencies, as well as financial assistance passed through other governmental agencies ornonprofit organizations, are included on the Federal Schedule. Direct and indirect costs arecharged to awards in accordance with cost principles contained in the Department of Health andHuman Services (DHHS), U.S. Office of the Assistant Secretary Comptroller (OASC), OASC-3,A Guide for Hospitals. Under these cost principles, certain types of expenditures are not allowableor are limited as to reimbursement. The accompanying Federal Schedule is presented on theaccrual basis of accounting. Because the Federal Schedule presents only a selected portion of theactivities of the Network, it is not intended to, and does not, present the consolidated financialposition, results of operations, and changes in net assets or cash flows of the Network.The Network does not use the 10% de-minimis indirect cost rate for sponsored programs. TheNetwork charges indirect costs to federal awards based on award-specific rates as defined in eachgrant award. While certain awards on the Federal Schedule have program names identified asaward year 2023, only expenses incurred during the year ended December 31, 2022 are reportedon the Federal Schedule. These awards have grant periods that do not align with the Networkscalendar year end.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
As of December 31, 2022, the Network recorded $170,366 of claims to FEMA under ALN 97.036. The claims submitted represented incurred eligible capital and operating expenses attributed to the Networks response to COVID-19 which were not only expended but also obligated by the federal and state agencies. The Network has additional claims outstanding and under review with FEMA as of December 31, 2022 which will be recognized in the year the related funds are obligated by the federal and state agencies.